Traumatic distress symptoms in early breast cancer .2. Outcome six weeks post surgery

Author(s): Soreide, J. A., Malt, U. F.

Journal/Book: Psycho Oncol. 1996; 5: Baffins Lane, Chichester, W Sussex, England PO19 1UD. John Wiley & Sons Ltd. 295-303.

Abstract: One hundred and six consecutive patients with a confirmed diagnosis of breast cancer were studied before and after surgery with a clinical psychiatric interview and questionnaires (Impact of Event Scale, General Health Questionnaire and Clinical Global Impression scale). The traumatic stress response after six weeks was related to sociodemographic factors, premorbid health problems, negative life events and clinical-oncological parameters. Symptoms of traumatic distress were significantly reduced post-surgery compared to acutely, and most so among patients with no premorbid health problems and negative life events according to pre-surgery interview and self-report data. Eighteen percent of the patients reported a high level (> 19) of intrusive symptoms and 14%, avoidance symptoms. Patients with premorbid impairment in work, family and social functioning and patients who during the last year had experienced the death of a close relative or a serious illness other than cancer showed the greatest distress. Previous consultations for nervous problems, age, marital status, stage of disease, type of surgery (breast conserving versus mastectomy) and adjuvant cytostatic treatment did not influence the traumatic stress response six weeks after surgery. The level of acute posttraumatic stress response to breast cancer surgery seems best predicted by premorbid variables.

Note: Article Tjemsland L, Rogaland Psychiat Hosp, Dept Psychiat, Norwegian Canc Soc, N-4011 Stavanger, NORWAY

Keyword(s): MAJOR RAILWAY ACCIDENTS; PSYCHOLOGICAL HEALTH; TRAIN DRIVERS; RESPONSES; SCALE

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