Anxiety,depression and quality of life in Chinese women with breast cancer during and after treatment: A comparative evaluation |
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| Institution: | 1. The Nethersole School of Nursing, The Chinese University of Hong Kong, 7/F., Esther Lee Building, Shatin, New Territories, Hong Kong, China;2. Department of Clinical Oncology, Queen Mary Hospital, Hong Kong, China;1. University of Surrey, Guildford, GU2 7XH, United Kingdom;2. University of the West of Scotland, Almada St, Hamilton, South Lanarkshire, ML3 0JB, United Kingdom;1. Federal Neuropsychiatric Hospital, PMB 2008, Yaba, Lagos, Nigeria;2. Department of Psychiatry, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria;3. Department of Psychiatry, Lagos University Teaching Hospital, PMB 12003, Lagos, Nigeria;4. Lagos State University Teaching Hospital, Ikeja, Nigeria;5. Population Council, Lagos, Nigeria;1. Emory University School of Nursing, Atlanta, Georgia;2. Emory University Department of Psychiatry and Behavioral Sciences, Atlanta, Georgia;3. Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia;1. School of Nursing, College of Medicine, National Taiwan University, Vice Director, Department of Nursing, National Taiwan University Hospital, No.1, Jen-Ai Rd. Sec. 1, Taipei, Taiwan;2. Breast Center, National Taiwan University Hospital, Department of Surgery, Collage of Medicine, National Taiwan University, Taiwan;3. School of Medicine, Fu-Jen Catholic University, 510 Chung-Cheng Road, Hsin-Chuang, Taipei, Taiwan;4. Taiwan Breast Cancer Foundation, Professor, Department of Surgery, College of Medicine, National Taiwan University, Taiwan;5. School of Nursing, College of Medicine, Chang-Gung University, Taiwan;6. Breast Center, National Taiwan University Hospital, Professor, Department of Surgery, Collage of Medicine, National Taiwan University, Taiwan;1. Department of Surgery, UCMS & GTB Hospital, Delhi, India;2. Department of Community Medicine, UCMS & GTB Hospital, Delhi, India;3. Radiation Oncologist, Delhi State Cancer Institute, India;1. Department of Nursing, Xi''an Jiaotong University Health Science Center, Xi''an, Shaanxi, PR China;2. Department of Epidemiology and Biostatistics, School of Public Health, Xi''an Jiaotong University Health Science Center, Xi''an, Shaanxi, PR China;3. Department of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, UK;4. Department of Nursing, First Affiliated Hospital, Xi''an Jiaotong University, Xi''an, Shaanxi, PR China |
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| Abstract: | Purpose of the researchTo compare the psychological health and quality of life (QoL) of women with breast cancer, and to determine the relationship between anxiety, depression and QoL during treatment and one year afterwards.Methods and sampleFor this secondary analysis, 269 women undergoing adjuvant therapy for breast cancer, and 148 women with breast cancer who had completed all treatment within the last year completed a self-report questionnaire covering the Hospital Anxiety and Depression Scale-Cantonese/Chinese version, Functional Assessment of Cancer Therapy-General, and demographic and clinical characteristics.Key resultsThe ongoing-therapy group showed higher levels of anxiety and depression and lower levels of all QoL dimensions than the post-therapy group. Linear regression results showed that both anxiety and depression were significantly related to physical and functional well-being, while depression was associated with social/family well-being in both groups. In the case of emotional well-being, anxiety had a strong significant association in both groups and depression a significant relationship only in the ongoing-therapy group.ConclusionsThe psychological health of women with breast cancer is affected during and after treatment. Psychological distress in these patients, including anxiety and depression, has independent associations with impaired emotional, functional, physical and social well-being. The results highlight the importance of timely detection of anxiety and depression, and their proper management, during the treatment and survivorship phases of the breast cancer trajectory. |
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| Keywords: | Anxiety Depression Quality of life Breast cancer |
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