Depression and Anxiety Symptoms Before and After Breast-Cancer Diagnosis Among Young Women in the Northern Finland Birth Cohort 1966.

Autor:	Tastula A; Research Unit of Population Health, University of Oulu, Oulu, Finland.; Medical Research Center Oulu, Oulu University Hospital Oulu, Finland., Jukkola A; Department of Oncology of Medicine and Radiotherapy, Tampere University Hospital, Tampere, Finland.; Tampere University of Medicine and Health Sciences, Tampere Cancer Center, Tampere, Finland., Alakokkare AE; Research Unit of Population Health, University of Oulu, Oulu, Finland.; Medical Research Center Oulu, Oulu University Hospital Oulu, Finland., Nordström T; Research Unit of Population Health, University of Oulu, Oulu, Finland.; Medical Research Center Oulu, Oulu University Hospital Oulu, Finland.; Northern Finland Birth Cohorts, Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Oulu, Finland., Karihtala P; Department of Oncology, Helsinki University Hospital Comprehensive Cancer Center and University of Helsinki, Helsinki, Finland., Miettunen J; Research Unit of Population Health, University of Oulu, Oulu, Finland.; Medical Research Center Oulu, Oulu University Hospital Oulu, Finland., Räsänen S; Department of Psychiatry, University of Oulu, Faculty of Medicine, Research Unit of Clinical Medicine, Oulu, Finland.; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
Jazyk:	angličtina
Zdroj:	European journal of breast health [Eur J Breast Health] 2024 Sep 26; Vol. 20 (4), pp. 292-302.
DOI:	10.4274/ejbh.galenos.2024.2024-7-1
Abstrakt:	Objective: The aim of the study was to explore depressive, anxiety, and mental-health related somatic symptoms among young breast-cancer survivors by considering symptoms before and after cancer onset. Materials and Methods: The study sample included females from the prospective Northern Finland Birth Cohort 1966. Symptoms were assessed with the Hopkins Symptom Checklist-25 at the age of 31 and 46 years. We studied both subscales of depressive, anxiety, and somatic symptoms and single symptoms in secondary analyses. Results: Thirty-one cases and 3.077 controls were included. Females diagnosed with breast cancer 3-8 years before the 46-year follow-up had increased depressive ( p = 0.005) and somatic symptoms ( p = 0.028) at the 46-year follow-up compared with the 31-year follow-up. This was not observed among those diagnosed <3 or >8 years before or among controls. Females diagnosed with breast cancer reported more lack of strength or energy compared with controls at the 46-year follow-up ( p = 0.047). Among females who did not report feeling that the future is hopeless at the 31-year follow-up, significantly more females diagnosed with breast cancer reported this feeling at the 46-year follow-up compared with controls ( p = 0.006). Conclusion: Depressive and somatic symptoms increased significantly among young females at 3-8 years after breast-cancer diagnosis compared with the time before the cancer diagnosis. Psychosocial measures of support for breast-cancer survivors should be provided over the long-term. Competing Interests: Conflict of Interest: The authors have no conflicts of interest to declare. (©Copyright 2024 by the Turkish Federation of Breast Diseases Societies / European Journal of Breast Health published by Galenos Publishing House.)
Databáze:	MEDLINE
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