Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making

Mohamed A El-Hadidy1, Waleed Elnahas2, Mohamed AF Hegazy2, Mohamed T Hafez2, Basel Refky2, Khaled M Abdel Wahab21Department of Psychiatry, 2Department of Surgery, Mansoura Oncology Center, Mansoura University, Mansoura, EgyptIntroduction: Psychiatric morbidities, especially cases of anxiety and depr...

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Autores principales:	Abdel Wahab KM, Refky B, Hafez MT, Hegazy MAF, Elnahas W, El-Hadidy MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/630c3408378947218efef33feaf754da
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spelling	oai:doaj.org-article:630c3408378947218efef33feaf754da2021-12-02T03:12:46ZPsychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making1179-1314https://doaj.org/article/630c3408378947218efef33feaf754da2012-03-01T00:00:00Zhttp://www.dovepress.com/psychiatric-morbidity-among-egyptian-breast-cancer-patients-and-their--a9413https://doaj.org/toc/1179-1314Mohamed A El-Hadidy1, Waleed Elnahas2, Mohamed AF Hegazy2, Mohamed T Hafez2, Basel Refky2, Khaled M Abdel Wahab21Department of Psychiatry, 2Department of Surgery, Mansoura Oncology Center, Mansoura University, Mansoura, EgyptIntroduction: Psychiatric morbidities, especially cases of anxiety and depression, are prevalent among breast cancer patients and their partners.Patients and methods: Fifty-four early diagnosed breast cancer patients and their partners were compared with 50 healthy couples to assess psychiatric morbidity and the impact of various factors upon patients&#39; surgical choice.Results: It was found that 18.5%, 22.2%, and 3.7% of husbands had generalized anxiety disorder, major depressive disorder, and panic disorder, respectively. It was also found that 38.8%, 29.6%, and 9.2% of the patients had major depressive disorder, generalized anxiety disorder, and panic disorder, respectively. Depression and anxiety scores were high in both partners in love-based, well-adjusted marriages, within the middle socioeconomic class, and among educated couples. Among the well-known factors related to surgical treatment choice (age, parity, tumor size, pathology, grade, lymph node status), only age and psychological morbidity (in the patients and their partners) had a significant impact on treatment choice.Conclusion: Patients of middle socioeconomic class, the well educated, and those in love-based marriages had a higher likelihood of suffering different types of psychological morbidities and were more likely to choose breast conservation or reconstruction than mastectomy.Keywords: anxiety, Arab, conservative, depression, mastectomy, reconstructionAbdel Wahab KMRefky BHafez MTHegazy MAFElnahas WEl-Hadidy MADove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2012, Iss default, Pp 25-32 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Abdel Wahab KM Refky B Hafez MT Hegazy MAF Elnahas W El-Hadidy MA Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
description	Mohamed A El-Hadidy1, Waleed Elnahas2, Mohamed AF Hegazy2, Mohamed T Hafez2, Basel Refky2, Khaled M Abdel Wahab21Department of Psychiatry, 2Department of Surgery, Mansoura Oncology Center, Mansoura University, Mansoura, EgyptIntroduction: Psychiatric morbidities, especially cases of anxiety and depression, are prevalent among breast cancer patients and their partners.Patients and methods: Fifty-four early diagnosed breast cancer patients and their partners were compared with 50 healthy couples to assess psychiatric morbidity and the impact of various factors upon patients&#39; surgical choice.Results: It was found that 18.5%, 22.2%, and 3.7% of husbands had generalized anxiety disorder, major depressive disorder, and panic disorder, respectively. It was also found that 38.8%, 29.6%, and 9.2% of the patients had major depressive disorder, generalized anxiety disorder, and panic disorder, respectively. Depression and anxiety scores were high in both partners in love-based, well-adjusted marriages, within the middle socioeconomic class, and among educated couples. Among the well-known factors related to surgical treatment choice (age, parity, tumor size, pathology, grade, lymph node status), only age and psychological morbidity (in the patients and their partners) had a significant impact on treatment choice.Conclusion: Patients of middle socioeconomic class, the well educated, and those in love-based marriages had a higher likelihood of suffering different types of psychological morbidities and were more likely to choose breast conservation or reconstruction than mastectomy.Keywords: anxiety, Arab, conservative, depression, mastectomy, reconstruction
format	article
author	Abdel Wahab KM Refky B Hafez MT Hegazy MAF Elnahas W El-Hadidy MA
author_facet	Abdel Wahab KM Refky B Hafez MT Hegazy MAF Elnahas W El-Hadidy MA
author_sort	Abdel Wahab KM
title	Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
title_short	Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
title_full	Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
title_fullStr	Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
title_full_unstemmed	Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making
title_sort	psychiatric morbidity among egyptian breast cancer patients and their partners and its impact on surgical decision-making
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/630c3408378947218efef33feaf754da
work_keys_str_mv	AT abdelwahabkm psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking AT refkyb psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking AT hafezmt psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking AT hegazymaf psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking AT elnahasw psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking AT elhadidyma psychiatricmorbidityamongegyptianbreastcancerpatientsandtheirpartnersanditsimpactonsurgicaldecisionmaking
_version_	1718401856514818048

Psychiatric morbidity among Egyptian breast cancer patients and their partners and its impact on surgical decision-making

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