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Socio-demographic a...
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Alfonsson, SvenUppsala universitet,Klinisk psykologi i hälso- och sjukvård
(author)
Socio-demographic and clinical variables associated with psychological distress one and three years after a breast cancer diagnosis
- Article/chapterEnglish2016
Publisher, publication year, extent ...
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2016-04-29
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Springer Science and Business Media LLC,2016
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-287632
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-287632URI
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https://doi.org/10.1007/s00520-016-3242-yDOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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PURPOSE: A large group of women (20-30%) report psychological distress shortly after breast cancer diagnosis, and some experience continued or increased symptoms over time. The aim of this study was to investigate socio-demographic and clinical variables associated with sustained psychological distress in this patient group. METHODS: Women with breast cancer (n=833) completed self-report questionnaires regarding socio-demographic and clinical variables shortly after (T1) and 3years after diagnosis (T2) while data on illness severity were collected from a quality register. The Hospital Anxiety and Depression Scale was used as a measure of psychological distress at both time points. RESULTS: The number of participants who reported elevated levels of anxiety was 231 (28%) at T1 and 231 (28%) at T2 while elevated depressive symptoms was reported by 119 (14%) women at T1 and 92 (11%) at T2. Despite non-significant differences in mean scores over time, 91 (15%) participants reported increased anxiety symptoms and 47 (7%) reported increased depressive symptoms. Poor financial situation, lack of social support, previous psychiatric treatment, and high levels of fatigue were associated with both anxiety and depressive symptoms. Reporting high levels of fatigue was the variable most strongly associated with increased psychological distress over time. CONCLUSION: Most participants reported decreased psychological distress over time, but there were subgroups of women who experienced sustained or increased symptoms of anxiety or depression. Participants with poor financial status, previous psychological problems, or high levels of fatigue may be at increased risk of psychological distress. Such individuals may benefit most from psychosocial interventions.
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Olsson, ErikUppsala universitet,Klinisk psykologi i hälso- och sjukvård,Klinisk psykologi i hälso- och sjukvård, Clinical Psychology in Healthcare(Swepub:uu)erols031
(author)
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Hursti, TimoUppsala universitet,Institutionen för psykologi(Swepub:uu)timohurs
(author)
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Høyer Lundh, MarieUppsala universitet,Institutionen för folkhälso- och vårdvetenskap,Department of Nursing, Metropolitan University College, 2200 Copenhagen N, Denmark(Swepub:uu)marho599
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Johansson, Birgitta,1959-Uppsala universitet,Institutionen för immunologi, genetik och patologi,Birgitta Johansson(Swepub:uu)birgjhs
(author)
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Uppsala universitetKlinisk psykologi i hälso- och sjukvård
(creator_code:org_t)
Related titles
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In:Supportive Care in Cancer: Springer Science and Business Media LLC24:9, s. 4017-40230941-43551433-7339
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