Heo Jaesung, Chun Mison, Oh Young-Taek, Noh O Kyu, Kim Logyoung
Department of Radiation Oncology, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-721, Republic of Korea.
Health Insurance Review and Assessment Service, Seoul, Korea.
Breast Cancer Res Treat. 2017 Feb;162(1):151-158. doi: 10.1007/s10549-016-4097-0. Epub 2017 Jan 7.
The aim of this study was to analyze the prevalence of mental disorders in breast cancer survivors using claims data from the Health Insurance Review and Assessment Service in South Korea. We also analyzed patterns of mental disorders with respect to the time of diagnosis and age.
We confirmed mental disorders in a nationwide cohort of 87,843 people who were diagnosed with invasive breast cancer and underwent surgery between January 1, 2010 and December 31, 2014. We investigated the prevalence of mental disorders according to the time of diagnosis and age group. We also examined the utilization patterns of medical institutions and medical departments.
From one year before a breast cancer diagnosis, 8430 patients were diagnosed with a mental disorder. Of those patients, 3256 were diagnosed with depression (38.6%) and 2739 with anxiety (32.5%). The overall frequency of mental disorders peaked within one month after the cancer diagnosis. The highest rate of increase after diagnosis was noted in stress reaction/adjustment disorders. Depression was relatively high in the young age group, and anxiety was high in the elderly group. In total, there were 59,111 claims for mental disorders. Over 70% (43,788) of claims for mental disorder treatment were from a psychiatry medical department.
Mental disorders in breast cancer survivors showed different patterns of prevalence according to time, age, and disease. Early intervention could be effective in controlling symptoms of mental disorder and could increase the quality of life for cancer survivors.
本研究旨在利用韩国健康保险审查与评估服务机构的理赔数据，分析乳腺癌幸存者中精神障碍的患病率。我们还分析了精神障碍在诊断时间和年龄方面的模式。
我们在一个全国性队列中确认了87843名在2010年1月1日至2014年12月31日期间被诊断为浸润性乳腺癌并接受手术的患者的精神障碍情况。我们根据诊断时间和年龄组调查了精神障碍的患病率。我们还检查了医疗机构和医疗科室的利用模式。
在乳腺癌诊断前一年，有8430名患者被诊断患有精神障碍。在这些患者中，3256人被诊断为抑郁症（38.6%），2739人被诊断为焦虑症（32.5%）。精神障碍的总体发生率在癌症诊断后一个月内达到峰值。诊断后增加率最高的是应激反应/适应障碍。抑郁症在年轻年龄组中相对较高，而焦虑症在老年组中较高。总共提交了59111份精神障碍理赔申请。超过70%（43788份）的精神障碍治疗理赔申请来自精神科医疗科室。
乳腺癌幸存者中的精神障碍在时间、年龄和疾病方面呈现出不同的患病率模式。早期干预可能对控制精神障碍症状有效，并可提高癌症幸存者的生活质量。
