Distress Screening and Management in Early Breast Cancer Patients: Distress after Breast Cancer Diagnosis and Associated Factors

백현남; 강은영; Angela Soeun Lee; 황의정; 채수민; 김은규; 김성원

doi:https://doi.org/10.14449/jbd.2017.5.1.8

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자료유형: 학술저널

저자정보: 백현남 (Sahmyook Seoul Medical Center) 강은영 (분당서울대학교 병원) Angela Soeun Lee (분당서울대학교 병원) 황의정 (분당서울대학교 병원) 채수민 (분당서울대학교 병원) 김은규 (분당서울대학교병원) 김성원 (Daerim St. Mary’s Hospital)

저널정보: 한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제5권 제1호

발행연도: 2017.6

수록면: 8 - 15 (8page)

DOI: https://doi.org/10.14449/jbd.2017.5.1.8

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Purpose: The aims of this study were to evaluate the magnitude of distress after breast cancer diagnosis and to investigate factors associated with distress, as well as to determine the effectiveness of psychological intervention. Methods: This study was performed retrospectively, reviewing 264 patients who underwent breast cancer surgery at Seoul National University Bundang Hospital between November 2011 and May 2014. Distress was measured using the distress thermometer (DT) and Center for Epidemiological Studies-Depression scale (CES-D) questionnaires before, as well as at 3 and 6 months postsurgery. Psychological intervention was recommended to high risk patients (DT score ≥5 or CES-D score ≥16). Results: In total, 149 patients (56.4%) were classified as high risk in the initial assessment. In the following assessments, the proportion of those in the high risk group was 38.5% and 25.0% at 3 and 6 months postsurgery, respectively. Mastectomy was significantly associated with high levels of distress compared to breast-conserving surgery in the univariate (p=0.048) and multivariate analyses (p=0.014). However, there was no significant relationship between any of the various socioeconomic factors and distress. Distress level was reduced over time in both scales. Of the 149 high risk patients, only 21 received the psychological intervention. Using linear mixed models, the psychological intervention resulted in marginally significant reductions in DT (p=0.051) and CES-D (p=0.077) scores. Conclusion: More than half of patients experienced distress upon initial diagnosis, and the determined surgery type was an important factor associated with high distress level. It is important to identify high risk patients and to manage distress during the initial phase.

#Breast neoplasms #Distress #Psychological intervention

참고문헌 (26)

참고문헌 신청

Korean Breast Cancer Society / 2014 / Breast Cancer Facts & Figures 2014 / Korean Breast Cancer Society

Fallowfield L / 2001 / Psychiatric morbidity and its recognition by doctors in patients with cancer / Br J Cancer 84:1011~1015

Zabora J / 2001 / The prevalence of psychological distress by cancer site / Psychooncology 10:19~28

Hegel MT / 2006 / Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer / Cancer 107:2924~2931

Schubart JR / 2014 / Screening for psychological distress in surgical breast cancer patients / Ann Surg Oncol 21:3348~3353

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