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Mental Health Needs of New Breast Cancer Patients

While nearly half of newly diagnosed breast cancer patients experience clinically significant mental anguish before treatment begins, the disorders are often unrecognized and undertreated. In a new study by Dartmouth Medical School researchers, virtually all newly diagnosed women admitted to experiencing some level of emotional distress, and 47 percent met clinically significant screening criteria for emotional distress or a psychiatric disorder, including major depression and post-traumatic stress disorder (PTSD).

Mental Health Needs of New Breast Cancer Patients Studies have shown that significant emotional distress, including mood disorders and related functional impairments, afflict up to one-third of breast cancer survivors for up to 20 years after treatment. However, little was previously known about the baseline psychological status of newly diagnosed breast cancer patients.

The study will be published in the December 15, 2006 issue of CANCER, a peer-reviewed journal of the American Cancer Society.

To help characterize pre-treatment psychological status, Mark T. Hegel, Ph.D. of the Department of Psychiatry and the Norris Cotton Cancer Center of Dartmouth Medical School and colleagues conducted psychiatric and functional screening of 236 women newly diagnosed with breast cancer.

Their findings indicate that almost one in two women met clinically significant criteria for emotional distress or a psychiatric disorder. The most common problem was moderate to severe emotional distress (41 percent). The most commonly reported source of distress was related to the cancer diagnosis (100 percent), followed by uncertainty about treatment (96 percent) and concern about physical problems (81 percent). Twenty-one percent of women met criteria for psychiatric disorders, including major depression (11 percent) and PTSD (10 percent). These women also demonstrated significant declines in daily functioning that were due to the emotional disorders. Treatment for their cancer had not yet begun.

Almost two-thirds of the women with depression had moderate to severe levels of depression, for which treatment is strongly recommended. More than half of the women with depression were already taking psychotropic medication but continued to have significant symptoms, suggesting that even when identified as being depressed they may be under-treated.

“This study has at least two important implications,” Hegel said. “First, we need to do a better job of getting the word out about how well we can treat breast cancer. These emotional disorders are almost certainly due in part to the fear and helplessness that continues to result from receiving a cancer diagnosis.

Second, we need to assess for and provide adequate intervention for the women meeting criteria for these severe but very treatable psychiatric conditions.” The investigators recommend that “future research should continue to develop and evaluate methods for detecting significant emotional distress and psychiatric disorders in cancer populations and test innovative interventions for effectively treating and managing these disorders in the oncology setting.”

Source: John Wiley & Sons, Inc.

Mental Health Needs of New Breast Cancer Patients

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Mental Health Needs of New Breast Cancer Patients. Psych Central. Retrieved on August 17, 2018, from https://psychcentral.com/news/2006/11/13/mental-health-needs-of-new-breast-cancer-patients/404.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.