- Volume 17 Issue 3
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Levels of Depression and Anxiety Post-Mastectomy in Breast Cancer Patients at a Public Sector Hospital in Karachi
- Khan, Sara ;
- Khan, Naveed Ali ;
- Rehman, Ata Ur ;
- Khan, Iqra ;
- Samo, Khursheed A ;
- Memon, Amjad Siraj
- Published : 2016.04.11
Background: There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. Objective: To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. Materials and Methods: The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012-December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. Results: There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. Conclusions: It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.
Mastectomy;breast cancer;depression;anxiety;Pakistani females
- ABarraclough J (1999). Cancer and Emotion.In 'A practical guide to psycho oncology',3rd Eds. John Wiley & Sons, London pp 104-124 Numbers 222-3.
- Beck A and Steer R (1993). Beck Anxiety Inventory.The Psychological Cooperation and ISP logo, New York pp 4-20 Numbers 20-3.
- Beck AT (1967). Depression. IN 'Clinical, Experimental and Theoretical Aspects'. University of Pennsylvania press, philadelphia pp 99-289 Numbers 19104-9.
- Borgen I, Hill D, Tran N, et al (1998). Patient regrets after bilateral prophylactic mastectomy. Ann Surg Oncol, 5. 603-6. https://doi.org/10.1007/BF02303829
- Chen, Ling M, Kun H, Hsing C (2000). Anxiety and depression in Taiwanese cancer patients with and without pain. J Advanced Nursing, 4, 944-951.
- Coleman J, Broen WE (1972). Abnormal Psychology and Modern Life, 4rth Eds. Scott, Foresman and Company, Michigan pp 425-621 Numbers 798.
- Gilmer B (1975). Adjustment in Living and Work. In 'Applied Psychology', 2nd Eds. Mc Graw Hill Publishing Company Ltd, New Delhi pp 305-411 Numbers 470-9.
- Hartmann LC, Schaid DJ, Woods JE, et al (1999). Efficacy of bilateral prophylactic mastectomy in women with a family history of breast cancer. N Engl J Med, 340, 77-84. https://doi.org/10.1056/NEJM199901143400201
- Iwamitsu Y, Shimoda K, Abe H, et al (2005). Anxiety, Emotional Suppression, and Psychological Distress Before and After Breast Cancer Diagnosis. Psychosomatics, 46, 19-24. https://doi.org/10.1176/appi.psy.46.1.19
- Massie J and Holland C (2001). The cancer patients with pain. Psyc Complications Their Management, 71, 243-247.
- Meiser B, Butow P, Friedlander M,et al (2000). Intention to undergo prophylactic bilateral mastectomy in women at increased risk of developing hereditary breast cancer. J Clin Oncol, 18, 2250-7. https://doi.org/10.1200/JCO.2000.18.11.2250
- Myers D (2004). Psychology in modules, 7th Eds. Worth publishers, New York pp 567-705 Numbers 752-4.
- Parkin M, Bray F, Ferlay J, et al (2005). Global cancer statistics. Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
- Pasquini M and Biondi M (2007). Depression in cancer patients: a critical review. Clini Practice Epidemiol Mental Health, 5, 502-11.
- William M (2002). Is it appropriate to screen palliative care patients for depression? American J Hospice Palliative Care, 2, 112-4.
- Zabalegui A, Sanchez S, Sanchez D, et al (2005). Nursing and cancer support groups. J Advance Nurs, 4, 369-81.
- Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer vol.25, pp.4, 2018, https://doi.org/10.1007/s12282-018-0846-8
- Depression Induced by Total Mastectomy, Breast Conserving Surgery and Breast Reconstruction: A Systematic Review and Meta-analysis vol.42, pp.7, 2018, https://doi.org/10.1007/s00268-018-4477-1