{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T09:51:46Z","timestamp":1791193906241,"version":"4.1.0"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"40","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,10,4]]},"abstract":"<jats:p>Az eml\u0151implant\u00e1ci\u00f3 az egyik leggyakrabban v\u00e9gzett plasztikai seb\u00e9szeti\n                    beavatkoz\u00e1s, amely r\u00f6vid t\u00e1von kedvez\u0151 pszich\u00e9s hat\u00e1sokkal j\u00e1rhat, ugyanakkor\n                    hossz\u00fa t\u00e1von komplex biopszichoszoci\u00e1lis k\u00f6vetkezm\u00e9nyekkel t\u00e1rsulhat. Az ut\u00f3bbi\n                    \u00e9vekben fokozott figyelem ir\u00e1nyult az eml\u0151implant\u00e1tumhoz k\u00f6thet\u0151 t\u00fcnetegy\u00fcttesre\n                    (breast implant illness: BII), valamint az implant\u00e1tumhoz t\u00e1rsul\u00f3 malignus\n                    k\u00f3rk\u00e9pekre (eml\u0151implant\u00e1tummal \u00f6sszef\u00fcgg\u0151 anaplasticus nagysejtes lymphoma \u2013\n                    BIA-ALCL; eml\u0151implant\u00e1tummal \u00f6sszef\u00fcgg\u0151 laph\u00e1mr\u00e1k \u2013 BIA-SCC). C\u00e9lkit\u0171z\u00e9s\u00fcnk az\n                    eml\u0151implant\u00e1tummal \u00e9l\u0151 betegek pszichol\u00f3giai jellemz\u0151inek, a preoperat\u00edv\n                    pszich\u00e9s vulnerabilit\u00e1s szerep\u00e9nek, valamint a BII \u00e9s az implant\u00e1tumhoz t\u00e1rsul\u00f3\n                    malignus elv\u00e1ltoz\u00e1sok, mint a BIA-ALCL \u00e9s a BIA-SCC, pszichol\u00f3giai\n                    vonatkoz\u00e1sainak \u00e1ttekint\u00e9se. M\u00f3dszer\u00fcnk narrat\u00edv irodalmi \u00e1ttekint\u00e9s volt a\n                    relev\u00e1ns nemzetk\u00f6zi szakirodalom alapj\u00e1n. Az eredm\u00e9nyek azt mutatj\u00e1k, hogy az\n                    eszt\u00e9tikai eml\u0151plasztik\u00e1t v\u00e1laszt\u00f3 popul\u00e1ci\u00f3ban a ment\u00e1lis zavarok\n                    komorbidit\u00e1s\u00e1nak prevalenci\u00e1ja meghaladja az \u00e1tlagpopul\u00e1ci\u00f3s \u00e9rt\u00e9keket. A\n                    posztoperat\u00edv pszich\u00e9s kimeneteleket d\u00f6nt\u0151en a preoperat\u00edv ment\u00e1lis \u00e1llapot\n                    hat\u00e1rozza meg. A BII olyan, nem egys\u00e9gesen defini\u00e1lt, heterog\u00e9n t\u00fcnetegy\u00fcttes,\n                    amelynek kialakul\u00e1s\u00e1ban \u00e9s fennmarad\u00e1s\u00e1ban pszichol\u00f3giai t\u00e9nyez\u0151k \u2013 k\u00fcl\u00f6n\u00f6sen\n                    eg\u00e9szs\u00e9gszorong\u00e1s, kognit\u00edv torz\u00edt\u00e1sok \u00e9s nocebohat\u00e1sok \u2013 j\u00e1tszhatnak szerepet.\n                    A BII eset\u00e9n az implant\u00e1tum elt\u00e1vol\u00edt\u00e1sa nem minden esetben eredm\u00e9nyez klinikai\n                    javul\u00e1st, ami a jelens\u00e9g multifaktori\u00e1lis term\u00e9szet\u00e9t t\u00e1masztja al\u00e1. Az\n                    implant\u00e1tumhoz t\u00e1rsul\u00f3 malignus k\u00f3rk\u00e9pek, mint a BIA-ALCL \u00e9s a BIA-SCC, ritk\u00e1k\n                    \u00e9s nem pszich\u00e9s k\u00f3reredet\u0171ek, ugyanakkor jelent\u0151s pszich\u00e9s megterhel\u00e9ssel\n                    j\u00e1rnak, bele\u00e9rtve a szorong\u00e1st, a kontrollveszt\u00e9s \u00e9lm\u00e9ny\u00e9t \u00e9s a testk\u00e9p ism\u00e9telt\n                    s\u00e9r\u00fcl\u00e9s\u00e9t. K\u00f6vetkez\u00e9sk\u00e9pp az eml\u0151implant\u00e1tumokhoz t\u00e1rsul\u00f3 \u00e1llapotok olyan\n                    komplex biopszichoszoci\u00e1lis jelens\u00e9gek, amelyek \u00e9rtelmez\u00e9se \u00e9s kezel\u00e9se\n                    integr\u00e1lt megk\u00f6zel\u00edt\u00e9st ig\u00e9nyel. A preoperat\u00edv pszich\u00e9s sz\u0171r\u00e9s, a ment\u00e1lis\n                    zavarok komorbidit\u00e1s\u00e1nak felismer\u00e9se \u00e9s a multidiszciplin\u00e1ris ell\u00e1t\u00e1s\n                    kulcsszerepet j\u00e1tszanak a kedvez\u0151 klinikai kimenetelek \u00e9s az \u00e9letmin\u0151s\u00e9g\n                    jav\u00edt\u00e1s\u00e1ban. Orv Hetil. 2026; 167(40): 1616\u20131623.<\/jats:p>","DOI":"10.1556\/650.2026.33683","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T08:58:54Z","timestamp":1791190734000},"page":"1616-1623","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az eml\u0151implant\u00e1ci\u00f3 pszichol\u00f3giai \u00e9s klinikai vonatkoz\u00e1sai"],"prefix":"10.1556","volume":"167","author":[{"given":"J\u00e1nos","family":"Vizi","sequence":"first","affiliation":[{"name":"Ny\u00edr\u0151 Gyula Orsz\u00e1gos Pszichi\u00e1triai \u00e9s Addiktol\u00f3giai Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ferencz","sequence":"additional","affiliation":[{"name":"Budapesti P\u00e9terfy S\u00e1ndor Utcai K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, Seb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8564-2726","authenticated-orcid":true,"given":"B\u00e9la Zolt\u00e1n","family":"Debreczeni","sequence":"additional","affiliation":[{"name":"DrD Plasztikai St\u00fadi\u00f3 Budapest, Kuny Domokos \u00fat 1., 1012 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Sarwer DB, Crerand CE. 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