Psychological impact of clinical treatment after breast cancer diagnosis in younger patients (38–50 age range): An explorative 3-year observational study

D. Di Giacomo , J. Ranieri , E. Perilli , K. Cannita , D. Passafiume , C. Ficorella
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引用次数: 11

Abstract

Objective: Young women with breast cancer (BC) face emotional challenges as they deal with the disease and the related fear of adversity. This study evaluated the psychosocial complications experienced by younger women (38–50 age range) over a three year period after BC diagnosis.

Method: From an observational perspective, we detected late-stage complications involving psychological distress (variables included anxiety, anger, psychological distress, and depression) and sociodemographic influences on treatment and post-treatment paths for a 36-month period after diagnosis.

Results: Our data highlighted that good emotional regulation improved resilience in dealing with diagnoses and medical treatments. Findings highlighted that women with positive mental flexibility toward surgical and pharmacological treatments improved their resilience because they mentally focused on the medical treatments and following recovery periods. However, fragility was detected over a three-year period following diagnoses. Patients were mostly impacted around 12 months after diagnoses and soon after post-treatment paths (i.e., at 24 months and around 36 months after diagnosis).

Conclusion: Psychological status fluctuates among BC survivors. Here, resilience may be a useful trait in young patients by enabling them to regain normal lives. In fact, an increased likelihood of survival is strongly linked to the restoration of a normal life through modified and improved living. Our findings highlighted that young BC patients were emotionally challenged; a psychological resilience index can thus predict depression and/or anxiety patterns in dealing with adversity.

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年轻患者(38-50岁)乳腺癌诊断后临床治疗的心理影响:一项为期3年的探索性观察研究
目的:年轻女性乳腺癌(BC)面临的情感挑战,因为他们处理疾病和相关的逆境的恐惧。本研究评估了年轻女性(38-50岁)在BC诊断后三年内所经历的社会心理并发症。方法:从观察的角度,我们检测了晚期并发症,包括心理困扰(变量包括焦虑、愤怒、心理困扰和抑郁)以及社会人口统计学对诊断后36个月的治疗和治疗后路径的影响。结果:我们的数据强调,良好的情绪调节提高了应对诊断和医疗的弹性。研究结果强调,对手术和药物治疗具有积极心理灵活性的女性的恢复能力提高了,因为她们在心理上关注药物治疗和随后的恢复期。然而,在诊断后的三年时间里,脆弱性被检测到。患者大多在诊断后12个月左右和治疗后不久(即诊断后24个月和36个月左右)受到影响。结论:BC幸存者的心理状态存在波动。在这里,适应力可能是年轻患者的一个有用的特征,使他们能够恢复正常的生活。事实上,生存的可能性的增加与通过改良和改善生活恢复正常生活密切相关。我们的研究结果强调,年轻的BC患者在情感上面临挑战;因此,心理弹性指数可以预测处理逆境时的抑郁和/或焦虑模式。
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期刊介绍: Neurology, Psychiatry & Brain Research publishes original papers and reviews in biological psychiatry, brain research, neurology, neuropsychiatry, neuropsychoimmunology, psychopathology, psychotherapy. The journal has a focus on international and interdisciplinary basic research with clinical relevance. Translational research is particularly appreciated. Authors are allowed to submit their manuscript in their native language as supplemental data to the English version. Neurology, Psychiatry & Brain Research is related to the oldest German speaking journal in this field, the Centralblatt fur Nervenheilkunde, Psychiatrie und gerichtliche Psychopathologie, founded in 1878. The tradition and idea of previous famous editors (Alois Alzheimer and Kurt Schneider among others) was continued in modernized form with Neurology, Psychiatry & Brain Research. Centralblatt was a journal of broad scope and relevance, now Neurology, Psychiatry & Brain Research represents a journal with translational and interdisciplinary perspective, focusing on clinically oriented research in psychiatry, neurology and neighboring fields of neurosciences and psychology/psychotherapy with a preference for biologically oriented research including basic research. Preference is given for papers from newly emerging fields, like clinical psychoimmunology/neuroimmunology, and ideas.
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