Department of Convergence Healthcare Medicine, Ajou University School of Medicine, Suwon 16499, Korea.
Department of Radiation Oncology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon 16499, Korea.
Medicina (Kaunas). 2022 Apr 19;58(5):560. doi: 10.3390/medicina58050560.
: This study aimed to analyze the prevalence of mental disorders in patients with breast cancer at Ajou University Hospital. In addition, the patterns and prevalence of mental disorders according to the occurrence of coronavirus disease (COVID-19) were analyzed. : From 1 January 2008 to 30 June 2021, psychiatric disorders were identified in 5174 female patients diagnosed with breast cancer at Ajou University Hospital. Based on the time when COVID-19 occurred, the pattern of onset of mental disorders in patients with breast cancer was analyzed. In addition, the prevalence of mental disorders according to the time of breast cancer diagnosis and age was evaluated. : A year before the diagnosis of breast cancer, 371 patients were diagnosed with a mental disorder. Of these, 201 patients were diagnosed with stress and adjustment disorders, and 97 patients had anxiety disorders. The overall frequency of psychiatric disorders after breast cancer diagnosis peaked two months later. Among psychiatric disorders reported before the COVID-19 pandemic, the proportion of stress/adaptation disorders was 52%, and among psychiatric disorders reported after the pandemic, it was significantly higher at 94.7%. Anxiety was found to be high in the elderly group aged ≥ 60 years, and the prevalence of stress and adjustment disorders tended to increase in the non-elderly group. : Breast cancer patients showed different patterns of psychiatric disorders according to age, time of breast cancer diagnosis, and the occurrence of COVID-19. Owing to the COVID-19 pandemic, delays in treatment and anxiety about infection have increased the rate of stress and adjustment disorders in cancer patients. Mental health management during the pandemic and after cancer diagnosis can improve the quality of life of patients with cancer.
这项研究旨在分析在 Ajou 大学医院就诊的乳腺癌患者中心理障碍的患病率。此外，还分析了根据冠状病毒病（COVID-19）发生情况出现的精神障碍的模式和患病率。
从 2008 年 1 月 1 日至 2021 年 6 月 30 日，在 Ajou 大学医院诊断出患有乳腺癌的 5174 名女性患者中发现了精神障碍。根据 COVID-19 发生的时间，分析了乳腺癌患者精神障碍发病模式。此外，还评估了根据乳腺癌诊断时间和年龄的精神障碍患病率。
在乳腺癌诊断前一年，有 371 名患者被诊断患有精神障碍。其中，201 名患者被诊断患有应激和适应障碍，97 名患者患有焦虑症。乳腺癌诊断后两个月，精神障碍的总发病频率达到高峰。在 COVID-19 大流行前报告的精神障碍中，应激/适应障碍的比例为 52%，而在大流行后报告的精神障碍中，这一比例显著上升至 94.7%。在年龄≥60 岁的老年组中发现焦虑症较高，而在非老年组中应激和适应障碍的患病率呈上升趋势。
乳腺癌患者根据年龄、乳腺癌诊断时间和 COVID-19 的发生情况表现出不同的精神障碍模式。由于 COVID-19 大流行，治疗延迟和对感染的焦虑增加了癌症患者应激和适应障碍的发生率。在大流行期间和癌症诊断后进行心理健康管理可以提高癌症患者的生活质量。
