Department of Psychiatry, Mansoura, Egypt.
Department of Surgery, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt.
Breast Cancer (Dove Med Press). 2012 Mar 6;4:25-32. doi: 10.2147/BCTT.S29890. eCollection 2012.
Psychiatric morbidities, especially cases of anxiety and depression, are prevalent among breast cancer patients and their partners.
Fifty-four early diagnosed breast cancer patients and their partners were compared with 50 healthy couples to assess psychiatric morbidity and the impact of various factors upon patients' surgical choice.
It was found that 18.5%, 22.2%, and 3.7% of husbands had generalized anxiety disorder, major depressive disorder, and panic disorder, respectively. It was also found that 38.8%, 29.6%, and 9.2% of the patients had major depressive disorder, generalized anxiety disorder, and panic disorder, respectively. Depression and anxiety scores were high in both partners in love-based, well-adjusted marriages, within the middle socioeconomic class, and among educated couples. Among the well-known factors related to surgical treatment choice (age, parity, tumor size, pathology, grade, lymph node status), only age and psychological morbidity (in the patients and their partners) had a significant impact on treatment choice.
Patients of middle socioeconomic class, the well educated, and those in love-based marriages had a higher likelihood of suffering different types of psychological morbidities and were more likely to choose breast conservation or reconstruction than mastectomy.
焦虑和抑郁等精神疾病在乳腺癌患者及其伴侣中较为常见。
将 54 名早期诊断的乳腺癌患者及其伴侣与 50 对健康夫妇进行比较，以评估精神疾病发病率以及各种因素对患者手术选择的影响。
发现 18.5%、22.2%和 3.7%的丈夫分别患有广泛性焦虑症、重度抑郁症和恐慌症。还发现 38.8%、29.6%和 9.2%的患者分别患有重度抑郁症、广泛性焦虑症和恐慌症。在以爱情为基础、调整良好的婚姻中、处于中等社会经济阶层以及受过教育的夫妇中，双方的抑郁和焦虑评分都很高。在与手术治疗选择相关的众多已知因素（年龄、产次、肿瘤大小、病理、分级、淋巴结状态）中，只有年龄和心理疾病（患者及其伴侣）对治疗选择有显著影响。
处于中等社会经济阶层、受过良好教育且处于以爱情为基础婚姻的患者更有可能患上不同类型的精神疾病，并且更有可能选择保乳或重建手术而不是乳房切除术。
