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Socio-demographic and clinical variables associated with psychological distress one and three years after a breast cancer diagnosis
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Psychology in Healthcare.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Psychology in Healthcare. (Klinisk psykologi i hälso- och sjukvård, Clinical Psychology in Healthcare)
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Department of Nursing, Metropolitan University College, 2200 Copenhagen N, Denmark.
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2016 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 24, no 9, 4017-4023 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: A large group of women (20-30%) report psychological distress shortly after breast cancer diagnosis, and some experience continued or increased symptoms over time. The aim of this study was to investigate socio-demographic and clinical variables associated with sustained psychological distress in this patient group. METHODS: Women with breast cancer (n=833) completed self-report questionnaires regarding socio-demographic and clinical variables shortly after (T1) and 3years after diagnosis (T2) while data on illness severity were collected from a quality register. The Hospital Anxiety and Depression Scale was used as a measure of psychological distress at both time points. RESULTS: The number of participants who reported elevated levels of anxiety was 231 (28%) at T1 and 231 (28%) at T2 while elevated depressive symptoms was reported by 119 (14%) women at T1 and 92 (11%) at T2. Despite non-significant differences in mean scores over time, 91 (15%) participants reported increased anxiety symptoms and 47 (7%) reported increased depressive symptoms. Poor financial situation, lack of social support, previous psychiatric treatment, and high levels of fatigue were associated with both anxiety and depressive symptoms. Reporting high levels of fatigue was the variable most strongly associated with increased psychological distress over time. CONCLUSION: Most participants reported decreased psychological distress over time, but there were subgroups of women who experienced sustained or increased symptoms of anxiety or depression. Participants with poor financial status, previous psychological problems, or high levels of fatigue may be at increased risk of psychological distress. Such individuals may benefit most from psychosocial interventions.

Place, publisher, year, edition, pages
2016. Vol. 24, no 9, 4017-4023 p.
Keyword [en]
Anxiety; Breast cancer; Depression; Distress; Longitudinal
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-287632DOI: 10.1007/s00520-016-3242-yISI: 000380677200041PubMedID: 27129841OAI: oai:DiVA.org:uu-287632DiVA: diva2:923053
Available from: 2016-04-25 Created: 2016-04-25 Last updated: 2016-09-16Bibliographically approved

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Alfonsson, SvenOlsson, ErikHursti, TimoHøyer Lundh, MarieJohansson, Birgitta
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Clinical Psychology in HealthcareDepartment of PsychologyDepartment of Public Health and Caring SciencesDepartment of Immunology, Genetics and Pathology
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Supportive Care in Cancer
Psychology

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