Biomedical and psychosocial determinants of psychiatric morbidity among postoperative ambulatory breast cancer patients

Citation
T. Akechi et al., Biomedical and psychosocial determinants of psychiatric morbidity among postoperative ambulatory breast cancer patients, BREAST CANC, 65(3), 2001, pp. 195-202
Citations number
35
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Oncology,"Onconogenesis & Cancer Research
Journal title
BREAST CANCER RESEARCH AND TREATMENT
ISSN journal
0167-6806 → ACNP
Volume
65
Issue
3
Year of publication
2001
Pages
195 - 202
Database
ISI
SICI code
0167-6806(200102)65:3<195:BAPDOP>2.0.ZU;2-P
Abstract
There has been much interest in the psychosocial issues faced by breast can cer patients because of the high prevalence of the disease and the severe p sychological impact of the cancer itself, as well as its treatment. The obj ective of our study was to investigate the determinants of psychiatric morb idity among postoperative ambulatory breast cancer patients. The variables examined included the patients' biomedical characteristics, demographic cha racteristics, current concerns, coping responses and social support factors . Patients Completed the Hospital Anxiety and Depression Scale (HADS) and t he Mental Adjustment to Cancer scale (MAC scale), and information pertainin g to demographic variables, current concerns and social support factors was obtained by a specially designed questionnaire. Available data were obtain ed from 148 randomly selected postoperative ambulatory breast cancer patien ts. The prevalence of psychiatric morbidity (including clinical anxiety and depression) evaluated by using the HADS cut-off point was 23%. The results of univariate analyses indicated that pain, dyspnea, having children with health problems, various other concerns (about children, other family membe rs, the patients' own health and future treatment) and poor coping response s (low fighting spirit, high anxious preoccupation, high fatalism and high helplessness/hopelessness) were significant determinants of the patients' p sychiatric morbidity. Additionally, in the logistic regression analysis, ha ving children with health problems and having a low fighting spirit and a h igh helplessness/hopelessness were final significant determinants. Postoper ative ambulatory breast cancer patients with these problems should be given careful attention, and psychosocial intervention may be beneficial for the m.