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Nicole Paraskeva

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Nicole Paraskeva

Senior Research Fellow


Exploring the experiences and psychosocial support needs of informal carers of men with breast cancer: A qualitative study (2022)
Journal Article
Herring, B., Lewis-Smith, H., Paraskeva, N., & Harcourt, D. (2022). Exploring the experiences and psychosocial support needs of informal carers of men with breast cancer: A qualitative study. Supportive Care in Cancer, 30, 6669–6676. https://doi.org/10.1007/s00520-022-07095-2

Purpose: The provision of practical and emotional support for men who have been diagnosed with breast cancer in the UK falls primarily on their partners, close family members or friends. However, informal carers’ experiences are omitted from the rese... Read More about Exploring the experiences and psychosocial support needs of informal carers of men with breast cancer: A qualitative study.

A multi-centred sequential trial comparing PEGASUS, an intervention to promote shared decision making about breast reconstruction with usual care (2021)
Journal Article
Paraskeva, N., Tollow, P., Clarke, A., White, P., Powell, J. E., Cox, D. M., & Harcourt, D. M. (2022). A multi-centred sequential trial comparing PEGASUS, an intervention to promote shared decision making about breast reconstruction with usual care. Journal of Plastic, Reconstructive and Aesthetic Surgery, 75(4), 1342-1351. https://doi.org/10.1016/j.bjps.2021.11.033

Decision making about breast reconstruction (BR) is complex. The Patients’ Expectations and Goals: Assisting Shared Understanding of Surgery (PEGASUS) intervention aims to support shared decision making by helping women and clinicians clarify and dis... Read More about A multi-centred sequential trial comparing PEGASUS, an intervention to promote shared decision making about breast reconstruction with usual care.

Psychological Assessment (2021)
Book Chapter
Paraskeva, N., & Rumsey, N. (2021). Psychological Assessment. In S. Kay, D. McCombe, & D. Wilks (Eds.), Oxford Textbook of Plastic and Reconstructive Surgery. Oxford University Press

Although research relating to the psychology of the cosmetic surgery patient is still in its infancy, there is a consensus amongst researchers that various combinations of psychological factors play a key role in the recent increase in demand for cos... Read More about Psychological Assessment.

“They were aware of who I was as a person”: Patients’ and health professionals’ experiences of using the PEGASUS intervention to facilitate decision-making around breast reconstruction (2021)
Journal Article
Tollow, P., Paraskeva, N., Clarke, A., White, P., Powell, J., Cox, D., & Harcourt, D. (in press). “They were aware of who I was as a person”: Patients’ and health professionals’ experiences of using the PEGASUS intervention to facilitate decision-making around breast reconstruction. European Journal of Cancer Care, Article e13464. https://doi.org/10.1111/ecc.13464

Objective: Many women choose to have breast reconstruction after mastectomy, however, decision-making can be difficult and expectations are often unmet. The PEGASUS intervention (Patient Expectations and Goals: Assisting Shared Understanding of Surge... Read More about “They were aware of who I was as a person”: Patients’ and health professionals’ experiences of using the PEGASUS intervention to facilitate decision-making around breast reconstruction.

The nature and importance of women's goals for immediate and delayed breast reconstruction (2021)
Journal Article
Guest, E., Paraskeva, N., Griffiths, C., Hansen, E., Clarke, A., Baker, E., & Harcourt, D. (2021). The nature and importance of women's goals for immediate and delayed breast reconstruction. Journal of Plastic, Reconstructive and Aesthetic Surgery, 74(9), 2169-2175. https://doi.org/10.1016/j.bjps.2020.12.085

Objectives: Increasingly, women undergo breast reconstruction (BR) surgery to restore health-related and psychosocial quality of life after mastectomy. Most research focuses on BR outcomes rather than women's pre-surgical expectations of, and goals f... Read More about The nature and importance of women's goals for immediate and delayed breast reconstruction.

Challenges and reflections from a multi-centre trial of a psycho-oncology intervention to support shared decision-making in breast reconstruction (2020)
Journal Article
Tollow, P., Paraskeva, N., Clarke, A., White, P., Powell, J., Cox, D., & Harcourt, D. (2021). Challenges and reflections from a multi-centre trial of a psycho-oncology intervention to support shared decision-making in breast reconstruction. European Journal of Cancer Care, 30(2), Article e13384. https://doi.org/10.1111/ecc.13384

PEGASUS: the Design of an Intervention to Facilitate Shared Decision-making in Breast Reconstruction (2020)
Journal Article
Clarke, A., Paraskeva, N., White, P., Tollow, P., Hansen, E., & Harcourt, D. (2020). PEGASUS: the Design of an Intervention to Facilitate Shared Decision-making in Breast Reconstruction. Journal of Cancer Education, https://doi.org/10.1007/s13187-019-01656-6

© 2020, The Author(s). Studies have found varying levels of satisfaction after breast reconstruction surgery with a substantial group of patients reporting some level of regret about their decision. The variable outcomes reported by women undergoing... Read More about PEGASUS: the Design of an Intervention to Facilitate Shared Decision-making in Breast Reconstruction.

Contralateral Prophylactic Mastectomy (CPM) and the clinical consultation: A snapshot of UK healthcare professionals’ views and experiences (2019)
Journal Article
Williams, V. S., Tollow, P., Harcourt, D., Subramanian, A., & Paraskeva, N. (2020). Contralateral Prophylactic Mastectomy (CPM) and the clinical consultation: A snapshot of UK healthcare professionals’ views and experiences. Journal of Plastic, Reconstructive and Aesthetic Surgery, 73(5), 865-869. https://doi.org/10.1016/j.bjps.2019.11.026

© 2020 Elsevier Ltd Objectives: Increasing numbers of women are undergoing Contralateral Prophylactic Mastectomy (CPM) in the UK. However, professional guidelines suggest CPM does not offer oncological benefit to the majority of women with breast can... Read More about Contralateral Prophylactic Mastectomy (CPM) and the clinical consultation: A snapshot of UK healthcare professionals’ views and experiences.

Body Image, Esteem, and Dissatisfaction During Childhood (2019)
Book Chapter
Paraskeva, N., & Diedrichs, P. Body Image, Esteem, and Dissatisfaction During Childhood. In Encyclopedia of Child and Adolescent Development. Wiley

This entry outlines empirical evidence for the key influences on children’s body image. It reviews the prevalence of body image concerns during childhood and examines the biological, psychological, and sociocultural factors that can influence childre... Read More about Body Image, Esteem, and Dissatisfaction During Childhood.

Women’s initial experiences of their appearance after mastectomy and/or breast reconstruction: A qualitative study (2019)
Journal Article
Herring, B., Paraskeva, N., Tollow, P., & Harcourt, D. (2019). Women’s initial experiences of their appearance after mastectomy and/or breast reconstruction: A qualitative study. Psycho-Oncology, 28(10), 2076-2082. https://doi.org/10.1002/pon.5196

Objective: Surgical procedures intended to treat breast cancer or reduce risk of developing the disease typically result in changes to appearance and scarring of the breast area, and any donor sites. The longer-term impact of these changes on body i... Read More about Women’s initial experiences of their appearance after mastectomy and/or breast reconstruction: A qualitative study.