PMID- 17221942
OWN - NLM
STAT- MEDLINE
DCOM- 20080122
LR  - 20140730
IS  - 1057-9249 (Print)
IS  - 1057-9249 (Linking)
VI  - 16
IP  - 10
DP  - 2007 Oct
TI  - Treatment decision difficulties and post-operative distress predict persistence 
      of psychological morbidity in Chinese women following breast cancer surgery.
PG  - 904-12
AB  - 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 treatment 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.
CI  - (c) 2007 John Wiley & Sons, Ltd.
FAU - Lam, Wendy W T
AU  - Lam WW
AD  - The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, 
      Hong Kong.
FAU - Chan, Miranda
AU  - Chan M
FAU - Ka, Hung Wai
AU  - Ka HW
FAU - Fielding, Richard
AU  - Fielding R
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Psychooncology
JT  - Psycho-oncology
JID - 9214524
SB  - IM
MH  - Adaptation, Psychological
MH  - Adjustment Disorders/*ethnology/prevention & control
MH  - Adult
MH  - Aged
MH  - Breast Neoplasms/psychology/*surgery
MH  - China/ethnology
MH  - Combined Modality Therapy
MH  - *Decision Making
MH  - Female
MH  - Hong Kong/epidemiology
MH  - Humans
MH  - Logistic Models
MH  - Longitudinal Studies
MH  - Mastectomy/adverse effects/*psychology
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Prevalence
MH  - Risk Factors
MH  - Stress, Psychological/*ethnology/prevention & control
EDAT- 2007/01/16 09:00
MHDA- 2008/01/23 09:00
CRDT- 2007/01/16 09:00
PHST- 2007/01/16 09:00 [pubmed]
PHST- 2008/01/23 09:00 [medline]
PHST- 2007/01/16 09:00 [entrez]
AID - 10.1002/pon.1147 [doi]
PST - ppublish
SO  - Psychooncology. 2007 Oct;16(10):904-12. doi: 10.1002/pon.1147.