Are depression and anxiety determinants or indicators of quality of life in breast cancer patients?

Hutter, Nico; Vogel, Barbara; Alexander, Tatjana; Baumeister, Harald; Helmes, Almut; Bengel, Jürgen

doi:10.1080/13548506.2012.736624

Cited by 45 publications

(35 citation statements)

References 21 publications

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“…This observation is consistent with a number of studies in patients with breast cancer that found that increased severity of each of these psychological symptoms is associated with significant decrements in various dimensions of QOL (Alacacioglu et al, 2010; Hutter et al, 2013; Karakoyun-Celik et al, 2010; So et al, 2010). …”

Section: Discussionsupporting

confidence: 91%

Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life

Gold

Dunn

Phoenix

et al. 2016

European Journal of Oncology Nursing

112

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Purpose Little is known about the prevalence of combined anxiety and depressive symptoms (CADS) in breast cancer patients. Purpose was to evaluate for differences in demographic and clinical characteristics and quality of life (QOL) prior to breast cancer surgery among women classified into one of four distinct anxiety and/or depressive symptom groups. Methods A total of 335 patients completed measures of anxiety and depressive symptoms and QOL prior to and for 6 months following breast cancer surgery. Growth Mixture Modelling (GMM) was used to identify subgroups of women with distinct trajectories of anxiety and depressive symptoms. These results were used to create four distinct anxiety and/or depressive symptom groups. Differences in demographic, clinical, and symptom characteristics, among these groups were evaluated using analyses of variance and Chi square analyses. Results A total of 44.5% of patients were categorized with CADS. Women with CADS were younger, non-white, had lower performance status, received neoadjuvant or adjuvant chemotherapy, had greater difficulty dealing with their disease and treatment, and reported less support from others to meet their needs. These women had lower physical, psychological, social well-being, and total QOL scores. Higher levels of anxiety with or without subsyndromal depressive symptoms were associated with increased fears of recurrence, hopelessness, uncertainty, loss of control, and a decrease in life satisfaction. Conclusions Findings suggest that CADS occurs in a high percentage of women following breast cancer surgery and results in a poorer QOL. Assessments of anxiety and depressive symptoms are warranted prior to surgery for breast cancer.

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Section: Discussionsupporting

confidence: 91%

Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life

Gold

Dunn

Phoenix

et al. 2016

European Journal of Oncology Nursing

112

View full text Add to dashboard Cite

show abstract

“…This outcome was reported in the previous literature (Huttera et al, 2013;Sadoughi & Salehi, 2017;So et al, 2014). This outcome was reported in the previous literature (Huttera et al, 2013;Sadoughi & Salehi, 2017;So et al, 2014).…”

Section: Discussionsupporting

confidence: 79%

Psychological distress and quality of life among Jordanian women diagnosed with breast cancer: The role of trait mindfulness

et al. 2019

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Background Patients diagnosed with breast cancer were reported to have high levels of psychosocial distress and poor quality of life (QOL). Mindfulness is believed to improve QOL and reduce psychological distress in various populations, but its unique association with QOL and psychological distress in women with breast cancer has yet to be established. Objectives This study was conducted to examine the relationship of mindfulness with depression, anxiety and QOL of women diagnosed with breast cancer. Methods A descriptive, correlation design was used. Results A sample of 234 Jordanian women completed the study. 24% of the participants scored above the cut‐off for clinical depression, 36.3% scored above the cut‐off for clinical anxiety, and 35.5% scored above the cut‐off for poor QOL. Mindfulness accounted for significant unique variance in depression, anxiety and QOL above and beyond the variance accounted for by the demographic variables, clinical variables and social support. Conclusion The current study provided preliminary evidence for the relationship of social support and mindfulness with the psychological well‐being and QOL among Jordanian women with breast cancer. Future research may want to tailor an intervention that combines social support and mindfulness‐based interventions and identify their benefits to support Jordanian women with breast cancer.

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“…Many studies have shown that QoL of cancer patients was negatively correlated with depression and anxiety [21,22,41,42]. This was also reflected in the result of the current study.…”

Section: Discussionsupporting

confidence: 76%

Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study

Mohamed

See

et al. 2016

Eur. psychiatr.

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Background: Depression and anxiety are common psychiatric morbidity among breast cancer patient. There is a lack of study examining the correlation between depression, anxiety and quality of life (QoL) with perceived social support (PSS) among breast cancer patients. This study aims to study the level of depression, anxiety, QoL and PSS among Malaysian breast cancer women over a period of 12 months and their associations at baseline, 6 and 12 months. Methods: It is a 12 months prospective cohort study. Two hundred and twenty one female patients were included in the study. They were assessed at the time of diagnosis, 6 months and 12 month using Hospital Anxiety and Depression Scale (HADS), Quality-of-Life Questionnaire (QLQ-C30), Version 3.0 of the EORTC Study Group and Multidimensional Scale of Perceived Social Support (MSPSS). The information of age, ethnicity, types of treatment, and staging of cancer were collected. Results: The HADS anxiety and depression subscales scores of the subjects were relatively low. The level of anxiety reduced significantly at 6 and 12 months (Baseline -6 months, p = 0.002; Baseline -12 months, p < 0.001). There were no changes in the level of depression over the study period. The global status of QoL and MSPSS scores were relatively high. Correlation between the global status of QoL and MSPSS for the study subjects was positive (Spearman's rho = 0.31-0.36). Global status of QoL and MSPSS scores were negatively correlated with anxiety and depression. Conclusion: Malaysian breast cancer women had relatively better QoL with lower level of anxiety and depression. Perceived social support was an important factor for better QoL and low level of psychological distress. It reflects the importance of attention on activities that enhance and maintain the social support system for breast cancer patients.

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Are depression and anxiety determinants or indicators of quality of life in breast cancer patients?

Cited by 45 publications

References 21 publications

Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life

Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life

Psychological distress and quality of life among Jordanian women diagnosed with breast cancer: The role of trait mindfulness

Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study

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