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Biopsychosocial Predictors of Depressive Disorder in Breast Cancer Patients

Abstract

The purpose of this study was to examine the prevalence and analyze the various predictors of depressive disorder in women with breast cancer on the basis of biopsychosocial model. A total of 128 breast cancer patients were recruited, and they were assessed on the basis of cancer-related variables, sociodemopraphic variables, symptoms of depression, cancer-related somatic symptoms, and psychosocial variables (optimism, self esteem, husband support). The results showed that 31% of the patients exhibited a high level of depressive symptoms, and 14% of the patients were classified as having depressive disorder. The 4-step hierarchical binary logistic regression analysis was significant, and the rate of correct prediction was 94.9%. Before entering the psychosocial variables, none of the cancer-related variables, sociodemographic variables or cancer-related somatic symptoms was significant. The high risk of depressive disorder in breast cancer patients was associated with a personality trait. The results supported that depressive symptomatology in breast cancer patients is not associated with objective variables, but rather that it is very strongly linked with psychological variables. Finally, the implications for the identification of and psychosocial intervention for depressive disorder in breast cancer patients were discussed.

keywords
breast cancer, depressive disorder, prevalence, optimism, self esteem, husband support, breast cancer, depressive disorder, prevalence, optimism, self esteem, husband support, 유방암, 우울장애, 유병율, 낙관주의, 자기존중감, 배우자 지지

Reference

1.

김은정, (1999) 임상적 우울집단과 준 임상 우울집단의 심리 사회적 특성 비교, 한국심리학회지 임상

2.

권정혜 ; 김종남, (2005) 유방암 환자를 위한 집단치료의 효과: 예비연구, 한국심리학회지 임상

3.

박영신, (2004) 한국인의 부모자녀 관계, 교육과학사

4.

박현숙, (2001) 만성요통환자가 지각하는 낙관성과 우울에 관한 연구, 정신간호학회지

5.

보건복지부, (2005) 암 발생 통계, 보건복지부

6.

신승철, (1991) 한국에서의 the Center for Epidemiological Studies Depression Scale (CES-D)의 사용, 신경정신의학

7.

이영자, (1996) 스트레스,사회적 지지,자아존중감과 우울 및 불안과의 관계,

8.

조현주, (2003) 산후우울증의 위험요인 탐색과 예방 개입의 효과,

9.

채영란, (2005) 유방암 절제술을 받은 여성의 지각된 건강상태, 우울 및 삶의 질의 관계, 성인간호학회지

10.

한국보건사회연구원, (2006) 보건복지동향, 한국보건사회연구원

11.

한숙정, (2003) 암환자가족의 가족기능에 대한 조사연구*, Asian Oncology Nursing

12.

한영인, (2005) 유방암환자의 통증과 우울의 관계, 호스피스학술지

13.

Bardwell,W.A., (2006) Objective cancer-related variables are associated with depressive symptoms in women treated for early-stage breast cancer, Journal of Clinical On

14.

Barraclough,J., (1992) Life events and breast cancer prognosis, British Medical Journal

15.

Bower,J.E., (2008) Behavioral Symptoms in Patients With Breast Cancer and Survivors\, Journal of Clinical Oncology

16.

Burgess,C., (2005) Depression and anxiety in women with early breast cancer: five year observational cohort study, Medical Journal

17.

Byar,K.L., (2006) Impact of adjuvant breast cancer chemotherapy on fatigue, other symptoms, and quality of life, Oncology Nursing Forum

18.

Cardova,M.J., (1995) Frequency and correlates of posttraumatic stress disorder-like symptoms after treatment for breast cancer, Journal of Consulting and Clinical Psychology

19.

Casso,D., (2004) Quality of life of 5-10 years breast cancer survivors diagnosed between age 40 and 49, Health and Quality of Life Outcomes

20.

Cohen,J., (2003) Applied multiple regression and correlation analysis for the behavioral sciences, Mahwah, New Jersey: Lawrence Erlbaum Associates

21.

Dodd,M.J., (2004) Occurrence of symptom clusters, Journal of the National Cancer Institute Monographs

22.

Fann,J.R., (2008) Major depression after breast cancer: a review of epidemiology and treatment, General Hospital Psychiatry

23.

Golden-Kreutz,D.M., (2004) Depressive symptoms after breast cancer surgery: Relationship with global, cancer -related, and life event stress, Psycho-Oncology

24.

Graham,J., (2002) Stressful life experiences and risk of relapse of breast cancer: Observational cohort study, British Medical Journal

25.

Green,B.l., (1998) Prevalence of posttraumatic stress disorder in woman with breast cancer, Psychosomatics

26.

House,J.S., (1981) Work Stress and Social Support, Reading Massachisette, Addison- Wesley, In Sisca Lentjes

27.

Kim,M.J., (1998) Pruefungsangst und andere psycholsoziale Merkmale: ein Beitrag zur interkulturellen Diagnostik, Dissertation der Philosophischen Fatultaet der Universitaet Duesseldorf

28.

Kim,S.H., (2008) Fatigue and Depression in Disease-Free Breast Cancer Survivors: Prevalence, Correlates, and Association with Quality of Life, Journal of Pain and Symptom Management

29.

Leedham,B., (1999) Psychosocial concerns and quality of life in breast cancer survivors, Cancer Invest

30.

McDaniel,J.S., (1995) Depression in patients with cancer. Diagnosis, biology, and treatment, Archives of General Psychiatry

31.

McLay,R.N., (2003) Nulliparity and late menopause are associated with decreased cognitive decline, Journal of Neuropsychiatry Clinical Neurosciences

32.

Roscoe,J.A., (2005) Effect of paroxetine hydrochloride(Paxil) on fatigue and depression in breast cancer patients receiving chemotherapy, Breast Cancer Res Treat

33.

Rosenberg,M., (1965) Society and the adolescent self-image.Princeton, NJ: Princeton University Press.

34.

Schagen,S.B., (1999) Cognitive deficits after postoperative adjuvant chemotherapy for breast carcinoma, Cancer

35.

Scheider,M.F., (1985) Optimism, coping, and health: Assessment and implication of generalized outcome expectancies, Health Psychology

36.

Scheier,M.F., (2006) Really, disease doesn't matter A commentary on correlates of depressive symptoms in women treated for early-stage breast cancer, Journal of Clinical Oncology

37.

Sherwin,B.B., (1997) Estrogen effects on cognition in menopausal women, Neurology

38.

Somerset,W., (2004) Breast Cancer and Depression, Oncology

39.

Spiegel,D., (2003) Depression and Cancer: Mechanisms and Disease Progression, Biological Psychiatry

40.

Yen,J.Y., (2006) Quality of life, depression, and stress in breast cancer women outpatients receiving active therapy in Taiwan, Psychiatry Clin Neuroscience

41.

Yoe,W., (2004) Psycho-social impact of breast cancer surgeries in Chinese Patients and their spouses, Psycho-Oncology

42.

Yun,Y.H., (2004) Validation of the Korean version of the EORTC QLQ-C30, Quality of Life Research

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