Early postoperative psychological distress as a mediator of subsequent persistent postsurgical pain outcomes among younger breast cancer patients

Wilson, Jenna; Colebaugh, Carin; Flowers, K. Mikayla; Edwards, Robert R.; Partridge, Ann H.; Dominici, Laura; Schreiber, Kristin L.

doi:10.1007/s10549-022-06720-2

Cited by 8 publications

(4 citation statements)

References 39 publications

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“…This is consistent with previous studies that chewing gum may relieve labor pain (22) or procedural pain in medical experiences (23)(24)(25). For surgical patients, higher anxiety is associated with severe pain and increased analgesic requirements (26,27). Although the exact mechanism is not known, it is speculated that chewing gum may have affected pain sensation by relieving stress (24).…”

Section: Discussionsupporting

confidence: 90%

Effect of chewing gum on anxiety in women undergoing elective cesarean section: a randomized controlled study

Bang¹,

Lee²,

Kang³

et al. 2023

Ann Palliat Med

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Background: Preoperative anxiety is a common problem in pregnant women undergoing elective cesarean section. We aimed to determine the anxiolytic effects of chewing gum in pregnant women undergoing elective cesarean section under regional anesthesia.Methods: This was a single-center, prospective, randomized controlled trial. Sixty-six women were randomly assigned to either the control group (n=33) or gum group (n=33) in a 1:1 ratio. In the gum group, the participants chewed xylitol gum for at least 10 min/h, regardless of fasting. Gum chewing was started at 5 pm a day before surgery and continued till the participant entered the operation room. In the control group, participants were requested to follow fasting guidelines without further instruction. The primary outcome was preoperative anxiety measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) immediately before surgery. Results:The APAIS score immediately before surgery showed no significant difference between the control and the gum group (19.2±5.8 vs. 19.1±4.1, P>0.99). There were no statistically significant differences in the eight items related to anxiety: unfitness, concentration difficulty, hunger, thirst, dry mouth, fatigue, headache, and nausea. However, the pain score during the procedure of combined spinal epidural anesthesia was significantly lower in the chewing gum group [4 (IQR, 3-5.5)] than in the control group [5 (IQR, 3-7), P=0.045].Conclusions: Preoperative gum chewing did not reduce anxiety levels measured immediately before entering the operating room in the participants undergoing elective cesarean section.Trial Registration: Clinical Trial Registry of Korea; https://cris.nih.go.kr/cris/index.jsp and identifier: KCT0006602; date of registration: September 27, 2021; principal investigator's name: RyungA Kang).

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Section: Discussionsupporting

confidence: 90%

Effect of chewing gum on anxiety in women undergoing elective cesarean section: a randomized controlled study

Bang¹,

Lee²,

Kang³

et al. 2023

Ann Palliat Med

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“…A presente pesquisa também evidenciou a presença de sintomas de dor, fadiga e insônia durante o período pós-operatório. Conforme a literatura, mulheres que sofrem de câncer de mama frequentemente apresentam significativos quadros desses sintomas (HODECKER; AZEVEDO, 2021;AGUIAR et al, 2019;WILSON et al, 2022). Em um estudo conduzido após procedimentos cirúrgicos para o tratamento desse tipo de câncer, foi constatado que a insônia exercia papel de agravamento da percepção de dor nessas mulheres (WILSON et al, 2022).…”

Section: Discussionunclassified

Presença de ansiedade, depressão e qualidade de vida de mulheres antes e após mastectomia

Costa,

Silva,

Nicolussi

2024

CLCS

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Identificar e comparar a presença de ansiedade, depressão e a qualidade de vida relacionada à saúde de mulheres antes e após mastectomia. Estudo quantitativo, analítico e prospectivo. Foi realizada amostragem por conveniência, incluindo mulheres com câncer de mama a serem submetidas à mastectomia. Foram utilizados: Escala Hospitalar de Ansiedade e Depressão, Quality of Life Questionnaire-Core30 e Quality of Life Questionnaire-Breast Cancer23 e realizada análise estatística descritiva e Teste-T pareado. Foram entrevistadas 30 pacientes. A ansiedade teve redução estatisticamente significativa (p<0,05) no pós-operatório e a depressão permaneceu estável. A qualidade de vida geral e as escalas funcionais variaram dentro de um nível satisfatório a bom (escores de 70,00 a 90,00), com pequeno aumento para as funções emocional, cognitiva e qualidade de vida geral. No pré e pós-operatório, foi apresentado oscilações em diversos sintomas, com um aumento estatisticamente significativo para perspectivas futuras. Apesar de as mulheres relatarem uma boa qualidade de vida geral, também apresentaram queixas de sintomas tanto no pré quanto no pós-operatório, sendo imprescindível a identificação precoce pela equipe de saúde para a elaboração de estratégias preventivas e de gestão, buscando aprimorar a qualidade de vida dessas mulheres.

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“… 17 Another study revealed that young BC patients undergoing surgical intervention experienced greater depression, anxiety, and sleep disturbance 2 weeks postoperatively. 18 …”

Section: Bodymentioning

confidence: 99%

Care for breast cancer survivors in Asian countries: A review of sexual dysfunction

Jehan,

Azam,

Taimuri

et al. 2024

Womens Health (Lond Engl)

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Breast cancer accounts for one in three new cancer cases in women each year. Despite having a higher survival rate than other cancers, it is associated with various side effects, including anorgasmia, vaginismus, hair loss, and decreased libido. This review aims to explore trends in the incidence of sexual dysfunction in breast cancer survivors, the etiology of sexual dysfunction, and the role of factors such as family history, age, duration of marriage, and depression in predisposing patients. We summarize the limitations of the treatment modalities already used to cater to sexual dysfunction in breast cancer survivors and patients. The authors conducted searches on databases such as PubMed and Google Scholar using relevant search terms: sexual dysfunction, breast cancer, breast cancer survivors, chemotherapy, dyspareunia, vaginismus, and anorgasmia from 1997–2023. The inclusion criteria encompassed all types of articles with abstracts or titles indicating research on sexual dysfunction in breast cancer survivors in Asia. A total of 64 articles were included out of which 10 were systematic reviews and meta-analyses. The literature search yielded results showing high incidence rates of breast cancer in Asia (45.4%), with 31.6%–91.2% of breast cancer survivors likely to experience sexual dysfunction. Regional differences were noted, as female sexual dysfunction occurred in 74.1% of Asian breast cancer women. Further randomized controlled trials should be conducted to assess the effectiveness of treatment modalities. Personalized approaches should be tailored to address beliefs, such as the potential impact of sexual activity on disease recovery. Utilizing a family history of breast cancer as a preemptive tool can help reduce the risk of developing female sexual dysfunction in survivors, and factors such as age and depression should be considered when formulating solutions.

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Early postoperative psychological distress as a mediator of subsequent persistent postsurgical pain outcomes among younger breast cancer patients

Cited by 8 publications

References 39 publications

Effect of chewing gum on anxiety in women undergoing elective cesarean section: a randomized controlled study

Effect of chewing gum on anxiety in women undergoing elective cesarean section: a randomized controlled study

Presença de ansiedade, depressão e qualidade de vida de mulheres antes e após mastectomia

Care for breast cancer survivors in Asian countries: A review of sexual dysfunction

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