Illness-related and treatment-related factors in psychological adjustment to breast cancer

Autor: Gary M. Dosik, Avrum Z. Bluming, Joanne V. Wood, Robert L. Leibowitz, Rosemary R. Lichtman, Shelley E. Taylor
Rok vydání: 1985
Předmět:
Zdroj: Cancer. 55:2506-2513
ISSN: 1097-0142
0008-543X
Popis: Seventy-eight breast cancer outpatients were interviewed and their medical records were reviewed to document illness-related and treatment-related factors associated with psychosocial adjustment. Poor prognosis and more radical surgery both independently predicted poor psychological adjustment. The effect of type of surgery appeared to be mediated by the patient's sense of disfigurement and by changes in the sexual and affectional patterns in the marriage, rather than by prognosis or disability. Degree of dysfunction and whether or not the patient had radiation therapy or chemotherapy had no independent effects on psychological adjustment. Results point to the problematic psychosocial outcomes associated with mastectomy and, more generally, to the illness- and treatment-related factors that may place a breast cancer patient at risk for psychosocial adjustment problems.
Databáze: OpenAIRE