Women at a Dangerous Intersection: Diagnosis and Treatment of Depression and Related Disorders in Patients with Breast Cancer

Weinberger, Tal E.; Forrester, A. Theodore; Markov, Dimitri; Chism, Keira; Kunkel, E

doi:10.1016/j.psc.2010.01.005

Cited by 20 publications

(16 citation statements)

References 56 publications

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“…Therefore, a subset of symptomatic breast cancer survivors stand to benefit from a management approach that is routinely applied in the geriatric medicine setting, one that is: multidisciplinary (e.g., physical and behavioral factors); multifactorial (i.e., one intervention targets multiple symptoms simultaneously); increased use of nonpharmacological treatment options; and setting therapeutic goals (i.e., recognizing that complete resolution may not be achieved, but improvement is likely) [46,51–55] . In a below section, we illustrate this concept by highlighting basic assessment and management principles that apply equally across many commonly observed physical and emotional symptoms in breast cancer survivors, such as cognitive dysfunction [5,56–59] , adjustment disorder or other psychosocial distress [7,8,60–64] , vasomotor symptoms [41–43,65] and insomnia and fatigue [62,66–71] .…”

Section: Multidisciplinary Management Of Symptoms and Concerns In Breasmentioning

confidence: 99%

Breast cancer survivorship symptom management: current perspective and future development

Londen

Beckjord

et al. 2012

Breast Cancer Manage.

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SUMMARY Increasing numbers and longevity of cancer survivors has furthered our insight into the factors affecting their health outcomes, suggesting that multiple factors play a role (e.g., effects of cancer treatments and health behaviors). Emotional and physical symptoms may not always receive sufficient attention. In this short narrative review highlighting recent literature, we describe the most common physical and emotional symptoms of breast cancer survivors aged 50 years and older and outline a multidisciplinary symptom management approach, regardless of symptom etiology.

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Section: Multidisciplinary Management Of Symptoms and Concerns In Breasmentioning

confidence: 99%

Breast cancer survivorship symptom management: current perspective and future development

Londen

Beckjord

et al. 2012

Breast Cancer Manage.

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“…Nevertheless, cancer diagnosis and its treatment are recognized to be stressful times that underscored the need for clinicians to actively identify its psychological sequelae such as depression in the vulnerable patients. Early detection and treatment of depression in breast cancer sufferers not only significantly improved their quality of life but also increased their survival rates (Weinberger et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression in Breast Cancer Survivors: a Systematic Review of Observational Studies

Zainal¹,

Nik-Jaafar²,

Baharudin³

et al. 2013

Asian Pacific Journal of Cancer Prevention

165

119

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Background: Depression is common in breast cancer patients. The aim of this paper was to make a systematic review of its prevalence and associated factors oin breast cancer survivors. Materials and Methods: An extensive systematic electronic review (PUBMED, CINAHL, PsyINFO and Ovid) and handsearch were carried out to retrieve published articles up to November 2012, using Depression OR Dysthymia AND (Cancer OR Tumor OR Neoplasms as the keywords. Information about the design of the studies, measuring scale, characteristics of the participants, prevalence of depression and its associated factors from the included studies were extracted and summarized. Results: We identified 32 eligible studies that recruited 10,826 breast cancer survivors. Most were cross-sectional or prospective designed. The most frequent instrument used to screen depression was the Center for Epidemiological Studies for Depression (CES-D, n=11 studies) followed by the Beck Depression Inventory (BDI, n=6 studies) and the Hospital Anxiety and Depression Scale (HADS, n=6 studies). CES-D returned about similar prevalence of depression (median=22%, range=13-56%) with BDI (median=22%, range=17-48%) but higher than HADS (median=10%, range=1-22%). Depression was associated with several socio-demographic variables, cancer-related factors, treatment-related factors, subject psychological factors, lifestyle factors, social support and quality of life. Conclusions: Breast cancer survivors are at risk for depression so that detection of associated factors is important in clinical practice.

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“…However, there are few data to support the hypothesis that treatment of depression in patients with breast cancer may positively affect morbidity and mortality. 21 Indeed, a previous investigation suggested study of interventions that promote the use of comprehensive coping strategies to decrease pain, anxiety, and depression among patients with breast cancer, considering they experience pain, psychological distress, and alterations in coping and perceived health status. 22 The present study may add to these data, given that there was no correlation between CSQ subscale scores and postoperative measures of stable or worsening pain during the first 24 hours of observation, although one item, catastrophizing, could be correlated with low mood and pain.…”

Section: Discussionmentioning

confidence: 99%

Preoperative coping mechanisms have no predictive value for postoperative pain in breast cancer

Alves

Vieira

Mathias

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: This study evaluated the relationship between psychological coping mechanisms and symptoms of anxiety and depression in the preoperative and postoperative periods in relation to the intensity of postoperative pain among patients undergoing breast cancer surgery. Methods: Female patients who were scheduled to receive immediate surgical treatment for breast cancer were invited to participate, and answered the following questionnaires: The Hospital Anxiety and Depression Scale (HADS), the Self Report Questionnaire (SRQ-20), the Coping Strategies Questionnaire (CSQ), and the visual analogue scale (VAS). Results: Of the 139 patients, 122 (87.8%) had an aggressive procedure. Eighty-five patients (61.2%) had a history of preoperative pain while 54 (38.7%) had not. There was no difference in VAS scores between patients subjected to aggressive or non-aggressive surgery. Only the CSQ subscale catastrophizing showed correlation with VAS at 24 hours and with HADS/D postoperatively. The HADS scores indicated both anxiety and depression, but did not distinguish patients subjected to aggressive or non-aggressive surgery. Conclusions: The majority of patients did not exhibit depression and anxiety. Coping mechanisms and pain in the preoperative period did not have a strong predictive value for additional postoperative pain, but those with a higher anxiety score had greater pain.

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Women at a Dangerous Intersection: Diagnosis and Treatment of Depression and Related Disorders in Patients with Breast Cancer

Cited by 20 publications

References 56 publications

Breast cancer survivorship symptom management: current perspective and future development

Breast cancer survivorship symptom management: current perspective and future development

Prevalence of Depression in Breast Cancer Survivors: a Systematic Review of Observational Studies

Preoperative coping mechanisms have no predictive value for postoperative pain in breast cancer

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