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- Publisher Website: 10.1002/pon.1147
- Scopus: eid_2-s2.0-35549002200
- PMID: 17221942
- WOS: WOS:000250430100004
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Article: Treatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery
Title | Treatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery |
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Authors | |
Keywords | Breast cancer Chinese Predictors Psychosocial distress Treatment decision-making |
Issue Date | 2007 |
Publisher | John 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? |
Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/86557 |
ISSN | 2023 Impact Factor: 3.3 2023 SCImago Journal Rankings: 1.136 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lam, WWT | en_HK |
dc.contributor.author | Chan, M | en_HK |
dc.contributor.author | Ka, HW | en_HK |
dc.contributor.author | Fielding, R | en_HK |
dc.date.accessioned | 2010-09-06T09:18:30Z | - |
dc.date.available | 2010-09-06T09:18:30Z | - |
dc.date.issued | 2007 | en_HK |
dc.identifier.citation | Psycho-Oncology, 2007, v. 16 n. 10, p. 904-912 | en_HK |
dc.identifier.issn | 1057-9249 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/86557 | - |
dc.description.abstract | Background: 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.language | eng | en_HK |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807 | en_HK |
dc.relation.ispartof | Psycho-Oncology | en_HK |
dc.rights | Psycho-Oncology. Copyright © John Wiley & Sons Ltd. | en_HK |
dc.subject | Breast cancer Chinese | en_HK |
dc.subject | Predictors | en_HK |
dc.subject | Psychosocial distress | en_HK |
dc.subject | Treatment decision-making | en_HK |
dc.subject.mesh | Adjustment Disorders - ethnology - prevention and control | - |
dc.subject.mesh | Breast Neoplasms - psychology - surgery | - |
dc.subject.mesh | Decision Making | - |
dc.subject.mesh | Mastectomy - adverse effects - psychology | - |
dc.subject.mesh | Stress, Psychological - ethnology - prevention and control | - |
dc.title | Treatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Lam, WWT:wwtlam@hku.hk | en_HK |
dc.identifier.email | Fielding, R:fielding@hku.hk | en_HK |
dc.identifier.authority | Lam, WWT=rp00443 | en_HK |
dc.identifier.authority | Fielding, R=rp00339 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1002/pon.1147 | en_HK |
dc.identifier.pmid | 17221942 | - |
dc.identifier.scopus | eid_2-s2.0-35549002200 | en_HK |
dc.identifier.hkuros | 137797 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-35549002200&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 16 | en_HK |
dc.identifier.issue | 10 | en_HK |
dc.identifier.spage | 904 | en_HK |
dc.identifier.epage | 912 | en_HK |
dc.identifier.isi | WOS:000250430100004 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Lam, WWT=7203022022 | en_HK |
dc.identifier.scopusauthorid | Chan, M=7402597760 | en_HK |
dc.identifier.scopusauthorid | Ka, HW=22940701200 | en_HK |
dc.identifier.scopusauthorid | Fielding, R=7102200484 | en_HK |
dc.identifier.issnl | 1057-9249 | - |