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Article: Treatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery

TitleTreatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery
Authors
KeywordsBreast cancer Chinese
Predictors
Psychosocial distress
Treatment decision-making
Issue Date2007
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2007, v. 16 n. 10, p. 904-912 How to Cite?
AbstractBackground: The patterns and determinants of longer-term psychological morbidity in women following breast cancer surgery have not been described for Chinese populations. Methods: Chinese women were assessed at 3-days, 4-months and 8-months following breast surgery, on treatinent decision-making difficulty (TDMD), satisfaction with treatment outcome (E-OI), self efficacy (GSeS), optimism (C-LOT-R), consultation satisfaction (C-MISS-R), physical symptom distress (PSD) and psychological morbidity (CHQ-12) and compared using polynomial logistic models. Results: Of 303/405 women providing complete data, 33% received chemotherapy and 26% radiotherapy. GSeS, CLOTR and TDMD scores were moderate. Though the proportion of women meeting psychological morbidity case-criteria declined from 78% (95% Confidence Interval 73-83%) at Baseline to 64% (59-69%) at 8-months, almost 50% (44-54%) of women remained distressed over the 8-month period. After adjustment for demographic and clinical factors, severity of psychological morbidity at 4-months was predicted by PSD, disappointment and higher Baseline CHQ12, and among moderate/severe cases only, greater TDMD and pessimistic outlook. At 8-months, CHQ12 scores were predicted by PSD, Baseline CHQ-12, and difficulties with TDM. Conclusion: TDM difficulties, early post-surgical psychological and physical symptom distress indicate risk for prolonged distress in Chinese women following breast cancer surgery. Copyright © 2007 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/86557
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorKa, HWen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-09-06T09:18:30Z-
dc.date.available2010-09-06T09:18:30Z-
dc.date.issued2007en_HK
dc.identifier.citationPsycho-Oncology, 2007, v. 16 n. 10, p. 904-912en_HK
dc.identifier.issn1057-9249en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86557-
dc.description.abstractBackground: The patterns and determinants of longer-term psychological morbidity in women following breast cancer surgery have not been described for Chinese populations. Methods: Chinese women were assessed at 3-days, 4-months and 8-months following breast surgery, on treatinent decision-making difficulty (TDMD), satisfaction with treatment outcome (E-OI), self efficacy (GSeS), optimism (C-LOT-R), consultation satisfaction (C-MISS-R), physical symptom distress (PSD) and psychological morbidity (CHQ-12) and compared using polynomial logistic models. Results: Of 303/405 women providing complete data, 33% received chemotherapy and 26% radiotherapy. GSeS, CLOTR and TDMD scores were moderate. Though the proportion of women meeting psychological morbidity case-criteria declined from 78% (95% Confidence Interval 73-83%) at Baseline to 64% (59-69%) at 8-months, almost 50% (44-54%) of women remained distressed over the 8-month period. After adjustment for demographic and clinical factors, severity of psychological morbidity at 4-months was predicted by PSD, disappointment and higher Baseline CHQ12, and among moderate/severe cases only, greater TDMD and pessimistic outlook. At 8-months, CHQ12 scores were predicted by PSD, Baseline CHQ-12, and difficulties with TDM. Conclusion: TDM difficulties, early post-surgical psychological and physical symptom distress indicate risk for prolonged distress in Chinese women following breast cancer surgery. Copyright © 2007 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_HK
dc.relation.ispartofPsycho-Oncologyen_HK
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.en_HK
dc.subjectBreast cancer Chineseen_HK
dc.subjectPredictorsen_HK
dc.subjectPsychosocial distressen_HK
dc.subjectTreatment decision-makingen_HK
dc.subject.meshAdjustment Disorders - ethnology - prevention and control-
dc.subject.meshBreast Neoplasms - psychology - surgery-
dc.subject.meshDecision Making-
dc.subject.meshMastectomy - adverse effects - psychology-
dc.subject.meshStress, Psychological - ethnology - prevention and control-
dc.titleTreatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgeryen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/pon.1147en_HK
dc.identifier.pmid17221942-
dc.identifier.scopuseid_2-s2.0-35549002200en_HK
dc.identifier.hkuros137797en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35549002200&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue10en_HK
dc.identifier.spage904en_HK
dc.identifier.epage912en_HK
dc.identifier.isiWOS:000250430100004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridKa, HW=22940701200en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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