کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6082221 1205683 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Psychiatric-Medical ComorbidityCourse of depression, mental health service utilization and treatment preferences in women receiving chemotherapy for breast cancer
ترجمه فارسی عنوان
روانپزشکی-پزشکی همدردی در مورد افسردگی، استفاده از خدمات بهداشت روان و ترجیحات درمان در زنان دریافت کننده شیمی درمانی برای سرطان پستان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectiveThis prospective study aimed to estimate the prevalence and course of depression during chemotherapy in women with Stage I-III breast cancer, identify potential risk factors for depression and determine which treatments for depression were being used and which were most preferred.MethodThirty-two women were followed over consecutive chemotherapy infusions, with 289 assessments conducted altogether (mean, 9.0 assessments/subject). Current depression, anxiety, physical symptoms and mental health service use were recorded during each assessment. A linear mixed effects model was used to identify factors associated with depression. Patients also ranked depression treatment preferences. We referred patients with more severe depression for treatment.ResultsClinically significant depression was identified in 37.5% of patients. Depression severity tended to peak at 12-14 weeks and 32 or more weeks of chemotherapy. Depression severity was associated with anxiety severity, physical symptom burden, non-White race, receiving one's first chemotherapy regimen, Adriamycin-Cytoxan chemotherapy and chemotherapy duration. Most (65.5%) patients preferred evidence-based treatments for depression, and 66.7% of depressed patients were using such treatments.ConclusionsDepression is common in women receiving chemotherapy for breast cancer. Most patients prefer evidence-based depression treatments. We recommend regular screening for depression during chemotherapy to ensure adequate detection and patient-centered treatment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 35, Issue 4, July–August 2013, Pages 376-381
نویسندگان
, , , , , ,