乳腺癌相关手臂肿胀的心理疾病。淋巴水肿的心理疾病。
The psychological morbidity of breast cancer-related arm swelling. Psychological morbidity of lymphoedema.
作者信息
Tobin M B, Lacey H J, Meyer L, Mortimer P S
机构信息
Department of Mental Health Sciences, St. Georges Hospital, London, England.
出版信息
Cancer. 1993 Dec 1;72(11):3248-52. doi: 10.1002/1097-0142(19931201)72:11<3248::aid-cncr2820721119>3.0.co;2-z.
BACKGROUND
The psychological morbidity, functional impairment, and disturbance in psychosocial adjustment to illness was evaluated in relation to breast cancer-related arm swelling.
METHODS
Fifty women with breast cancer-related arm swelling were matched with 50 control subjects for age, duration since treatment, and type of treatment received. All study participants were free from active disease and had been treated more than 1 year ago.
RESULTS
Patients with arm swelling showed greater psychological morbidity at formal psychiatric interview, impaired adjustment to illness as evaluated by the Psychosocial Adjustment to Illness Scale, and greater impairment of physical functioning.
CONCLUSIONS
Patients with arm swelling in relation to breast cancer experienced functional impairment, psychosocial maladjustment, and increased psychological morbidity. These findings have implications for management of breast cancer.
背景
针对与乳腺癌相关的手臂肿胀，对心理发病率、功能损害以及疾病心理社会适应方面的障碍进行了评估。
方法
50名患有与乳腺癌相关手臂肿胀的女性与50名对照受试者在年龄、治疗后时长以及所接受的治疗类型方面进行了匹配。所有研究参与者均无活动性疾病，且治疗时间超过1年。
结果
在正式精神科访谈中，手臂肿胀的患者表现出更高的心理发病率，通过疾病心理社会适应量表评估显示其疾病适应受损，且身体功能损害更大。
结论
与乳腺癌相关手臂肿胀的患者经历了功能损害、心理社会适应不良以及心理发病率增加。这些发现对乳腺癌的管理具有启示意义。
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