1991
DOI: 10.1300/j077v09n04_05
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Psychological Processes in Breast Cancer

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Cited by 43 publications
(21 citation statements)
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“…anxiety, and anger as common reactions in women with breast cancer, with mastectomy patients being more emotionally distressed than are patients with benign diseases (Royak-Schaler, 1991).…”
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confidence: 99%
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“…anxiety, and anger as common reactions in women with breast cancer, with mastectomy patients being more emotionally distressed than are patients with benign diseases (Royak-Schaler, 1991).…”
mentioning
confidence: 99%
“…In her review, Royak-Schaler (1991) found that studies on the psychological distress associated with treatment for breast cancer operated from the underlying hypothesis that breast-saving surgery can reduce the emotional crisis associated with loss of a breast. Studies on the differences in the adjustment, psychological distress, body image, and sexuality of patients who underwent mastectomy or lumpectomy have found that lumpectomy and breast-saving surgery produce a lesser decline in body satisfaction and have less of an impact on women's body image.…”
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“…6 There is some evidence from studies of patients with breast cancer that depression is at least twice as common in people undergoing surgery for cancer as in those without cancer. 7,8 Studies of patients with breast cancer and studies with patients with various other cancer types also show that those who have undergone chemotherapy, adjuvant therapy or radiation therapy are at increased risk for depression. [9][10][11] Some studies report clinical depression in up to 40% of patients with cancer with progressive disease in palliative care.…”
Section: T H E I M P a C T O F C A N C E Rmentioning
confidence: 99%
“…This anxiety is the result of fears related to various factors: the surgery itself, apprehension of pain, mutilation, effects on body image, extent of cancer, death, loss of sexual attractiveness, and loss of control (Ali & Khalil, 1991;Lierman, 1984;Northouse;Reaby, Hort, & Vandervord, 1994;Royak-Schaler, 1992;Wainstock). In varying degrees, this anxiety affects the women's ability to receive and retain the information provided through pre-operative teaching (Haines, 1992;Lamarche, 1993;Oberle, Allen, & Lynkowski, 1994;Ruzicki, 1989;Young, De Guzman, Matis, & McClure, 1994).…”
Section: The Problemmentioning
confidence: 99%