Depression in breast cancer patients

Breast cancer is the third most common illness in the world and the most frequent malignant disease with women. Cytotoxic therapy is connected to significant psychiatric adverse effects, and the appearance of depressive symptoms is the most common. The main goal is determining the degree of depression with breast cancer patients in the oncology ward of the University Clinical Hospital in Niš and its connection to their marital status, age, level of education, economic status and the number of therapy cycles. This research is a prospective study. The statistical data analysis included measures of descriptive and analytical statistics. The presence of depressive symptoms of different intensity was showed in 76.00% of the interviewees in group I, and the second included 77.4%. The frequency distributions show that 27.084% interviewees from the first group showed signs of depressive symptoms, while the second included 25%. The intensity of these symptoms categorizes them into the group of moderate to significantly expressed depressive states, so they require therapeutic treatment. Depression is significantly more often recorded with cancer patients receiving cytotoxic therapy; mild depression is the most common, followed by moderate and severe depression.

[1]  K McPherson,et al.  Breast cancer—epidemiology, risk factors, and genetics , 1994, BMJ : British Medical Journal.

[2]  S. Love,et al.  Depression and anxiety in women with early breast cancer: five year observational cohort study , 2005, BMJ : British Medical Journal.

[3]  O. Ulger,et al.  The effects of yoga on the quality of life and depression in elderly breast cancer patients. , 2015, Complementary therapies in clinical practice.

[4]  J. Davidson,et al.  The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? , 1999, The Journal of clinical psychiatry.

[5]  L. Vlahos,et al.  Psychological Distress of Patients With Advanced Cancer: Influence and Contribution of Pain Severity and Pain Interference , 2006, Cancer nursing.

[6]  L. Grassi,et al.  Psychiatric and psychosocial concomitants of abnormal illness behaviour in patients with cancer. , 1996, Psychotherapy and psychosomatics.

[7]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[8]  Alan D. Lopez,et al.  Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study , 1997, The Lancet.

[9]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[10]  Wise Mg,et al.  Diagnostic considerations and treatment approaches to underlying anxiety in the medically ill. , 1993 .

[11]  M. Gurevich,et al.  Stress response syndromes and cancer: conceptual and assessment issues. , 2002, Psychosomatics.

[12]  David H. Wilson,et al.  Diabetes, depression, and quality of life: a population study. , 2004, Diabetes care.

[13]  M. Massie Prevalence of depression in patients with cancer. , 2004, Journal of the National Cancer Institute. Monographs.

[14]  P. Verhaak,et al.  The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review. , 2015, Maturitas.

[15]  M. Wise,et al.  Diagnostic considerations and treatment approaches to underlying anxiety in the medically ill. , 1993, The Journal of clinical psychiatry.