Journal ArticleDOI
Psychological distress after initial treatment of breast cancer. Assessment of potential risk factors.
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TLDR
Patient and disease characteristics are often mentioned by clinicians as possible risk factors for psychological distress among women with breast cancer, but either these factors have not been evaluated or when they were evaluated, results were inconclusive.Abstract:
Background. Patient and disease characteristics are often mentioned by clinicians as possible risk factors for psychological distress among women with breast cancer. However, either these factors have not been evaluated or when they were evaluated, results were inconclusive.
Methods. Potential risk factors for psychological distress were assessed among 205 patients with newly diagnosed breast cancer by home interview 3 and 18 months after surgery.
Results. At 3 months, proportions of women with high distress reporting 0-1, 2-3, 4-5, and 6-15 stressful life events in the 5 years preceding diagnosis were 17%, 20%, 28%, and 37%, respectively (P = 0.006). High levels of psychological distress were present in 63.1% of women with a history of depression, compared with 14.3% of those with no such history (P = 0.000). Associations of these factors with distress also were present 18 months after diagnosis. At 18 months only, distress was more frequent in women with regional disease (44%) than in those with localized disease (22%) (P = 0.006). Age, education, and marital status had little or no association with levels of psychological distress.
Conclusions. Number of stressful life events before diagnosis and history of depression appear to be strong indicators of the risk of psychological distress and may be useful for identifying patients with breast cancer in need of more intense psychosocial support.read more
Citations
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Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies
Alex J. Mitchell,Alex J. Mitchell,Melissa Chan,Henna Bhatti,Marie Halton,Luigi Grassi,Christoffer Johansen,Nicholas Meader +7 more
TL;DR: Interview-defined depression and anxiety is less common in patients with cancer than previously thought, although some combination of mood disorders occurs in 30-40% of patients in hospital settings without a significant difference between palliative-care and non-palliatives-care settings.
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Use of alternative medicine by women with early-stage breast cancer.
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Psychological sequelae of cancer diagnosis: a meta-analytical review of 58 studies after 1980.
TL;DR: The amount of psychological and psychiatric problems in patients with cancer does not differ from the normal population, and the amount of anxiety is significantly less in cancer patients than in other groups of medical patients with mixed diagnoses, whereas depression is not.
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Psychological and physical adjustment to breast cancer over 4 years: identifying distinct trajectories of change.
TL;DR: Age successfully distinguished different trajectories of physical functioning and mental and physical functioning in women with breast cancer over 4 years.
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Quality of life of women with recurrent breast cancer and their family members.
Laurel L. Northouse,Darlene W. Mood,Trace Kershaw,Ann Schafenacker,Suzanne Mellon,Julie Walker,Elizabeth Galvin,Veronica Decker +7 more
TL;DR: Women with recurrent breast cancer are in need of programs to assist them with the severe effects of the disease on their quality of life, and programs need to include family members to help counteract the negative effects ofThe recurrent disease onTheir mental health, and to enable them to continue as effective caregivers.
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