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KMID : 0607520100180020072
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Korean Journal of Psychosomatic Medicine
2010 Volume.18 No. 2 p.72 ~ p.81
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Prevalence of Distress and Its Influence on Quality of Life in Breast Cancer Patients
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Chun Soo-Yeon
Shim Eun-Jung
Hwang Jun-Won
Hahm Bong-Jin
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Abstract
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Objectives : Early detection and proper management of distress are known to be important for efficient care in cancer patients. The aim of this study was to investigate the prevalence of distress and to evaluate its influence on quality of life in subjects with breast cancer.
Methods : A total of 95 patients were recruited from a breast cancer patient community of a general hospital in Seoul. The Hospital Anxiety and Depression Scale(HADS), the Insomnia Severity Index(ISI), the Impact of Event Scale-Revised(IES-R) and the Functional Assessment of Cancer Therapy-Breast(FACT-B) were measured.
Results : The prevalence of anxiety, depression, insomnia and posttraumatic stress disorder symptom among breast cancer patients was 26.3%, 26.3%, 13.7%, 24.3%, respectively. Nearly half(47.4%) of total subjects were under one or more significant distress, and they showed significantly lower mean FACT-B total score than patients without distress(82.91 vs. 107.20, p<0.001). Distress was negatively correlated with the quality of life to a significant level even in patients who were in normal range of distress scale scores.
Conclusion : These results support the importance of regular screening and proper management of distress for breast cancer patients.
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KEYWORD
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Breast cancer, Distress, Quality of life, Depression, Anxiety
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