title: Efficacy of Psychological Interventions for Patients with Breast Hyperplasia.
abstract: To explore the efficacy of psychological interventions (PI) in patients with breast hyperplasia (BH). In total 120 BH patients who were treated in the Third Affiliated Hospital of the Third Military Medical University were randomly divided into PI group (n = 40; treated with oral XiaoYao Pill and psychological interventions), anti-anxiety/depression medication (AADM) group (n = 40; treated with oral XiaoYao Pill and paroxetine), and control group (n = 40; treated with oral XiaoYao Pill) and the treatment lasted for 1 year. Before the treatment and 4, 8, and 12 months after the initiation of treatment, the changes in the psychological indicators were measured using Toronto Alexithymia Scale (TAS), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Ways of Coping Questionnaire (WCQ), as well as the physiological indicators including estradiol, prolactin, and progesterone were determined. The overall response rates were evaluated at the end of the treatment, and the relapse rates were calculated during the 1-year follow-up. The HAMD and HAMA scores were declined in all three groups. The scores of TAS and WCQ negative coping subscales showed a declining trend after treatment for the AADM and PI groups. Compared to the control and PI groups, the HAMA and HAMD scores were significantly lower in the AADM group 4, 8, and 12 months after the initiation of treatment (P < 0.05). The scores of TAS and WCQ negative coping subscales were significantly lower in AADM group but were significantly higher than those in PI group and lower than the control group 4, 8, and 12 months after the initiation of treatment (P < 0.05). The HAMA and HAMD scores were significantly lower in PI group than in control group 4, 8, and 12 months after the initiation of treatment (P < 0.05). After the initiation of treatment, the estradiol and prolactin levels decreased while the progesterone levels increased in all three groups. Compared with the control group and AADM group, the PI group had significantly higher estradiol and prolactin levels and higher progesterone levels 4, 8, and 12 months after the initiation of treatment (P < 0.05). Compared with the control group, the AADM group had significantly lower levels of estradiol and prolactin and higher progesterone levels 4, 8, and 12 months after the initiation of treatment (P < 0.05). The overall response rate was not significantly different for both PI group and AADM group (P > 0.05), while the relapse rate was significantly lower in the PI group than the control and AADM groups (P < 0.05). However, the relapse rate did not significantly differ between the control group and AADM group (P > 0.05). PI can effectively improve the psychological status of BH patients and restore the disordered endocrine system. The efficacy lasts for long and the relapse rate is lower. Therefore, it could be an effective method for treating BH.
authors: Department of Sleep and Psychology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
authors: Cxian-chun
authors: CC
authors: Chen
authors: Department of Sleep and Psychology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
authors: Cheng-gang
authors: CG
authors: Jiang
authors: Department of Sleep and Psychology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
authors: Qing-qiu
authors: QQ
authors: Chen
authors: Department of Sleep and Psychology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China. contribution038@163.com.
authors: Dong
authors: D
authors: Gao
mesh_terms: D000328:Adult; D000359:Aftercare; D001940:Breast / Q000473:pathology*; D005260:Female; D006801:Humans; D006965:Hyperplasia / Q000188:drug therapy / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012008:Recurrence; D016896:Treatment Outcome
keywords: Breast hyperplasia; Efficacy evaluation; Psychological intervention
references: Breast. 2007 Oct;16(5):503-12
references: 17509880
references: J Psychosom Obstet Gynaecol. 2001 Jun;22(2):71-6
references: 11446156
references: J Gen Intern Med. 2006 Mar;21 Suppl 3:S70-5
references: 16637950
references: J Reprod Med. 2005 Dec;50(12):933-9
references: 16444894
references: Curr Med Res Opin. 2004 May;20(5):681-4
references: 15140333
references: Indian J Surg. 2011 Jun;73(3):199-205
references: 22654331