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Psychological morbidity and quality of life in Australian women with early-stage breast cancer: a cross-sectional survey.

Identifieur interne : 00BC75 ( Ncbi/Merge ); précédent : 00BC74; suivant : 00BC76

Psychological morbidity and quality of life in Australian women with early-stage breast cancer: a cross-sectional survey.

Auteurs : D W Kissane [Australie] ; D M Clarke ; J. Ikin ; S. Bloch ; G C Smith ; L. Vitetta ; D P Mckenzie

Source :

RBID : pubmed:9734576

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English descriptors

Abstract

To determine the prevalence of psychological morbidity and describe quality of life in women with early-stage breast cancer.

PubMed: 9734576

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pubmed:9734576

Le document en format XML

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<nlm:affiliation>University of Melbourne Centre for Palliative Care, Department of Medicine, St Vincent's Hospital, and Peter MacCallum Cancer Institute, VIC. dwk@rubens.its.unimelb.edu.au</nlm:affiliation>
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<term>Anxiety Disorders (psychology)</term>
<term>Anxiety Disorders (therapy)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (psychology)</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Depressive Disorder (epidemiology)</term>
<term>Depressive Disorder (psychology)</term>
<term>Depressive Disorder (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy (psychology)</term>
<term>Mastectomy, Segmental (psychology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
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<term>Adaptation psychologique</term>
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<term>Adulte d'âge moyen</term>
<term>Comorbidité</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastectomie (psychologie)</term>
<term>Mastectomie partielle (psychologie)</term>
<term>Psychothérapie de groupe</term>
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<term>Rôle de malade</term>
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<term>Tumeurs du sein</term>
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<term>Anxiety Disorders</term>
<term>Breast Neoplasms</term>
<term>Depressive Disorder</term>
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<term>Breast Neoplasms</term>
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<term>Mastectomie</term>
<term>Mastectomie partielle</term>
<term>Trouble dépressif</term>
<term>Troubles anxieux</term>
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<term>Breast Neoplasms</term>
<term>Depressive Disorder</term>
<term>Mastectomy</term>
<term>Mastectomy, Segmental</term>
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<term>Femelle</term>
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<div type="abstract" xml:lang="en">To determine the prevalence of psychological morbidity and describe quality of life in women with early-stage breast cancer.</div>
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<Year>1998</Year>
<Month>09</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>1998</Year>
<Month>09</Month>
<Day>16</Day>
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<DateRevised>
<Year>2014</Year>
<Month>07</Month>
<Day>29</Day>
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<Month>Aug</Month>
<Day>17</Day>
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<Title>The Medical journal of Australia</Title>
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<ArticleTitle>Psychological morbidity and quality of life in Australian women with early-stage breast cancer: a cross-sectional survey.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the prevalence of psychological morbidity and describe quality of life in women with early-stage breast cancer.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional descriptive study (3 months after conservative breast surgery or mastectomy) of patients from nine general hospitals in Melbourne, Victoria, October 1994 to March 1997.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">303 women with early-stage breast cancer entering a randomised trial of adjuvant psychological group therapy; mean age, 46 years (SD, 8).</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Diagnostic and Statistical Manual of Mental Health (DSM)-IV psychiatric diagnoses generated by the Monash Interview for Liaison Psychiatry; quality-of-life data based on the the European Organization for Research and Treatment of Cancer quality-of-life questionnaire (QLQ)-C30 (core) and QLQ-BR23 (breast module) instruments.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">45% of the women (135/303) had a psychiatric disorder; 42% (127) of the sample had depression or anxiety, or both; there was minor depression in 82 (27.1%), an anxiety disorder in 26 (8.6%), major depression in 29 (9.6%) and a phobic disorder in 21 (6.9%). 20% of women (61) had more than one disorder. On quality-of-life measures nearly one-third of the women felt less attractive and most had lost interest in sexual activity. There was substantial distress about hair loss. Symptoms of lymphoedema were described by 13 women (4.3%). Breast conservation surgery was associated with a better body image (P<0.01).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Women recently diagnosed with early-stage breast cancer have high rates of psychiatric and psychological disturbance. Quality of life is substantially affected. Clinicians should actively explore their patients' psychological adjustment to enable early recognition and treatment of these disorders.</AbstractText>
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<Language>eng</Language>
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<RefSource>Med J Aust. 1999 Mar 1;170(5):239-40</RefSource>
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