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Differences in Depression, Anxiety, and Quality of Life Between Women with and without Breast Pain Prior to Breast Cancer Surgery

Identifieur interne : 005040 ( Ncbi/Merge ); précédent : 005039; suivant : 005041

Differences in Depression, Anxiety, and Quality of Life Between Women with and without Breast Pain Prior to Breast Cancer Surgery

Auteurs : Maria Kyranou [États-Unis] ; Steven M. Paul [États-Unis] ; Laura B. Dunn [États-Unis] ; Kathleen Puntillo [États-Unis] ; Bradley E. Aouizerat [États-Unis] ; Gary Abrams [États-Unis] ; Deborah Hamolsky [États-Unis] ; Claudia West [États-Unis] ; John Neuhaus [États-Unis] ; Bruce Cooper [États-Unis] ; Christine Miaskowski [États-Unis]

Source :

RBID : PMC:3524405

Abstract

Purpose of the research

Little is known about the relationships between pain, anxiety, and depression in women prior to breast cancer surgery. The purpose of this study was to evaluate for differences in anxiety, depression, and quality of life (QOL) in women who did and did not report the occurrence of breast pain prior to breast cancer surgery. We hypothesized that women with pain would report higher levels of anxiety and depression as well as poorer QOL than women without pain.

Methods and sample

A total of 390 women completed self-report measures of pain, anxiety depression, and QOL prior to surgery.

Key Results

Women with preoperative breast pain (28%) were significantly younger, had a lower functional status score, were more likely to be Non-white and to have gone through menopause. Over 37% of the sample reported clinically meaningful levels of depressive symptoms. Almost 70% of the sample reported clinically meaningful levels of anxiety. Patients with preoperative breast pain reported significantly higher depression scores and significantly lower physical well-being scores. No between group differences were found for patients' ratings of state and trait anxiety or total QOL scores.

Conclusions

Findings from this study suggest that, regardless of pain status, anxiety and depression are common problems in women prior to breast cancer surgery.


Url:
DOI: 10.1016/j.ejon.2012.06.001
PubMed: 22892272
PubMed Central: 3524405

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PMC:3524405

Le document en format XML

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<p id="P1">Little is known about the relationships between pain, anxiety, and depression in women prior to breast cancer surgery. The purpose of this study was to evaluate for differences in anxiety, depression, and quality of life (QOL) in women who did and did not report the occurrence of breast pain prior to breast cancer surgery. We hypothesized that women with pain would report higher levels of anxiety and depression as well as poorer QOL than women without pain.</p>
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<p id="P3">Women with preoperative breast pain (28%) were significantly younger, had a lower functional status score, were more likely to be Non-white and to have gone through menopause. Over 37% of the sample reported clinically meaningful levels of depressive symptoms. Almost 70% of the sample reported clinically meaningful levels of anxiety. Patients with preoperative breast pain reported significantly higher depression scores and significantly lower physical well-being scores. No between group differences were found for patients' ratings of state and trait anxiety or total QOL scores.</p>
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<title>Conclusions</title>
<p id="P4">Findings from this study suggest that, regardless of pain status, anxiety and depression are common problems in women prior to breast cancer surgery.</p>
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<contrib contrib-type="author">
<name>
<surname>Kyranou</surname>
<given-names>Maria</given-names>
</name>
<degrees>RN, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Paul</surname>
<given-names>Steven M.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
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<name>
<surname>Dunn</surname>
<given-names>Laura B.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Puntillo</surname>
<given-names>Kathleen</given-names>
</name>
<degrees>RN, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Aouizerat</surname>
<given-names>Bradley E.</given-names>
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<degrees>PhD, MAS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Abrams</surname>
<given-names>Gary</given-names>
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<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hamolsky</surname>
<given-names>Deborah</given-names>
</name>
<degrees>RN, MS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>West</surname>
<given-names>Claudia</given-names>
</name>
<degrees>RN, MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Neuhaus</surname>
<given-names>John</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Cooper</surname>
<given-names>Bruce</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Miaskowski</surname>
<given-names>Christine</given-names>
</name>
<degrees>RN, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<aff id="A1">
<label>1</label>
Schools of Nursing, University of California, San Francisco, CA</aff>
<aff id="A2">
<label>2</label>
Medicine, University of California, San Francisco, CA</aff>
<aff id="A3">
<label>3</label>
Institute for Human Genetics, University of California, San Francisco, CA</aff>
<author-notes>
<corresp id="CR1">Address correspondence to: Christine Miaskowski, RN, PhD, FAAN Professor and Associate Dean Department of Physiological Nursing University of California 2 Koret Way - N631Y San Francisco, CA 94143-0610 415-476-9407 (phone) 415-476-8899 (fax)
<email>chris.miaskowski@nursing.ucsf.edu</email>
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</author-notes>
<pub-date pub-type="nihms-submitted">
<day>16</day>
<month>8</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>8</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>4</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>4</month>
<year>2014</year>
</pub-date>
<volume>17</volume>
<issue>2</issue>
<fpage>190</fpage>
<lpage>195</lpage>
<permissions>
<copyright-statement>© 2012 Elsevier Ltd. All rights reserved</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract>
<sec id="S1">
<title>Purpose of the research</title>
<p id="P1">Little is known about the relationships between pain, anxiety, and depression in women prior to breast cancer surgery. The purpose of this study was to evaluate for differences in anxiety, depression, and quality of life (QOL) in women who did and did not report the occurrence of breast pain prior to breast cancer surgery. We hypothesized that women with pain would report higher levels of anxiety and depression as well as poorer QOL than women without pain.</p>
</sec>
<sec id="S2">
<title>Methods and sample</title>
<p id="P2">A total of 390 women completed self-report measures of pain, anxiety depression, and QOL prior to surgery.</p>
</sec>
<sec id="S3">
<title>Key Results</title>
<p id="P3">Women with preoperative breast pain (28%) were significantly younger, had a lower functional status score, were more likely to be Non-white and to have gone through menopause. Over 37% of the sample reported clinically meaningful levels of depressive symptoms. Almost 70% of the sample reported clinically meaningful levels of anxiety. Patients with preoperative breast pain reported significantly higher depression scores and significantly lower physical well-being scores. No between group differences were found for patients' ratings of state and trait anxiety or total QOL scores.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Findings from this study suggest that, regardless of pain status, anxiety and depression are common problems in women prior to breast cancer surgery.</p>
</sec>
</abstract>
<kwd-group>
<kwd>breast pain</kwd>
<kwd>breast cancer surgery</kwd>
<kwd>anxiety</kwd>
<kwd>depression</kwd>
<kwd>quality of life</kwd>
<kwd>psychological distress</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R01 CA118658 || CA</award-id>
</award-group>
<award-group>
<funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R01 CA107091 || CA</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Californie</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Californie">
<name sortKey="Kyranou, Maria" sort="Kyranou, Maria" uniqKey="Kyranou M" first="Maria" last="Kyranou">Maria Kyranou</name>
</region>
<name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name>
<name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name>
<name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name>
<name sortKey="Cooper, Bruce" sort="Cooper, Bruce" uniqKey="Cooper B" first="Bruce" last="Cooper">Bruce Cooper</name>
<name sortKey="Dunn, Laura B" sort="Dunn, Laura B" uniqKey="Dunn L" first="Laura B." last="Dunn">Laura B. Dunn</name>
<name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name>
<name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
<name sortKey="Neuhaus, John" sort="Neuhaus, John" uniqKey="Neuhaus J" first="John" last="Neuhaus">John Neuhaus</name>
<name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name>
<name sortKey="Puntillo, Kathleen" sort="Puntillo, Kathleen" uniqKey="Puntillo K" first="Kathleen" last="Puntillo">Kathleen Puntillo</name>
<name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name>
</country>
</tree>
</affiliations>
</record>

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