Emotional Problems Prior to Adjuvant Radiation Therapy for Breast Cancer

Dirk Rades, Carlos A Narvaez, Liesa Dziggel, Soeren Tvilsted, Troels W Kjaer, Steven E Schild, Tobias Bartscht

Publikation: Bidrag til tidsskriftArtikelForskningpeer review


BACKGROUND/AIM: Being scheduled for radiotherapy can cause emotional distress. This study aimed to identify risk factors in 338 patients assigned to radiotherapy for breast cancer.

PATIENTS AND METHODS: Nineteen potential risk factors including the COVID-19 pandemic were investigated for associations with the six emotional problems included in the National Comprehensive Cancer Network Distress Thermometer.

RESULTS: Worry and fears were significantly associated with age ≤60 years; sadness with age and Karnofsky performance score (KPS) <90; depression with KPS and Charlson Comorbidity Index ≥3; loss of interest with KPS. Trends were found for associations between sadness and additional breast cancer/DCIS, Charlson Index and chemotherapy; between depression and additional breast cancer/DCIS, treatment volume and nodal stage N1-3; between nervousness and additional breast cancer/DCIS, mastectomy and triple-negativity; between loss of interest and Charlson Index, family history of breast cancer/DCIS, invasive cancer, chemotherapy, and treatment volume. The COVID-19 pandemic did not increase emotional problems.

CONCLUSION: Several risk factors for emotional problems were identified. Patients with such factors should receive psychological support well before radiotherapy.

Sider (fra-til)2763-2770
Antal sider8
TidsskriftIn Vivo
Udgave nummer5
StatusUdgivet - 20 aug. 2021

Bibliografisk note

Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.


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