Radiotherapy-induced changes of psychological health in patients after breast conserving surgery

Rahn, A.; Mose, St.; Zander-Heinz, A.; Budischewski, K.; Bormeth, S.B.; Saran, F.; Thilmann, C.; Adamletz, I.A.; Böttcher, H.D.

doi:10.1016/s0959-8049(97)84662-x

Cited by 5 publications

(5 citation statements)

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“…Although some studies have shown that radiotherapy is generally better accepted than what may be expected [3,4] and than other treatments [5], other studies have also shown that it can be associated with emotional distress [6][7][8] and especially anxiety [3,5,7,9]. Ten to twenty percent of patients with cancer experience anxiety before the start of radiotherapy [7] and 20-50% of patients feel anxious during the first days of treatment; these feelings tend to decrease throughout the course of treatment, although results have varied greatly across studies [7,10,11].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Merckaert

Liénard

et al. 2014

Radiotherapy and Oncology

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a b s t r a c tPurpose: To our knowledge, no study has specifically assessed the time course of anxiety during radiotherapy (RT). The objective of this study was to assess anxiety time courses in patients with nonmetastatic breast cancer. Material and methods: This multicenter, descriptive longitudinal study included 213 consecutive patients with breast cancer who completed visual analog scales (VASs) assessing state anxiety before and after the RT simulation and the first and last five RT sessions. Results: Pre-and post-session anxiety mean levels were highest at the RT simulation (respectively, 2.9 ± 2.9 and 1.6 ± 2.5) and first RT session (respectively, 3.4 ± 2.9 and 2.0 ± 2.4), then declined rapidly. Clinically relevant mean differences (P1 cm on the VAS) between pre-and post-simulation/session VAS scores were found only for the RT simulation (À1.3 ± 2.7; p < 0.001) and first RT session (À1.4 ± 2.4; p < 0.001). Five percent to 16% of patients presented clinically relevant anxiety (pre-and post-simulation/session VAS scores P 4 cm) throughout treatment. Conclusions: To optimize care, RT team members should offer all patients appropriate information about treatment at the simulation, check patients' understanding, and identify patients with clinically relevant anxiety requiring appropriate support throughout RT.

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Section: Introductionmentioning

confidence: 99%

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Merckaert

Liénard

et al. 2014

Radiotherapy and Oncology

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“…For example, Rahn et al (1998) showed that 40 % of patients were anxious on the first day of treatment, while only 19 % were still anxious by the last day. It is likely that patients' anxiety decreased as they gained more familiarity with treatment.…”

Section: Radiation Oncology and Psychological Functioningmentioning

confidence: 99%

The Psychosocial and Functional Impact of Radiation Therapy

Purnell

Mustian

Jean‐Pierre

et al. 2013

ALERT - Adverse Late Effects of Cancer Treatment

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“…In a further non-randomised study of 53 patients after breast-conserving surgery, Rahn and colleagues 66 assessed psychological distress resulting from post-operative radiotherapy treatment and surroundings, in addition to the coping strategies employed by women having radiotherapy. Twenty-four patients received adjuvant endocrine treatment and 20 had chemotherapy prior to radiotherapy.…”

Section: Non-randomised Studies Of Quality Of Life In Patients Treatementioning

confidence: 99%

A randomised controlled trial of postoperative radiotherapy following breast-conserving surgery in a minimum-risk older population. The PRIME trial

2008

Clinical Governance: An International Journal

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Radiotherapy-induced changes of psychological health in patients after breast conserving surgery

Cited by 5 publications

References 0 publications

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

The Psychosocial and Functional Impact of Radiation Therapy

A randomised controlled trial of postoperative radiotherapy following breast-conserving surgery in a minimum-risk older population. The PRIME trial

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