Silberfarb P M, Maurer L H, Crouthamel C S
Am J Psychiatry. 1980 Apr;137(4):450-5. doi: 10.1176/ajp.137.4.450.
The authors studied 146 breast cancer patients representing three different treatment regimens by means of a structured interview, open-ended questions, and a modified Psychiatric Status Schedule. The major findings indicated that physical disability did not necessarily relate to an increase in emotional disturbance. The most emotionally disturbing time was the first recurrence of the breast cancer, and the most common disturbance reported in all three treatment groups was in the area of mate role functioning. In addition, adjuvant radiation therapy was a potent source of distress during primary cancer treatment, and at least one-third of all patients in each category reported needing help with household chores.
作者通过结构化访谈、开放式问题以及一份经过修改的精神状态检查表，对146名代表三种不同治疗方案的乳腺癌患者进行了研究。主要研究结果表明，身体残疾并不一定与情绪障碍的增加相关。情绪上最令人困扰的时期是乳腺癌首次复发的时候，所有三个治疗组中报告的最常见困扰是配偶角色功能方面的问题。此外，辅助放疗在原发性癌症治疗期间是一个巨大的痛苦来源，每个类别中至少三分之一的患者报告在做家务方面需要帮助。
