سلامت روان در زنان نجات یافته از سرطان پستان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه داخلی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار، گروه پزشکی اجتماعی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 متخصص پزشکی اجتماعی، مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه ا... تهران، تهران، ایران

5 دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

6 دانشجوی پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

چکیده

مقدمه: سرطان پستان شایع‌ترین سرطان زنان می‌باشد که جنبه‌های مختلف سلامت فردی را از جمله سلامت روان به مخاطره می‌اندازد. این مطالعه به بررسی سلامت روان در زنان نجات یافته از سرطان و گروه شاهد ‌پرداخت.روش‌ها: در این مطالعه‌ی مورد- شاهدی، زنان نجات یافته از سرطان را که تحت ماستکتومی قرار گرفته بودند با گروه زنانی که تا به حال مواجهه با هیچ نوع سرطانی از جمله سرطان پستان نداشتند، مقایسه کردیم. حجم نمونه در هر گروه 60 نفر بود. با استفاده از پرسش‌نامه‌ی آزمون بررسی سلامت عمومی (General health questionnaire یا GHQ-28)، داده‌ها به روش مصاحبه جمع‌آوری و توسط آزمون‌های Student-t و Logistic regression آنالیز شد.یافته‌ها: نمره‌ی GHQ-28 در بین دو گروه مورد مقایسه قرار گرفت. تفاوت آماری معنی‌داری در میانگین کلی نمره‌ی سلامت روان دیده نشد. شانس بروز اختلالات روانی پس از بروز سرطان پستان نسبت به زنان شاهد سالم 44 درصد افزایش می‌یابد، اما این اختلاف معنی‌دار نبود.نتیجه‌گیری: میزان سلامت روان تفاوت چشمگیری در زنان نجات یافته از سرطان در مقایسه با زنان سالم جامعه نداشت.

کلیدواژه‌ها

عنوان مقاله [English]

Mental Health in Breast Cancer Patients

نویسندگان [English]

  • Fariborz Mokarian 1
  • Sayed Reza Ishaghi 2
  • Parnian Tabesh 3
  • Arash Ramezani 4
  • Neda Abdeyazdan 3
  • Fariba Hashemi 5
  • Shirin Mokarian 3
  • Maedeh Abbasi 6
1 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Specialist in Community Medicine,Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
5 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
6 Student of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
چکیده [English]

Background: Breast cancer is the most common cancer in women. It jeopardizes different aspects of individual health including mental health. The aim of the study was to evaluate mental health among women who had survived breast cancer and also among the general populationMethods: In a case-control design, we recruited 60 participants in two groups. The first group had survived breast cancer and had undergone mastectomy while the other group was selected from the general population. Mental health status of participants was measured by General Health Questionnaire (GHQ-28). For analyzing the data, Student t-test and logistic regression were used.Findings: Data analyses did not reveal any significant differences in mental health scores between the two groups. Although the risk of psychological distress increased 44% in breast cancer patients, there were not any statistically significant differences between the two groups. Conclusion: Iranian women survived from breast cancer are not significantly different with the general population in terms of mental health.

کلیدواژه‌ها [English]

  • Breast Cancer
  • Mental Health
  • Mastectomy

مراجع

  1. Govindan R. The Washington Manual of Oncology. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2007. p. 140.
  2. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin 2012; 62(1): 10-29.
  3. Hortobagyi GN, de la Garza SJ, Pritchard K, Amadori D, Haidinger R, Hudis CA, et al. The global breast cancer burden: variations in epidemiology and survival. Clin Breast Cancer 2005; 6(5): 391-401.
  4. Sirati Sabet M, Karami Tehrani F. Survey of the status of estrogen and prolactin receptors in breast cancer. Journal of Rafsanjan University of Medical Sciences 2006; 5(3): 137-42.
  5. Sirati F, Yadegari K. Determination of the correlation between Her-2 tumor factor and invasion of breast cancer to axillary lymph nodes in patients undergoing mastectomy in cancer institute (2001-2003). Razi Journal of Medical Sciences 2004; 11(43): 781-7.
  6. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61(2): 69-90.
  7. Costanza ME, Chen WY. Epidemiology and risk factors for breast cancer. UpToDate 2011; 19(2).
  8. Mardani Hamule M, Shahraki Vahed A. The assessment of relationship between mental health and quality of life in cancer patients. Scientific Journal of Hamadan University of Medical Sciences and Health Services 2009; 16(2): 33-8.
  9. Lee SJ, Fairclough D, Parsons SK, Soiffer RJ, Fisher DC, Schlossman RL, et al. Recovery after stem-cell transplantation for hematologic diseases. J Clin Oncol 2001; 19(1): 242-52.
  10. Khan MA, Sehgal A, Mitra AB, Agarwal PN, Lal P, Malik VK. Psycho-behavioural impact of mastectomy.ol 26 (2000) 65. Indian J Appl Psych 2000; 26(1-2): 65-71.
  11. Weis J. Support groups for cancer patients. Support Care Cancer 2003; 11(12): 763-8.
  12. Dastan NB, Buzlu S. Depression and anxiety levels in early stage Turkish breast cancer patients and related factors. Asian Pac J Cancer Prev 2011; 12(1): 137-41.
  13. Ayres A, Hoon PW, Franzoni JB, Matheny KB, Cotanch PH, Takayanagi S. Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients. J Psychosom Res 1994; 38(5): 393-402.
  14. Montazeri A. Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res 2008; 27: 32.
  15. Nosarti C, Roberts JV, Crayford T, McKenzie K, David AS. Early psychological adjustment in breast cancer patients: a prospective study. J Psychosom Res 2002; 53(6): 1123-30.
  16. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9(1): 139-45.
  17. Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry 2004; 184: 70-3.
  18. Ohaeri BM, Ofi AB, Campbell OB. Relationship of knowledge of psychosocial issues about cancer with psychic distress and adjustment among breast cancer clinic attendees in a Nigerian teaching hospital. Psychooncology 2011. [Epub ahead of print].
  19. Schover LR. Sexuality and body image in younger women with breast cancer. J Natl Cancer Inst Monogr 1994; (16): 177-82.
  20. Speer JJ, Hillenberg B, Sugrue DP, Blacker C, Kresge CL, Decker VB, et al. Study of sexual functioning determinants in breast cancer survivors. Breast J 2005; 11(6): 440-7.
  21. Helms RL, O'Hea EL, Corso M. Body image issues in women with breast cancer. Psychol Health Med 2008; 13(3): 313-25.
  22. Ganz PA, Schag AC, Lee JJ, Polinsky ML, Tan SJ. Breast conservation versus mastectomy. Is there a difference in psychological adjustment or quality of life in the year after surgery? Cancer 1992; 69(7): 1729-38.
  23. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005; 330(7493): 702.
  24. Dorval M, Maunsell E, Deschenes L, Brisson J, Masse B. Long-term quality of life after breast cancer: comparison of 8-year survivors with population controls. J Clin Oncol 1998; 16(2): 487-94.
  25. Hughson AV, Cooper AF, McArdle CS, Smith DC. Psychosocial consequences of mastectomy: levels of morbidity and associated factors. J Psychosom Res 1988; 32(4-5): 383-91.
  26. Dawes DJ, Meterissian S, Goldberg M, Mayo NE. Impact of lymphoedema on arm function and health-related quality of life in women following breast cancer surgery. J Rehabil Med 2008; 40(8): 651-8.
  27. Hack TF, Degner LF. Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psychooncology 2004; 13(4): 235-47.
  28. Watson M, Haviland JS, Greer S, Davidson J, Bliss JM. Influence of psychological response on survival in breast cancer: a population-based cohort study. Lancet 1999; 354(9187): 1331-6.
  29. Montazeri A, Jarvandi S, Ebrahimi M, Haghighat S, Ansari M. The role of depression in the development of breast cancer: analysis of registry data from a single institute. Asian Pac J Cancer Prev 2004; 5(3): 316-9.
  30. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. Anxiety and depression in Iranian breast cancer patients before and after diagnosis. Eur J Cancer Care (Engl) 2000; 9(3): 151-7.
  31. Vahdaninia M, Omidvari S, Montazeri A. What do predict anxiety and depression in breast cancer patients? A follow-up study. Soc Psychiatry Psychiatr Epidemiol 2010; 45(3): 355-61.
  32. Weitzner MA, Meyers CA, Stuebing KK, Saleeba AK. Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy. Support Care Cancer 1997; 5(3): 241-8.
  33. Ellman R, Thomas BA. Is psychological wellbeing impaired in long-term survivors of breast cancer? J Med Screen 1995; 2(1): 5-9.
  34. Andrykowski MA, Curran SL, Studts JL, Cunningham L, Carpenter JS, McGrath PC, et al. Psychosocial adjustment and quality of life in women with breast cancer and benign breast problems: a controlled comparison. J Clin Epidemiol 1996; 49(8): 827-34.
مجله دانشکده پزشکی اصفهان
دوره 29، شماره 172 - شماره پیاپی 172
بهمن و اسفند 1390
صفحه 2834-2841

فایل ها

سابقه مقاله

  • تاریخ دریافت: 17 بهمن 1390
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

هم رسانی

ارجاع به این مقاله

آمار