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    Psychological morbidity and quality of life in women with advanced breast cancer: a cross-sectional survey.

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    92
    Author
    Grabsch, B; Clarke, DM; Love, A; McKenzie, DP; Snyder, RD; Bloch, S; Smith, G; Kissane, DW
    Date
    2006-03
    Source Title
    Palliat Support Care
    Publisher
    Cambridge University Press (CUP)
    University of Melbourne Author/s
    Bloch, Sidney; Grabsch, Brenda; Kissane, David
    Affiliation
    Psychiatry
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Grabsch, B., Clarke, D. M., Love, A., McKenzie, D. P., Snyder, R. D., Bloch, S., Smith, G. & Kissane, D. W. (2006). Psychological morbidity and quality of life in women with advanced breast cancer: a cross-sectional survey.. Palliat Support Care, 4 (1), pp.47-56. https://doi.org/10.1017/s1478951506060068.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/26253
    DOI
    10.1017/s1478951506060068
    Description

    C1 - Journal Articles Refereed

    Abstract
    OBJECTIVE: Our purpose was to determine the frequency of psychiatric morbidity and to assess the quality of life of women with advanced breast cancer. METHODS: The 227 women in the sample were recruited in Melbourne, Australia, and were interviewed (prior to intervention) for a randomized controlled trial of supportive-expressive group therapy. The main outcome measures were DSM-IV psychiatric diagnoses plus quality of life data based on the EORTC QLQ-C30 (core) and QLQ-BR23 (breast module) instruments. RESULTS: Forty-two percent of the women (97/227) had a psychiatric disorder; 35.7% (81) of these had depression or anxiety or both. Specific diagnoses were minor depression in 58 women (25.6%), major depression in 16 (7%), anxiety disorder in 14 (6.2%), and phobic disorder in 9 (4%). Seventeen (7.5%) women had more than one disorder. In terms of quality of life, one-third felt less attractive, one-quarter were dissatisfied with their body image, and, in most, sexual interest had waned. Menopausal symptoms such as hot flashes affected less than one-third, whereas symptoms of lymphedema were experienced by 26 (11.5%). SIGNIFICANCE: Women with advanced breast cancer have high rates of psychiatric and psychological disturbance. Quality of life is substantially affected. Clinicians need to be vigilant in monitoring psychological adjustment as part of a comprehensive biopsychosocial approach.
    Keywords
    Oncology and Carcinogenesis; Psychiatry ; Cancer and Related Disorders; Environmental Health; Mental Health

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