Psychological distress among women with newly diagnosed breast cancer.
OBJECTIVE
Psychological distress is common in the cancer continuum. Our objectives were to determine the prevalence of distress and to investigate the related problems and the characteristics of women with breast cancer who experienced psychological distress at the time of diagnosis.


METHODS
We used cross-sectional data from a questionnaire study. Women with newly diagnosed breast cancer were consecutively invited to respond before breast surgery. Between October 2008 and October 2009, a total of 357 responded out of 426 (84%) invited. Among these, 343 patients completed the 'distress thermometer' to measure psychological distress and the accompanying 'problem list' to identify related problems. Logistic regression models with 95% confidence intervals were used to estimate the associations between psychological distress, age, social support and domains on the problem list.


RESULTS
With a cut-off of 3 on the distress thermometer, 77% of women with breast cancer reported distress, whereas when the cut-off was 7, 43% were distressed. The mean distress score was 5.4 (SD, 3.1). The most frequently reported problems were worry (77%) and nervousness (71%). Distress was significantly associated with the total score and three domains on the problem list. Younger women (<50 years) reported higher levels of distress than older (≥ 50 years). We found no significant association between distress and having a partner or someone outside the family to rely on.


CONCLUSIONS
Distress was reported by 77% of patients. Age and problem list were significantly associated with distress. No significant association between psychological distress and social support was observed.
Department of Breast Surgery, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark. birgitte.goldschmidt.mertz@rh.regionh.dk
Birgitte Goldschmidt
BG
Mertz
Pernille Envold
PE
Bistrup
Christoffer
C
Johansen
Susanne Oksbjerg
SO
Dalton
Isabelle
I
Deltour
Henrik
H
Kehlet
Niels
N
Kroman
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D003430:Cross-Sectional Studies; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D015404:Nursing Methodology Research; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires