Differences in depression,anxiety, and quality of life between women with and without breast pain prior to breast cancer surgery |
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| Institution: | 1. School of Nursing, University of California, San Francisco, CA, USA;2. School of Medicine, University of California, San Francisco, CA, USA;3. Institute for Human Genetics, University of California, San Francisco, CA, USA;1. Palliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy;2. European Palliative Care Research Centre (PRC), Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;3. Cancer Clinic, St. Olavs Hospital, University Hospital of Trondheim, Trondheim, Norway;4. Regional Centre for Excellence in Palliative Care, Department of Oncology, Oslo University Hospital, Ulleval, Oslo, Norway.;1. School of Nursing, University of California, San Francisco, San Francisco, California;2. School of Medicine, University of California, San Francisco, San Francisco, California;3. Department of Oral Maxillofacial Surgery, New York University College of Dentistry, New York, New York;4. Redwood Regional Medical Group, Santa Rosa, California;5. Institute for Human Genetics, University of California, San Francisco, San Francisco, California;1. Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania;2. Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania;3. Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania;4. Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania;5. Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania;7. University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania;11. Department of Psychiatry, Perioperative and Pain Medicine, Brigham & Women''s Hospital, Boston, Massachusetts;12. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women''s Hospital, Boston, Massachusetts;8. Section of Surgical Pathophysiology, Rigshospitalet Copenhagen University, Copenhagen, Denmark;1. Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden;2. Sophiahemmet University, Stockholm, Sweden;1. Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI;2. Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI;3. Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI |
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| Abstract: | Purpose of the researchLittle 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 sampleA total of 390 women completed self-report measures of pain, anxiety depression, and QOL prior to surgery.Key resultsWomen 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.ConclusionsOur a priori hypotheses were only partially supported. Findings from this study suggest that, regardless of pain status, anxiety and depression are common problems in women prior to breast cancer surgery. |
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