Evaluation  of symptoms of anxiety and depression in women with breast cancer after breast amputation or conservation treated with adjuvant chemotherapy

Kamińska, Marzena; Kubiatowski, Tomasz; Ciszewski, Tomasz; Czarnocki, Krzysztof; Makara‐Studzińska, Marta; Bojar, Iwona; Starosławska, Elżbieta

doi:10.5604/12321966.1141392

Cited by 34 publications

(32 citation statements)

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“…These findings meet with the data of other surveys that a significant number of breast cancer patients has 2 to 3 times elevated anxiety and depression . The prevalence of depression in different investigations varies from 9 till 56%, and no significant effect of time on depression was found …”

Section: Discussionsupporting

confidence: 90%

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The risk factors for depression in Lithuanian breast cancer patients

et al. 2018

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KEYWORDSbreast cancer, depression, delivery of diagnosis, psychocial, risk factors, support 1 | BACKGROUND Breast cancer is the second most common cancer in the world and the most frequent cancer among women. 1 This disease is one of the most stressful events in someone's life, what can trigger a depression. 2 In investigations made worldwide tendency was observed, that older, not employed, low educated and single patients are more prone to depression. [3][4][5][6] Lithuania remains a country where depression in cancer patients is under studied. Taking into account that the suicidal rate of the general population of Lithuania is one of the biggest in Europe since 1993, 7 it is very important to investigate the risk factors for depression. Lithuania is a country in which many economic, political, and social changes have occurred during the last two decades. We had a hypothesis that risk factors of depression in Lithuanian breast cancer patients will differ from other European non post-soviet countries because of economic level and social-cultural features. 8 The main aims of this study were to evaluate prevalence and risk for depression in Lithuanian women diagnosed with breast cancer, and to identify the influence of social, demographic, psychological, and clinical factors on the depression. 2 | METHODS 2.1 | Design and data collection The questionnaire survey was performed in the National Cancer Institute between 2012 and 2014. Participants were newly diagnosed breast cancer patients, age 18 to 80 years with T1-3N0-3M0 stage breast cancer. Patients completed questionnaires before beginning cancer treatment and at one-year follow-up. Completed questionnaires included: The Beck Depression Inventory Second Edition (BDI-II) 9 ; Vrana &Lauterbach Traumatic Events Scale-Civilian version (TEQ) 10 ; a questionnaire on patients' satisfaction about the communication of the diagnosis, and necessity of psychological support. | Statistical analysisDescriptive statistics were used to characterize the sample. Categorical variables were expressed as absolute and relative frequencies.Mann-Whitney U was used for between-group comparisons of BDI-II scores and Pearson's chi-square test for categorical variables. Categorical variables were compared using Pearson's chi-square test. The odds ratios (OR) and 95% confidence intervals (95% CI) for depression and risk variables were estimated using multiple logistic regression.The BDI-II cut-off of ≥13 score was used to dichotomize patients into cases and non-cases. Unvariate logistic regression was conducted to explore the unadjusted association between variables and outcome.Likelihood ratio test was used for models fit. Summary measures of goodness of fit (likelihood ratio chi-square and Hosmer and Lemeshow's goodness-of-fit test) were conducted for assessing fit of the models. Receiver operating characteristics curve was used to assess discrimination power of the model. For assessing changes of prevalence of depression symptoms over time, McNemar's chi-square

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Section: Discussionsupporting

confidence: 90%

“…This disease is one of the most stressful events in someone's life, what can trigger a depression . In investigations made worldwide tendency was observed, that older, not employed, low educated and single patients are more prone to depression . Lithuania remains a country where depression in cancer patients is under studied.…”

Section: Introductionmentioning

confidence: 99%

The risk factors for depression in Lithuanian breast cancer patients

et al. 2018

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“…Studies reporting on these symptoms are often performed during, or right after, treatment [9,10]. The aim of this systematic review was to review systematically the evidence about long-term symptoms of depression and anxiety in breast cancer survivors.…”

Section: Objectivesmentioning

confidence: 99%

The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review

et al. 2015

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“…15 In relation to age group, we observed the increased incidence of breast cancer in younger women, which corroborates with the study of Schlichting et al 16 , which reported increased incidence of breast cancer with more aggressive features in young women. These authors stated that some factors contribute to the aggressiveness of the tumor, as high rates of proliferation, increased tumor size, poor cellular differentiation, positive lymph nodes, estrogen and progesterone receptors negative, abnormal expression of DNA, and the reason that young women are not selected for early detection, which contributes to the diagnosis 17 . Evidence shows that social and demographic aspects influence on depression and anxiety of women is independent of type, for example, age, education and marital status.…”

Section: Discussionmentioning

confidence: 99%

Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

Mendes¹,

Souza²,

Neves³

et al. 2017

Mundo Saúde

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ResumoO câncer de mama é um problema de saúde pública, no Brasil, as estimativas para o biênio de 2016/2017, apontam para 57.960 novos casos. A cirurgia conservadora é considerada o procedimento de escolha no estágio inicial, incluindo a remoção do tumor envolvendo uma borda de tecido normal, com preservação do tecido mamária, enquanto a mastectomia (ou cirurgia não-conservadora) inclui a remoção de todo o tecido mamário, com a remoção do peitoral maior e menor. As intervenções cirúrgicas realizadas em mulheres com câncer de mama podem causar repercussões físicas, emocionais, psicológicas, sociais e sexuais que geram impacto negativo em sua qualidade de vida. Levando isso em consideração, a hipótese deste estudo foi baseada na questão: qual é o impacto das cirurgias de remoção do câncer de mama na qualidade de vida de mulheres das cidades de São José dos Campos e Jacareí. Portanto, este estudo teve como objetivo analisar a qualidade de vida entre mulheres submetidas à mastectomia e cirurgia conservadora da mama após o diagnóstico de câncer de mama e como isso poderia ser impactado pelos aspectos sócio demográficos. Este foi um estudo descritivo cruzado com caráter exploratório. A amostra consistiu em 105 mulheres pós-câncer de mama com idade média de 55,4 ± 11,1 anos, divididas em dois grupos de acordo com o tipo de cirurgia realizada. Foi utilizado o questionário de qualidade de vida SF-36 "Short-Form Health Survey". A análise estatística de variância foi realizada com o teste de Kruskal-Wallis, considerando o nível de significância (p≤0,05). Condição geral da saúde (p=0,70), vitalidade (p=0,66), física (p=0,6), física (p=0,25), aspectos sociais (p = 0,23), limitações nos aspectos emocionais (p = 0,78), saúde mental (p = 0,28). Foi possível concluir que, tanto a mastectomia quanto a cirurgia conservadora não apresentam diferença estatística em relação à qualidade de vida. No entanto, ambas as técnicas, assim como os aspectos sócio demográficos, podem influenciar negativamente na qualidade de vida das mulheres após cirurgia de remoção do câncer de mama.Palavras-chave: Câncer de Mama. Mastectomia. Cirurgia Conservadora da Mama. Qualidade de Vida. AbstractBreast cancer is public health problem, in Brazil, it is estimated 57,960 new cases for the biennium of 2016/2017. Conservative surgery is considered the procedure of choice in the initial stage, including tumor removal involving a border of normal tissue, with preservation of breast tissue. While mastectomy, or non-conservative surgery, includes the removal of the entire breast tissue, with the removal of the pectoralis major and minor. Surgical interventions performed in women with breast cancer can cause physical, emotional/psychological, social and sexual repercussions that generate negative impact in their life. Considering that, this study was conducted over the hypothesis: what is the impact of breast cancer removal surgery in quality of life of women from São José dos Campos and Jacareí cities, aiming to recognize the variables that affect their quality o...

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Evaluation of symptoms of anxiety and depression in women with breast cancer after breast amputation or conservation treated with adjuvant chemotherapy

Cited by 34 publications

References 16 publications

The risk factors for depression in Lithuanian breast cancer patients

The risk factors for depression in Lithuanian breast cancer patients

The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review

Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

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