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乳腺癌诊断对心理健康的影响：一项荟萃分析。

The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis.

作者信息

Fortin Justine, Leblanc Mélissandre, Elgbeili Guillaume, Cordova Matthew J, Marin Marie-France, Brunet Alain

机构信息

Department of Psychology, Université de Montréal, Montréal, QC, Canada.

Psychosocial Research Division, Research Center of the Douglas Mental Health University Institute, Verdun, QC, Canada.

出版信息

Br J Cancer. 2021 Nov;125(11):1582-1592. doi: 10.1038/s41416-021-01542-3. Epub 2021 Sep 4.

DOI:10.1038/s41416-021-01542-3
PMID:34482373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8608836/
Abstract

BACKGROUND

Receiving a breast cancer diagnosis can be a turning point with negative impacts on mental health, treatment and prognosis. This meta-analysis sought to determine the nature and prevalence of clinically significant psychological distress-related symptoms in the wake of a breast cancer diagnosis.

METHODS

Ten databases were searched between March and August 2020. Thirty-nine quantitative studies were meta-analysed.

RESULTS

The prevalence of clinically significant symptoms was 39% for non-specific distress (n = 13), 34% for anxiety (n = 19), 31% for post-traumatic stress (n = 7) and 20% for depression (n = 25). No studies reporting breast cancer patients' well-being in our specific time frame were found.

CONCLUSION

Mental health can be impacted in at least four domains following a diagnosis of breast cancer and such effects are commonplace. This study outlines a clear need for mitigating the impacts on mental health brought about by breast cancer diagnosis. CRD42020203990.

摘要

背景

乳腺癌诊断可能成为一个转折点，对心理健康、治疗和预后产生负面影响。这项荟萃分析旨在确定乳腺癌诊断后临床上显著的心理困扰相关症状的性质和患病率。

方法

于2020年3月至8月检索了10个数据库。对39项定量研究进行了荟萃分析。

结果

临床上显著症状的患病率分别为：非特异性困扰39%（n = 13）、焦虑34%（n = 19）、创伤后应激31%（n = 7）和抑郁20%（n = 25）。未找到在我们特定时间范围内报告乳腺癌患者幸福感的研究。

结论

乳腺癌诊断后心理健康至少可在四个领域受到影响，且此类影响很常见。本研究明确表明需要减轻乳腺癌诊断对心理健康带来的影响。CRD42020203990。