MeSVA Department, University of L'Aquila, Italy - Veronica Gaia di Oro Association, L'Aquila, Italy.
MeSVA Department, University of L'Aquila, Italy.
Riv Psichiatr. 2019 Jul-Aug;54(4):160-167. doi: 10.1708/3202.31798.
Breast cancer diagnosis and treatments have a strong impact on women's lives. This study aimed to evaluate the changes in emotional traits in women aged 38-50 years over a three-year period.
By cross-sectional study design, a sample of n. 126 patients in range age 38-50 has been recruited in different timing of cancer disease, in order to evaluate the patients' emotional traits (variables: anxiety, anger, psychological distress, and depression) at the time of diagnosis, and 6, 12, 18, 24, and 36 months after diagnosis. Anger, anxiety, psychological distress, and depression were evaluated.
Results showed significant differences in each emotional variable during treatment. Anxiety showed a decreasing trend, whereas anger tended to improve significantly. At 12 and 24 months from the diagnosis, patients seemed more aware about their own psychological needs compared with the period immediately after the diagnosis (T0) and during the treatments. Women who had recently received a diagnosis (T0) seemed more resilient in their responses in facing an emergency.
Increased survival rate after breast cancer diagnosis is strongly linked to the management of emotional weakness of BC women because of modified living. Patients need to be supported to regain their life after clinical treatments though tailored psychological treatment along survivorship, not only in primary treatment.
乳腺癌的诊断和治疗对女性的生活有很大的影响。本研究旨在评估 38-50 岁女性在三年内情绪特征的变化。
采用横断面研究设计，招募了 n=126 名年龄在 38-50 岁的患者，在癌症诊断的不同时间点，评估患者的情绪特征（变量：焦虑、愤怒、心理困扰和抑郁），并在诊断后 6、12、18、24 和 36 个月进行评估。评估了愤怒、焦虑、心理困扰和抑郁。
结果显示，在治疗过程中，每个情绪变量都有显著差异。焦虑呈下降趋势，而愤怒则明显改善。在诊断后 12 个月和 24 个月，与诊断后立即（T0）和治疗期间相比，患者似乎对自己的心理需求更加了解。刚被诊断出癌症的女性（T0）在面对紧急情况时表现出更强的适应能力。
乳腺癌诊断后的生存率增加与管理乳腺癌女性因生活方式改变而导致的情绪脆弱密切相关。患者需要在临床治疗后通过量身定制的心理治疗来恢复生活，而不仅仅是在初级治疗中得到支持。
