Onset and relapse of psychiatric disorders following early breast cancer: a case–control study

Gandubert, Catherine; Carrière, Isabelle; Escot, Chantal; Soulier, M.; Hermès, Aziz; Boulet, P; Ritchie, Karen; Chaudieu, Isabelle

doi:10.1002/pon.1469

Cited by 48 publications

(37 citation statements)

References 36 publications

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“…This finding is consistent with previous studies in China (Zhang, 2002) and other countries (Ganz, 2008;Gandubert et al, 2009;Fafouti et al, 2010). Multiple regression analysis showed that the the cancer status was the only variable associated with the SCL-90-R general index.…”

Section: Discussionsupporting

confidence: 83%

“…With survival increase due to major advances in treatments and early detection of breast cancer, patients' psychological functioning as well as quality of life looms large during and after treatment (Knobf, 2011). The diagnosis and treatment of breast cancer exert an important psychological effect on women (Gandubert et al, 2009). Approximately 30%-50% women with breast cancer experience psychological distress complicated by multiple antecedent and concomitant factors over time (Knobf, 2007;Knobf, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Psychopathological Profile of Women with Breast Cancer Based on the Symptom Checklist-90-R

Fei¹,

Zhang²,

Fan³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: With effective early treatments, many breast cancer patients suffer from psychological distress due to adverse effects and lifelong physical disfigurement. Our study aimed to evaluate the psychopathological profile of breast cancer patients in comparison with healthy women and explored demographic correlates. Method: We consecutively enrolled breast cancer patients who came to the hospital for follow-up or rehabilitation care after primary treatment, and healthy female relatives or friends of inpatients in the Cancer Institute of Chinese Academy of Medical Sciences between August 30, 2010 and January 1, 2012. Psychopathological profile was assessed based on the Symptom Checklist-90-R (SCL-90-R) for patients and controls. We compared demographics such as age, ethnicity, education, marriage, and occupation, and incorporated these data plus cancer status for the association with the general SCL-90-R index and scores for 9 major symptom dimensions in multiple regression analysis. Results: We surveyed a total of 291 female breast cancer patients and 531 healthy women. The average age was 55.1±6.40 years for breast cancer patients and 43.1±12.8 for healthy controls (P<0.01). The mean survival was 5.20 years for cancer patients (range, 0.60-9.90 years). There were statistically significant differences in education, marriage, and occupation between the two groups (P<0.01). General index (1.45±0.45 versus 1.32±0.37) and 8 dimension scores (excluding anxiety) on SCL-90-R were significantly higher in patients (P<0.05). Multiple regression analysis showed that the breast cancer status was positively correlated with general SCL-90-R index and 6 dimension scores (excluding the anxiety, phobic anxiety and paranoid ideation dimensions) (P<0.05). Regression coefficients ranged from 0.10 (depression) to 0.19 (somatization). Higher interpersonal sensitivity was noticed in single women compared to married women. Conclusions: Chinese patients with breast cancer demonstrate greater psychopathology compared to healthy controls. The breast cancer status is an independent contributing factor to the general psychopathological profile. Breast cancer patients should be given particular counseling and care to alleviate their psychological distress.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Psychopathological Profile of Women with Breast Cancer Based on the Symptom Checklist-90-R

Fei¹,

Zhang²,

Fan³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…An answer is therefore actively sought to the question of how emotions, beliefs, social support, socioeconomic status and behavior make it possible to identify factors involved in initiating, changing severity, and maintaining the presence of chronic pain symptoms. The presence of anxiety and depressive symptoms in breast cancer survivors has been noted in other authors' studies [1][2][3]8,11,[22][23][24] .…”

Section: Discussionmentioning

confidence: 79%

“…All the symptoms gradually subside, but in about 20%-40% of women anxiety and depression persist for many years after treatment [1][2][3] . Remote chronic pain affects 20%-60% women treated in the early stage of breast cancer 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Relationships of anxiety and depressive symptoms with pain perception in post-mastectomy women. An intragroup analysis

Hansdorfer-Korzon¹,

Chojnacka-Szawłowska²,

Landowski³

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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Background: Breast cancer confronts women with a threat to life and is classified among the most traumatic life experiences. The disease is often accompanied by strong negative emotions, often in the form of anxiety and depressive symptoms. Studies also point to the presence of chronic pain breast-cancer survivors. Objective: To determine the relationships of: (1) anxiety and depressive symptoms with the experienced severity and interference of pain in post-mastectomy women; (2) anxiety and depressive symptoms with beliefs about pain. Method: The studied group consisted of 53 women after radical mastectomy, experiencing chronic pain, despite positive results of cancer treatment. IPQ-R (Illness Perception Questionnaire -Revised) and HADS (The Hospital Anxiety and Depression Scale) were applied. Results: Correlation and regression analyses confirmed relationships of anxiety and depressive symptoms with pain in the group of postmastectomy women. Cluster analysis separated three groups of patients, differing in the severity of depressive symptoms and anxiety. For each group, a different pattern of beliefs about pain was characteristic. Discussion: The study has shown that psychological determinants play a significant role in the perception of pain severity and interference, which are related to anxiety, depressive symptoms and a system of beliefs about pain duration.

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“…The rate of diagnosis of depression ranges between 6 and 46% [11,12,14,16,17]. Psychological distress and anxiety were found to predict overall survival and quality of life in breast cancer patients [18]. Several studies have attempted to evaluate the psychological impact of different surgical treatments on patients with breast cancer [15,19].…”

Section: Resultsmentioning

confidence: 99%

Factors that Affect Patients’ Decision-Making about Mastectomy or Breast Conserving Surgery, and the Psychological Effect of this Choice on Breast Cancer Patients

et al. 2010

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Background: Breast cancer is the most common cancer in women. Primary treatment is surgery, with breast conserving surgery (BCS) being widely used for early-stage disease. Due to changes in body image, depressive symptoms can occur after surgery. Here, we evaluate factors that affect patients’ decision on surgery, and investigate differences in the level of depression after mastectomy or BCS in a population of Turkish patients. Patients and Methods: One hundred breast cancer patients who had undergone mastectomy or BCS and were followed up at our institution between 2007 and 2008 were included. Patients were questioned about their involvement in surgical decision-making. Depression was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) criteria via a Structural Clinical Interview for DSM (SCID). Severity of depression was evaluated by using the Beck Depression Inventory (BDI). Results: Patients who were older than 50 years, had more than 1 child, a history of lactation, and a positive family history of breast cancer mostly preferred mastectomy. However, patients who sought a second opinion and further information on BCS preferred BCS (p < 0.005). There was no statistical correlation between marital status, first childbearing age, and educational status and the decision on surgery type (p > 0.005). Mastectomy patients were prone to depression, but this was not statistically significant (p = 0.099). Conclusion: Age, parenthood, lactation, and positive familial history, as well as thorough information about the type of surgery were important factors for the patients’ decision. After breast cancer surgery, patients might experience depression affecting treatment and quality of life. Therefore, adequate information and communication are essential.

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Onset and relapse of psychiatric disorders following early breast cancer: a case–control study

Abstract: , et al.. Onset and relapse of psychiatric disorders following early breast cancer: a case-control study.: Mental health of primary breast cancer survivors.

Cited by 48 publications

References 36 publications

Psychopathological Profile of Women with Breast Cancer Based on the Symptom Checklist-90-R

Psychopathological Profile of Women with Breast Cancer Based on the Symptom Checklist-90-R

Relationships of anxiety and depressive symptoms with pain perception in post-mastectomy women. An intragroup analysis

Factors that Affect Patients’ Decision-Making about Mastectomy or Breast Conserving Surgery, and the Psychological Effect of this Choice on Breast Cancer Patients

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