유방암 수술 환자의 불안, 우울에 영향을 미치는 인자
Factors Influencing Anxiety and Depression in Breast Cancer Patients Treated with Surgery
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The purpose of this study was to investigate the variables influencing the anxiety and depression in the patients with breast cancer with surgery. Methods：Forty nine outpatients with breast cancer were participated from the breast center of a Dong-A university hospital. Socio-demographic characteristics, clinical variables, anxiety, depression, self-esteem, body image, quality of life were evaluated. Results：Correlation analysis showed several variables were associated with the anxiety and depression of the breast cancer patient. Body image(r=0.57, p＜0.01), side effect of systemic therapy(r=0.72, r＜0.01), breast symp-tom(r=0.56, p＜0.01), arm symptom(r=0.58, p＜0.01), upset by hair loss(r=0.37, p＜0.01), self esteem(r=-0.36, p＜ 0.05) and future perspective(r=-0.52, p＜0.01) were associated with score of Hamilton Anxiety Scale(HAS). Body image(r=0.62, p＜0.01), side effect of systemic therapy(r=0.70, r＜0.01), breast symptom(r=0.61, p＜0.01), arm symp-tom(r=0.67, p＜0.01), upset by hair loss(r=0.32, p＜0.05), future perspective(r=-0.52, p＜0.01) were associated with score of Hamilton Rating Scale for Depression(HRSD). According to stepwise linear regression analysis on the breast cancer patients of HAS total score, the following two variables were founded : side effect of systemic therapy(p＜0.01) and body image(p＜0.05). With HRSD total score, the following three variables were founded: side effect of systemic therapy(p＜0.05), body image(p＜0.05), and arm symptom(p＜0.05). Conclusion：Psychological factors such as body image and self-esteem were also important as socio-demographic and clinical characteristics in depression and anxiety of patients with breast cancer. For depression and anxiety in patients with breast cancer, development of systematized program and appropriate psychological intervention are needed.
Abstract
The purpose of this study was to investigate the variables influencing the anxiety and depression in the patients with breast cancer with surgery. Methods：Forty nine outpatients with breast cancer were participated from the breast center of a Dong-A university hospital. Socio-demographic characteristics, clinical variables, anxiety, depression, self-esteem, body image, quality of life were evaluated. Results：Correlation analysis showed several variables were associated with the anxiety and depression of the breast cancer patient. Body image(r=0.57, p＜0.01), side effect of systemic therapy(r=0.72, r＜0.01), breast symp-tom(r=0.56, p＜0.01), arm symptom(r=0.58, p＜0.01), upset by hair loss(r=0.37, p＜0.01), self esteem(r=-0.36, p＜ 0.05) and future perspective(r=-0.52, p＜0.01) were associated with score of Hamilton Anxiety Scale(HAS). Body image(r=0.62, p＜0.01), side effect of systemic therapy(r=0.70, r＜0.01), breast symptom(r=0.61, p＜0.01), arm symp-tom(r=0.67, p＜0.01), upset by hair loss(r=0.32, p＜0.05), future perspective(r=-0.52, p＜0.01) were associated with score of Hamilton Rating Scale for Depression(HRSD). According to stepwise linear regression analysis on the breast cancer patients of HAS total score, the following two variables were founded : side effect of systemic therapy(p＜0.01) and body image(p＜0.05). With HRSD total score, the following three variables were founded: side effect of systemic therapy(p＜0.05), body image(p＜0.05), and arm symptom(p＜0.05). Conclusion：Psychological factors such as body image and self-esteem were also important as socio-demographic and clinical characteristics in depression and anxiety of patients with breast cancer. For depression and anxiety in patients with breast cancer, development of systematized program and appropriate psychological intervention are needed.
참고문헌 (36)
- "National Cancer Information Center"[URL]
- 정복례, "항암화학요법을 받는 유방암 환자의 신체적 건강문제", 경북간호과학지, 1, pp.31~44 (1997)
- Rustoen T, "Quality of life in women with breast cancer", Cancer Nurs, 23, pp.212~219 (2000)
- Massie MJ, "Prevalence of depression in patients with cancer", J Natil Cancer Inst Monogr, 32, pp.57~71 (2004)
- Burgess C, "Depression and anxiety in women with early breast cancer:five year observational cohort study", BMJ, 330, pp.702~705 (2005)
- Ayres A, "Influence of mood and adjustment to can-cer on compliance with chemotherapy among breast cancer patients", J Psychosm Res, 38, pp.393~402 (1994)
- Watson M, "In-fluence of psychological response on survival in breast cancer:a population based cohort study", Lancet, 354, pp.1331~1336 (1999)
- Goodwin JS, "Effect of depression on diagnosis,treatment,and survival of older women breast cancer", J Am Geriatr Soc, 52, pp.106~111 (2004)
- Osborne RH, "Age-specific norms and determinants of anxiety and depression in 731 women with breast cancer recruited through a population-based cancer registry", Eur J cancer, 39, pp.755~762 (2003)
- Stanton AL, "The first year after breast cancer diagnosis:Hope and coping strategies a predictors of adjustment", Psychooncology, 11, pp.93~102 (2002)
- Weitzner MA, "Relationship between quality of life and mood in long-term survivors of breast cancer related with mastectomy", Support Care Cancer, 5, pp.241~248 (1997)
- Knobf MT, "Psychosocial responses in breast cancer survivors", Semin Oncol Nurs, 23, pp.71~83 (2007)
- 서연옥, "유방암 환자의 삶의 질 영향요인", Journal of Korean Academy of Nursing, 37(4), pp.459~466 (2007), 한국간호과학회
- 조계화, "유방암 환자의 성격특성,희망 및 삶의 질의 관련성", 한국간호교육학회지, 10, pp.115~124 (2004)
- Avis NE, "Quality of life among youn-ger women with breast cancer", J clin Oncol, 23, pp.3322~3330 (2005)
- Figueriedo MI, "Breast cancer treatment in older women: Do getting what you want improve your long-term body image and mental health", J Clin Oncol, 22, pp.4002~4009 (2004)
- The Korean Breast Cancer Society, "Nationwide Korea breast cancer data of 2002", J Breast Cancer, 7, pp.72~83 (2004)
- So WK, "Anxiety,depression and quality of life among Chinese breast cancer patients during adjuvant therapy", Eur J Oncol Nurs, 14, pp.17~22 (2010)
- Andritsch E, "Global quality of life and its potential predictors in breast cancer patients:an exploratory study", Support Care Cancer, 15, pp.21~30 (2007)
- Shapiro SL, "Quality of life and breast cancer:re-lationship to psychosocial variables", J Clin Psychol, 57, pp.501~519 (2001)
- Hamilton M, "The assessment of anxiety states by rating", Br J Med Psychology, 32, pp.50~55 (1960)
- 김창윤, "정신장애 평가도구", pp.79~ (2001), 하나의학사
- Hamilton M, "A rating scale for depression", J Neurol Nerosurg Psychiatry, 23, pp.56~62 (1960)
- 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구", 신경정신의학, 44(4), pp.456~465 (2005), 대한신경정신의학회
- Rosenberg M, "Society and adolescent self-image. Princeton" (1965), Princeton University. In press
- 전병재, "자아개념 측정 가능성에 관한 연구", 연세논총, 11, pp.109~129 (1979)
- Hopwood P, "A body image scale for use with cancer patients", Eur J Cancer, 37, pp.189~107 (2001)
- Yun YH, "Validation of the Korean version of the EORTC QLQC30", Qual Life Res, 13, pp.863~868 (2004)
- Fayers PM, "EORTC-C30 Scoring Manual. 3rd ed" (2001), EORTC
- Hall A, "Are we using appropriate self-report questionnaires for detecting anxiety and depression in women with early breast cancer", Eur J Cancer, 35, pp.79~85 (1999)
- 송동호, "최신정신의학", pp.275~ (2006), 일조각
- Christensen S, "Prevalence and risk of depressive symptoms 3-4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer", Breast Cancer Res Treat, 113, pp.339~355 (2009)
- Mary JM, "Prevalence of Depression in Patients With Cancer", J Natl Cancer Inst Monogr, 32, pp.57~71 (2004)
- Christian A, "A Study of Body image in Long-Term Breast Cancer Surviors", Cancer, 116, pp.3549~3557 (2010)
- 유양숙, "유방절제술 환자의 배우자 지지,성생활 만족도 및 부부 친밀도", 한국보건간호학회지, 15, pp.148~56 (2001)
- Carter CL, "Relation of tumor size,lymph node status,and survival in 24,740 breast cancer cases", Cancer, 63, pp.181~187 (1989)