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dc.contributor.authorGrabsch, B
dc.contributor.authorClarke, DM
dc.contributor.authorLove, A
dc.contributor.authorMcKenzie, DP
dc.contributor.authorSnyder, RD
dc.contributor.authorBloch, S
dc.contributor.authorSmith, G
dc.contributor.authorKissane, DW
dc.date.available2014-05-21T19:25:05Z
dc.date.issued2006-03
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/16889323
dc.identifier.citationGrabsch, 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.
dc.identifier.issn1478-9515
dc.identifier.urihttp://hdl.handle.net/11343/26253
dc.descriptionC1 - Journal Articles Refereed
dc.description.abstractOBJECTIVE: 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherCambridge University Press (CUP)
dc.subjectOncology and Carcinogenesis; Psychiatry ; Cancer and Related Disorders; Environmental Health; Mental Health
dc.titlePsychological morbidity and quality of life in women with advanced breast cancer: a cross-sectional survey.
dc.typeJournal Article
dc.identifier.doi10.1017/s1478951506060068
melbourne.peerreviewPeer Reviewed
melbourne.affiliationThe University of Melbourne
melbourne.affiliation.departmentPsychiatry
melbourne.source.titlePalliat Support Care
melbourne.source.volume4
melbourne.source.issue1
melbourne.source.pages47-56
dc.research.coderfcd321015
dc.research.coderfcd321021
dc.research.codeseo1998730108
dc.research.codeseo1998730210
dc.research.codeseo1998730211
melbourne.publicationid57951
melbourne.elementsid281169
melbourne.contributor.authorBloch, Sidney
melbourne.contributor.authorGrabsch, Brenda
melbourne.contributor.authorKissane, David
dc.identifier.eissn1478-9523
melbourne.accessrightsThis item is currently not available from this repository


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