The effect of psychosocial factors on breast cancer outcome: a systematic review

Falagas, Matthew E.; Zarkadoulia, Effie; Ioannidou, Eleni; Peppas, George; Christodoulou, Christos; Rafailidis, Petros I.

doi:10.1186/bcr1744

Cited by 164 publications

(122 citation statements)

References 47 publications

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“…While the high incidence of depression among these patients imply that standard screening might be considered, the majority of patients at high risk for depression have a mild depression risk, whereas few patients are at high risk for moderate (n=5) to severe (n=4) depression. Although Watson et al reported an increased risk of death in breast cancer women with a high score on the HAD scale category of depression within 5 years (hazard ratio: 3.59; 95% CI: 1.39-9.24), little is (26). Further research concerning depression severity and survival is needed to give recommendations for selective or standard depression screening.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Psychosocial adjustment to illness is influenced by all factors associated with illness and treatment. It has been reported that the psychosocial adjustment of patients with breast cancer is affected by such factors as self-esteem, social stress, social support, psychological support, sense of control, emotional problems, stage of illness, type of operation, symptoms, physical fitness, perceptions of illness, coping methods, relationships with health staff and cooperation (Irwine et al, 1991;Falagac et al, 2007;Cam et al, 2009). Cinar et al (2009) maintains that social support is useful for patients with cancer and emotional support from family members is positively correlated with physical and psychological adjustment to cancer.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perceived Social Support on Psychosocial Adjustment of Turkish Patients with Breast Cancer

Rızalar

Özbaş²,

Akyolcu³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Aims: To identify the psychosocial adjustment of Turkish patients with breast cancer and the effects of perceived social support on their adjustment. Materials and Methods: The sample comprised 100 volunteering patients diagnosed with breast cancer in the last six months reporting to the Outpatient Chemotherapy Unit at the Medical Faculty Hospital in northern Turkey. The data for the study were collected through the Descriptive Information Form, the Psychosocial Adjustment to Illness Scale-Self-reflection (PAIS-SR) and the Cancer-Specific Social Support Scale and analyzed via SPSS 16.0 for Windows. Descriptive statistics, Chi square test, ANOVA and correlation were used to evaluate data. Results: There was a negative significant correlation between mean scores in the sub-scales of the social support scale and the ones in the sub-scales of the psychosocial adjustment to illness scale (p<0.05). Similarly, there was a negative significant correlation between confidence support and health care orientation as well as adjustment to social environment. Likewise, emotional support was in a negative significant correlation with health care orientation, adjustment to domestic environment, extended family relationships and adjustment to social environment. Conclusions: It was concluded that social support for patients with breast cancer had an influence on their psychosocial adjustment to illness. Holistic care should be given to breast cancer patients by oncology nurses especially in the first six months of treatment. It could be concluded that patients should be accompanied by their family/relatives in treatment and care following their diagnosis with breast cancer, that their family should be made more aware of the fact that the patient should be physically and psychologically supported, that patients with breast cancer should be provided with domiciliary care, and that they should be encouraged to participate in social support groups.

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“…Ainda é controversa a relação da depressão com a mortalidade no câncer de mama 16 . Alguns autores observaram que a depressão foi preditor para aumento da mortalidade 17,18 .…”

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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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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The effect of psychosocial factors on breast cancer outcome: a systematic review

Abstract: Introduction We sought to review the available evidence regarding the effect of psychosocial factors on the survival of breast cancer patients.

Cited by 164 publications

References 47 publications

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

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

Effect of Perceived Social Support on Psychosocial Adjustment of Turkish Patients with Breast Cancer

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

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