The Clinical, Biological, Psychological and Psychiatric Impact of the Diagnosis of Breast Cancer in Women

• Published in: Current health sciences journal Vol. 48; no. 1; pp. 29 - 38
• Main Authors: Schenker, Ramona Adriana, Marinescu, Ileana, Stovicek, Puiu Olivian, Lukács, Emese, Pauna-Cristian, Liana, Nica-Badea, Delia, Ciurea, Marius Eugen
• Format: Journal Article
• Language: English
• Published: Medical University Publishing House Craiova 01-01-2022
• Subjects: Original Paper
• ISSN: 2067-0656; 2069-4032
• DOI: 10.12865/CHSJ.48.01.04

OBJECTIVEPsychosocial factors are correlated with the risk of breast cancer, by the lack of externalization of feelings and aggressive tendencies, or with a negative prognosis, by the presence of a high level of stress and reduced coping abilities. Impairment of psychological status should be assessed early to identify quantifiable psychooncological changes, such as depression, anxiety, and self-esteem. These indicators, measured in this study, may become psychometric markers for predicting the existence of the neoplastic process, prior to histopathological evaluations. METHODS58 patients diagnosed with breast cancer and in different stages of evolution and 61 breast lumps patients were evaluated for depression, anxiety and self-esteem. RESULTSThe correlation of depression and anxiety levels according to the evolutionary stage of the disease was as follows: in stage I cases of severe depression with significant anxiety predominate, in stage II mild depression predominates with insignificant anxiety, in stage III depression predominates moderate with significant anxiety, while in stage IV moderate depression with significant anxiety predominates. CONCLUSIONSThe presence of significant anxiety in the uncertainty phase and the anxious-depressive clinical picture can be an alarm signal for the initiation of specific psychotherapeutic strategies, to increase the adaptive potential and resilience to the disease to ensure a therapeutic collaboration of the patient by increasing adherence and compliance. the proposed therapeutic plan. Relatively sudden anxiety in a young woman, risk factors for breast cancer, and deficient cognitive impairment require intensified clinical and paraclinical investigations to confirm early oncological diagnosis.