An Anxiety, Depressed Mood, and Insomnia in Newly Diagnosed Women Breast Cancer Patients and Thyroid Cancer Patients

처음 진단받은 여성 유방암 환자와 갑상선암 환자에서 나타나는 불안, 우울 및 불면 증상

  • Park, So-Hyun (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Choi, Hee-Yeon (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Lim, Weon-Jeong (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Moon, Byung-In (Department of Surgery, College of Medicine, Ewha Womans University) ;
  • Lim, Woo-Sung (Department of Surgery, College of Medicine, Ewha Womans University)
  • 박소현 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 최희연 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 임원정 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 문병인 (이화여자대학교 의과대학 외과학교실) ;
  • 임우성 (이화여자대학교 의과대학 외과학교실)
  • Received : 2017.08.31
  • Accepted : 2017.10.17
  • Published : 2017.11.30

Abstract

Objectives In this study, we identified the symptoms of insomnia, anxiety, and depressed mood in newly diagnosed women breast and thyroid cancer patients. Methods The subjects of this study were 1794 women patients who visited the Ewha Womans University Cancer Center for Women. They included 1119 newly diagnosed primary breast cancer patients and 675 newly diagnosed primary thyroid cancer patients. The patients completed the National Cancer Center Psychological Symptom Inventory (NCC-PSI) during their first follow-up visit after surgery, before starting chemotherapy or radiotherapy. The NCC-PSI is composed of the modified distress thermometer (MDT) and the modified impact thermometer (MIT) for insomnia, anxiety, and depressed mood. Results Anxiety severity was found to be greater in breast cancer patients than in thyroid cancer patients. Significant levels of anxiety, depressed mood and insomnia were present in 28, 24.5, and 20.7% in all the subjects, respectively. Moreover, anxiety symptoms, depressed mood and insomnia interfered with the daily lives of 20, 18.4, and 14.2% of all the subjects, respectively. Dealing with anxiety (18.8%) was found to need the most help, followed by dealing with insomnia (8.9%) and depressed mood (8.7%). Conclusions A significant level of distress was found in about 40% of the total subjects. Nearly 30% of newly diagnosed breast cancer patients reported significant anxiety symptoms and interferences with daily living caused by anxiety, which most commonly needed special care. Early assessment and management of psychological distress, especially anxiety, in breast and thyroid cancer treatment are very important to establish integrated cancer care.

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