乳腺癌的抑郁和保守手术。
Depression and conservative surgery for breast cancer.
机构信息
Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
出版信息
Clinics (Sao Paulo). 2010;65(12):1291-4. doi: 10.1590/s1807-59322010001200011.
BACKGROUND
Depression is prevalent among women and associated with reduced quality of life, and therefore it is important to determine its incidence in adult women, especially in those with breast cancer.
OBJECTIVE
To determine the occurrence of depression in women who underwent conservative surgery for breast cancer with or without breast reconstruction.
METHODS
Seventy-five women aged between 18 and 65 years were enrolled. Patients had undergone conservative surgery for breast cancer with immediate breast reconstruction (n = 25) or without breast reconstruction (n = 25) at least one year before the study. The control group consisted of 25 women without cancer, but of similar age and educational level distribution as the other two groups. The Beck Depression Inventory was used to measure depression. The collected data were assessed using analysis of variance and the χ² test.
RESULTS
There were no significant differences between groups in age (p = 0.72) or educational level (p = 0.20). A smaller number of patients had undergone the menopause (p = 0.02) in the control group than in other groups. There were no significant differences in occurrence of depression between groups (χ² = 9.97; p = 0.126). CONCLUSÍON: Conservative surgery for breast cancer did not affect the occurrence of depression in women, regardless of whether breast reconstruction was performed.
背景
抑郁症在女性中较为普遍，与生活质量下降有关，因此确定成年女性，尤其是乳腺癌女性的发病率很重要。
目的
确定接受保乳手术联合或不联合乳房重建的乳腺癌女性中抑郁的发生情况。
方法
共纳入 75 名年龄在 18 至 65 岁之间的女性。患者均在至少 1 年前接受了保乳手术联合即刻乳房重建（n = 25）或不联合乳房重建（n = 25）。对照组由 25 名无癌症但年龄和教育程度与其他两组相似的女性组成。采用贝克抑郁量表评估抑郁情况。采用方差分析和 χ²检验对收集的数据进行评估。
结果
年龄（p = 0.72）或教育程度（p = 0.20）在各组间无显著差异。对照组中经历绝经期的患者较少（p = 0.02）。各组间抑郁发生率无显著差异（χ² = 9.97；p = 0.126）。
结论
保乳手术不会影响女性抑郁的发生，无论是否进行乳房重建。
Zotero 插件