Determinants of the psycho-social outcome after operation for breast cancer. Results of a prospective comparative interview study following mastectomy and breast conservation
In a prospective interview study, designed to compare the psycho-social outcome after a breast-conserving vs. a mastectomy operation, we analysed possible predictors of the psycho-social adjustment. 99 women with breast cancer histopathological TNM stages I and II were consecutively admitted to the...
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| Published in | European journal of cancer (1990) Vol. 28; no. 6; pp. 1062 - 1067 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
1992
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| Subjects | |
| Online Access | Get full text |
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| Abstract | In a prospective interview study, designed to compare the psycho-social outcome after a breast-conserving vs. a mastectomy operation, we analysed possible predictors of the psycho-social adjustment. 99 women with breast cancer histopathological TNM stages I and II were consecutively admitted to the study. Half-structured interviews, based on the Social Adjustment Scale and a scale by P. Maguire, were performed 4 and 13 months after the operation. Living together with the spouse seems to protect women from developing psycho-social problems postoperatively. Women who were gainfully employed or who were given radiotherapy had a higher risk of poor adjustment after 4 months. At 13 months, the scorings indicate that radiotherapy has a reassuring effect. Type of surgery was controlled for in the analysis and showed that, of the risk factors studied, the most consistent trend for an overall better outcome was in the breast-conserved group except for sexual disturbances. |
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| AbstractList | In a prospective interview study, designed to compare the psycho-social outcome after a breast-conserving vs. a mastectomy operation, we analysed possible predictors of the psycho-social adjustment. 99 women with breast cancer histopathological TNM stages I and II were consecutively admitted to the study. Half-structured interviews, based on the Social Adjustment Scale and a scale by P. Maguire, were performed 4 and 13 months after the operation. Living together with the spouse seems to protect women from developing psycho-social problems postoperatively. Women who were gainfully employed or who were given radiotherapy had a higher risk of poor adjustment after 4 months. At 13 months, the scorings indicate that radiotherapy has a reassuring effect. Type of surgery was controlled for in the analysis and showed that, of the risk factors studied, the most consistent trend for an overall better outcome was in the breast-conserved group except for sexual disturbances. |
| Author | Burns, T. Holmberg, L. Bergström, R. Adami, H.O. Omne-Pontén, M. |
| Author_xml | – sequence: 1 givenname: M. surname: Omne-Pontén fullname: Omne-Pontén, M. organization: Falun College for the Health Professions, Falun, Sweden – sequence: 2 givenname: L. surname: Holmberg fullname: Holmberg, L. – sequence: 3 givenname: T. surname: Burns fullname: Burns, T. organization: St. George's Hospital School, London, UK – sequence: 4 givenname: H.O. surname: Adami fullname: Adami, H.O. organization: Department of Surgery and Unit of Cancer Epidemiology, University Hospital, Uppsala, Sweden – sequence: 5 givenname: R. surname: Bergström fullname: Bergström, R. organization: Department of Statistics, University of Uppsala, Sweden |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/1627376$$D View this record in MEDLINE/PubMed |
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| References | Holmberg, Adami, Liljegren (BIB24) 1990; 82 Asken (BIB9) 1975; 132 Steinberg, Juliano, Wise (BIB13) 1985; 142 Peck, Boland (BIB20) 1977; 40 McArdle, McArdle (BIB31) 1987 Holmberg, Omne-Pontén, Burns, Adami, Bergström (BIB7) 1989; 64 Kemeny, Wellisch, Schain (BIB12) 1988; 62 Dean (BIB17) 1987; 31 Schain, Edwards, Gorell (BIB29) 1983; 3 Weissman (BIB25) 1975; 32 Jamison, Wellisch, Pasnau (BIB16) 1978; 135 Bloom (BIB8) 1987; 59 Taylor, Lichtman, Wood (BIB21) 1985; 55 Weissman, Worden (BIB3) 1977; 273 Maguire, Tait, Brooke, Thomas, Sellwood (BIB10) 1980; 281 Sanger, Reznikoff (BIB14) 1981; 48 Morris (BIB5) 1983; 19 Fallowfield, Baum, Maguire (BIB30) 1986; 293 Gyllenskiöld (BIB4) 1982 de Haes, van Oostrom, Welvaart (BIB15) 1986; 12 Maguire, van Dam (BIB6) 1983; 19 Maguire (BIB11) 1986 Weissman, Sholomskas, John (BIB26) 1981; 38 Tabár, Fagerberg, Gad (BIB23) 1985; i Vinokur, Threatt, Caplan, Zimmerman (BIB19) 1989; 63 Maguire, Lee, Bevington, Küchemann, Crabtree, Cornell (BIB1) 1978; 1 Hughson, Cooper, McArdle, Smith (BIB22) 1987; 294 Paykel, Weissman, Prusoff, Tonks (BIB27) 1971; 152 Morris, Greer, White (BIB2) 1977; 40 Hughson, Cooper, McArdle, Smith (BIB18) 1988; 32 Eysenck, Eysenck (BIB28) 1964 Maguire (10.1016/0959-8049(92)90457-D_BIB6) 1983; 19 de Haes (10.1016/0959-8049(92)90457-D_BIB15) 1986; 12 Gyllenskiöld (10.1016/0959-8049(92)90457-D_BIB4) 1982 Sanger (10.1016/0959-8049(92)90457-D_BIB14) 1981; 48 Dean (10.1016/0959-8049(92)90457-D_BIB17) 1987; 31 Maguire (10.1016/0959-8049(92)90457-D_BIB11) 1986 Steinberg (10.1016/0959-8049(92)90457-D_BIB13) 1985; 142 Kemeny (10.1016/0959-8049(92)90457-D_BIB12) 1988; 62 Holmberg (10.1016/0959-8049(92)90457-D_BIB24) 1990; 82 Fallowfield (10.1016/0959-8049(92)90457-D_BIB30) 1986; 293 Tabár (10.1016/0959-8049(92)90457-D_BIB23) 1985; i Maguire (10.1016/0959-8049(92)90457-D_BIB10) 1980; 281 Peck (10.1016/0959-8049(92)90457-D_BIB20) 1977; 40 Maguire (10.1016/0959-8049(92)90457-D_BIB1) 1978; 1 Morris (10.1016/0959-8049(92)90457-D_BIB2) 1977; 40 Hughson (10.1016/0959-8049(92)90457-D_BIB18) 1988; 32 Holmberg (10.1016/0959-8049(92)90457-D_BIB7) 1989; 64 Paykel (10.1016/0959-8049(92)90457-D_BIB27) 1971; 152 Bloom (10.1016/0959-8049(92)90457-D_BIB8) 1987; 59 Asken (10.1016/0959-8049(92)90457-D_BIB9) 1975; 132 Jamison (10.1016/0959-8049(92)90457-D_BIB16) 1978; 135 Eysenck (10.1016/0959-8049(92)90457-D_BIB28) 1964 Morris (10.1016/0959-8049(92)90457-D_BIB5) 1983; 19 McArdle (10.1016/0959-8049(92)90457-D_BIB31) 1987 Taylor (10.1016/0959-8049(92)90457-D_BIB21) 1985; 55 Schain (10.1016/0959-8049(92)90457-D_BIB29) 1983; 3 Weissman (10.1016/0959-8049(92)90457-D_BIB3) 1977; 273 Weissman (10.1016/0959-8049(92)90457-D_BIB26) 1981; 38 Weissman (10.1016/0959-8049(92)90457-D_BIB25) 1975; 32 Vinokur (10.1016/0959-8049(92)90457-D_BIB19) 1989; 63 Hughson (10.1016/0959-8049(92)90457-D_BIB22) 1987; 294 |
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| Snippet | In a prospective interview study, designed to compare the psycho-social outcome after a breast-conserving vs. a mastectomy operation, we analysed possible... |
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| SubjectTerms | Adult Aged Anxiety Breast Neoplasms - psychology Breast Neoplasms - radiotherapy Breast Neoplasms - surgery Depression Educational Status Female Humans Interview, Psychological Mastectomy - psychology Middle Aged Prospective Studies Risk Factors Sexual Dysfunctions, Psychological - psychology Sleep Wake Disorders - psychology |
| Title | Determinants of the psycho-social outcome after operation for breast cancer. Results of a prospective comparative interview study following mastectomy and breast conservation |
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