Prevalence and risk of depressive symptoms 3–4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer

Christensen, Søren; Zachariae, Robert; Jensen, Anders Bonde; Væth, Michael; Møller, Susanne; Ravnsbaek, J; Maase, Hans von der

doi:10.1007/s10549-008-9920-9

Cited by 132 publications

(119 citation statements)

References 68 publications

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“…As demais variáveis clínicas, como o estadiamento e o tipo de cirurgia, não estiveram associadas com sintomas depressivos, corroborando com o estudo de Christensen et al 9 , que também não observou essa associação. Entretanto, o estadiamento do câncer 7 e a mastectomia 26 foram relacionados a um maior risco de sintomas depressivos.…”

Section: Tabela 2 Descrição Dos Dados Clínicos Das Mulheres Estudadasunclassified

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Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Cangussu¹,

Soares

Barra

et al. 2010

J. bras. psiquiatr.

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reSumo objetivos: Verificar a prevalência de sintomas depressivos em mulheres com câncer de mama e identificar os fatores de risco associados à sua ocorrência. métodos: Foi realizado um estudo transversal, em que foram entrevistadas 71 mulheres com câncer de mama. Foram empregados dois instrumentos: um questionário para verificar os dados sociodemográficos e clínicos e o Inventário de Depressão de Beck -Short Form (BDI-SF), para avaliação dos sintomas depressivos. Para análise dos dados, utilizaram-se medidas descritivas e o teste de quiquadrado, que avaliou a associação entre variáveis sociodemográficas e clínicas e os sintomas depressivos. O nível de significância considerado foi de 5%. resultados: A prevalência de sintomas depressivos foi de 29,6%. Os fatores associados à presença desses sintomas foram o tratamento quimioterápico (p = 0,021), presença de dor (p = 0,018) e limitação do movimento do membro superior (p = 0,010) e pior percepção da saúde (p = 0,018). conclusão: Sintomas depressivos são frequentes no câncer de mama, assim a saúde mental das mulheres com esse tipo de câncer deve ser investigada e tratada quando necessário, reduzindo o impacto desses sintomas na vida da mulher.

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Section: Tabela 2 Descrição Dos Dados Clínicos Das Mulheres Estudadasunclassified

“…A prevalência de sintomas depressivos em pacientes com câncer de mama é divergente em diferentes estudos, variando de acordo com a característica da população e com o tipo de instrumento utilizado, entre 13% e 29% [7][8][9] . Apesar da alta prevalência desses sintomas, eles ainda são pouco abordados nos serviços de saúde 10,11 .…”

Section: Introductionunclassified

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Cangussu¹,

Soares

Barra

et al. 2010

J. bras. psiquiatr.

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“…Although mastectomy without breast reconstruction (M) is a very effective and often curative procedure, it has a profound mutilating effect that inevitably influences a patient psychologically, often causing not only negative body image and anxiety, but also depression (2,3), a condition that is associated with breast cancer survivors in 22% (range, 17-48%) according to the Beck Depression Inventory (BDI) (4). This high prevalence emphasizes the interest of research in this population.…”

Section: Introductionmentioning

confidence: 99%

Breast reconstruction after mastectomy: does it decrease depression at the long-term?

Raaff¹,

Derks

Torensma³

et al. 2016

Gland Surg.

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Background: Depression is associated with breast cancer survivors in 22%. Although breast reconstruction (BR) is intended to provide psychological improvements such as reducing depression, literature is inconclusive and without long-term follow-up. The objective is to evaluate the impact of BR after breast cancer related mastectomy on the long-term depression risk and assess predictive factors for depression.Methods: Women who underwent a curative mastectomy between 1999 and 2009 were included. After a mean follow-up of more than 6 years after operation, the Beck Depression Inventory-13 (BDI-13) evaluated depressive symptoms. Multivariable regression analysis provided predictors for depression.Results: A total of 139 patients, 34 (24.5%) with and 105 (75.5%) without BR, were analyzed. Seventyseven patients (48.2%) were at high risk for mild (n=58), moderate (n=5) or severe (n=4) depression. There was a trend for slightly better BDI-13 outcomes for women who underwent BR (2 vs. 4; P=0.06). Living alone [odds ratio (OR): 2.16; P=0.04], low educational level (OR: 3.70; P<0.01) and adjuvant hormonal/ endocrine-therapy (OR: 2.36; P=0.02) were associated with an increased depression risk.Conclusions: BR has no clear influence on depressive symptoms on the long-term. Predictive factors should alert clinicians to assess depressive symptoms in specific breast cancer patients during follow-up. significantly increased risk of death from all causes within 5 years (hazard ratio: 3.59; 95% CI: 1.39-9.24). Another study found a hazard ratio for all-cause mortality in breast cancer patients of 1.27 (95% CI: 0.58-2.79) (7).After mastectomy, most women are given the option of either immediate (IBR) or delayed (DBR) breast reconstruction. Although these procedures are intended to provide cosmetic and psychological improvements, such as possible reduction of depression when compared to mastectomy without breast reconstruction (BR), contrasting reports have been written about these improvements. Multiple studies noted a significant decrease in depression in the reconstruction group (8-12), whereas in a number of other studies no psychological improvements were found in both IBR and DBR groups during follow-up periods of 6 months to 2 years after surgery (13,14). In view of the clinical possible consequences of BR, such as prolonged recovery time, risks of complications or the need of additional surgery, data should be available regarding the advantages of these surgical procedures including the influence on depression risk.Since the combined data of previous studies are not only inconclusive, but also lack long-term follow-up, more research is needed on the effect of post-mastectomy BR on the long-term risk and severity of depression. In order to optimize pre-operative education and patient selection for BR, we evaluated the impact of BR on depression at the long-term, using the 13-item BDI (BDI-13). Methods Study design and study populationA single-institute cohort study was performed by using hospital databases. Only women who und...

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“…24 Other factors that increase risk of depression include a past history of psychiatric illness, 25 neurotic personality traits, 26 and ethnic/emigrant status. 27 Another factor related to depression in women with breast cancer is lack of a confiding relationship, and the most confiding relationship in this regard is often the spouse. 28 The quality of the marital relationship, however, may suffer following diagnosis and this may further increase depression risk.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms, Correlates, and the Marital Relationship in Women with Breast Cancer in Saudi Arabia

Zagazig

Yinchuan²,

Al‐Zaben³

et al. 2016

Women Health Open J

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ResearchPage 53 ABSTRACTThe relationship between the quality of the marital relationship and depressive symptoms in married women with breast cancer in Jeddah, Saudi Arabia, was examined. A consecutive series of 50 women with breast cancer were interviewed using a close-ended questionnaire. Over 20% of women had depressive symptoms indicating a probable depressive disorder using the Hospital Anxiety and Depression Scale. Although a weak relationship in the expected direction was found, quality of the marital relationship was not significantly related to depressive symptoms (B=-0.09, SE=0.06, t=-1.54, p=0.13). Depressive symptoms were primarily driven by educational level, socioeconomic factors, age, and type of treatment.

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Prevalence and risk of depressive symptoms 3–4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer

Cited by 132 publications

References 68 publications

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Breast reconstruction after mastectomy: does it decrease depression at the long-term?

Depressive Symptoms, Correlates, and the Marital Relationship in Women with Breast Cancer in Saudi Arabia

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