Psychological distress after initial treatment of breast cancer. Assessment of potential risk factors.

作者: Elizabeth Maunsell , Jacques Brisson , Luc Deschěnes

DOI: 10.1002/1097-0142(19920701)70:1<120::AID-CNCR2820700120>3.0.CO;2-U

关键词:

摘要: 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 have not been evaluated or when they were evaluated, results inconclusive. Methods. Potential assessed 205 patients newly diagnosed cancer home interview 3 18 months after surgery. Results. At months, proportions of high reporting 0-1, 2-3, 4-5, 6-15 stressful life events in the 5 years preceding diagnosis 17%, 20%, 28%, 37%, respectively (P = 0.006). High levels present 63.1% a history depression, compared 14.3% those no such 0.000). Associations also diagnosis. only, was more frequent regional (44%) than localized (22%) Age, education, marital status had little association distress. Conclusions. Number before depression appear to be strong indicators may useful identifying need intense psychosocial support.

参考文章(19)
L. L. Kupper, K. E. Muller, D. G. Kleinbaum, Applied Regression Analysis and Other Multivariable Methods ,(1978)
Elizabeth Maunsell, Jacques Brisson, Luc Deschênes, T. Greg Hislop, Lisa Kan, Receptor status and psychological adjustment of breast cancer patients The Lancet. ,vol. 336, pp. 47- 48 ,(1990) , 10.1016/0140-6736(90)91554-N
Frederic W. Ilfeld, Psychologic Status of Community Residents Along Major Demographic Dimensions Archives of General Psychiatry. ,vol. 35, pp. 716- 724 ,(1978) , 10.1001/ARCHPSYC.1978.01770300058006
Elizabeth maunsell, Jacques Brisson, Luc Deschenes, Psychological distress after initial treatment for breast cancer: a comparison of partial and total mastectomy. Journal of Clinical Epidemiology. ,vol. 42, pp. 765- 771 ,(1989) , 10.1016/0895-4356(89)90074-7
Christine Dean, Psychiatric morbidity following mastectomy: Preoperative predictors and types of illness Journal of Psychosomatic Research. ,vol. 31, pp. 385- 392 ,(1987) , 10.1016/0022-3999(87)90059-6
Loya F. Metzger, Theresa F. Rogers, Laurie J Bauman, Effects of Age and Marital Status on Emotional Distress after a Mastectomy Journal of Psychosocial Oncology. ,vol. 1, pp. 17- 33 ,(1983) , 10.1300/J077V01N03_02
J. Rabkin, E. Struening, Live events, stress, and illness Science. ,vol. 194, pp. 1013- 1020 ,(1976) , 10.1126/SCIENCE.790570
G P Maguire, E G Lee, D J Bevington, C S Kuchemann, R J Crabtree, C E Cornell, Psychiatric problems in the first year after mastectomy. BMJ. ,vol. 1, pp. 963- 965 ,(1978) , 10.1136/BMJ.1.6118.963
Donna P. Funch, Curtis Mettlin, The role of support in relation to recovery from breast surgery Social Science & Medicine. ,vol. 16, pp. 91- 98 ,(1982) , 10.1016/0277-9536(82)90429-4