Document Detail

Psychological distress after initial treatment of breast cancer. Assessment of potential risk factors.
MedLine Citation:
PMID:  1606533     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Patient and disease characteristics are often mentioned by clinicians as possible risk factors for psychological distress among women with breast cancer. However, either these factors have not been evaluated or when they were evaluated, results were inconclusive. METHODS: Potential risk factors for psychological distress were assessed among 205 patients with newly diagnosed breast cancer by home interview 3 and 18 months after surgery. RESULTS: At 3 months, proportions of women with high distress reporting 0-1, 2-3, 4-5, and 6-15 stressful life events in the 5 years preceding diagnosis were 17%, 20%, 28%, and 37%, respectively (P = 0.006). High levels of psychological distress were present in 63.1% of women with a history of depression, compared with 14.3% of those with no such history (P = 0.0001). Associations of these factors with distress also were present 18 months after diagnosis. At 18 months only, distress was more frequent in women with regional disease (44%) than in those with localized disease (22%) (P = 0.006). Age, education, and marital status had little or no association with levels of psychological distress. CONCLUSIONS: Number of stressful life events before diagnosis and history of depression appear to be strong indicators of the risk of psychological distress and may be useful for identifying patients with breast cancer in need or more intense psychosocial support.
E Maunsell; J Brisson; L Desch?nes
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cancer     Volume:  70     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-07-21     Completed Date:  1992-07-21     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  120-5     Citation Subset:  AIM; IM    
Department of Social and Preventive Medicine, Universit? Laval, Sainte-Foy, Canada.
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MeSH Terms
Age Factors
Aged, 80 and over
Breast Neoplasms / psychology*,  therapy
Depression / psychology
Educational Status
Middle Aged
Neoplasm Staging
Psychological Tests
Risk Factors

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