1966 年北芬兰出生队列中年轻女性诊断乳腺癌前后的抑郁和焦虑症状》(Northern Finland Birth Cohort 1966.

Anniina Tastula, Arja Jukkola, Anni-Emilia Alakokkare, Tanja Nordström, Peeter Karihtala, Jouko Miettunen, Sami Räsänen
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引用次数: 0

摘要

研究目的研究旨在通过考虑癌症发病前后的症状,探讨年轻乳腺癌幸存者的抑郁、焦虑和与心理健康相关的躯体症状:研究样本包括1966年北芬兰前瞻性出生队列中的女性。在 31 岁和 46 岁时,使用霍普金斯症状检查表-25 对症状进行评估。我们对抑郁、焦虑和躯体症状的子量表以及单一症状进行了二次分析:结果:共纳入 31 例病例和 3.077 例对照。与 31 年的随访相比,在 46 年的随访中,在 3-8 年前诊断出乳腺癌的女性抑郁症状(p = 0.005)和躯体症状(p = 0.028)有所增加。而在 8 年前确诊的患者或对照组中则未观察到这种情况。与对照组相比,确诊为乳腺癌的女性在 46 年的随访中更多地表示缺乏力量或精力(p = 0.047)。在 31 年随访时未报告感觉未来无望的女性中,与对照组相比,在 46 年随访时报告感觉未来无望的确诊乳腺癌女性显著增多(p = 0.006):结论:与癌症确诊前相比,年轻女性在乳腺癌确诊后 3-8 年的抑郁症状和躯体症状明显增加。应为乳腺癌幸存者提供长期的社会心理支持措施。
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Depression and Anxiety Symptoms Before and After Breast-Cancer Diagnosis Among Young Women in the Northern Finland Birth Cohort 1966.

Objective: The aim of the study was to explore depressive, anxiety, and mental-health related somatic symptoms among young breast-cancer survivors by considering symptoms before and after cancer onset.

Materials and methods: The study sample included females from the prospective Northern Finland Birth Cohort 1966. Symptoms were assessed with the Hopkins Symptom Checklist-25 at the age of 31 and 46 years. We studied both subscales of depressive, anxiety, and somatic symptoms and single symptoms in secondary analyses.

Results: Thirty-one cases and 3.077 controls were included. Females diagnosed with breast cancer 3-8 years before the 46-year follow-up had increased depressive (p = 0.005) and somatic symptoms (p = 0.028) at the 46-year follow-up compared with the 31-year follow-up. This was not observed among those diagnosed <3 or >8 years before or among controls. Females diagnosed with breast cancer reported more lack of strength or energy compared with controls at the 46-year follow-up (p = 0.047). Among females who did not report feeling that the future is hopeless at the 31-year follow-up, significantly more females diagnosed with breast cancer reported this feeling at the 46-year follow-up compared with controls (p = 0.006).

Conclusion: Depressive and somatic symptoms increased significantly among young females at 3-8 years after breast-cancer diagnosis compared with the time before the cancer diagnosis. Psychosocial measures of support for breast-cancer survivors should be provided over the long-term.

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