Patient reporting pain intensity immediately after surgery can be associated with underlying depression in women with breast cancer. Issue 3 (4th August 2015)

• Record Type: Journal Article
• Authors: Kim, Yoo Seok; Do, Hyuigyung; Lee, Jong Won; Jeong, Jaesim; Shin, Yong Wook; Yi, Kikyoung; Kim, Jisun; Lee, Sae Byul; Sohn, Guiyun; Yang, Nuri; Oh, Youngkyung; Kim, Leeyoung; Kim, Yeonhee; Yu, Jong Han; Ko, Beom Seok; Kim, Hee Jeong; Son, Byung Ho; Ahn, Sei Hyun
• Is Part Of: Psycho-oncology. Volume 25:Issue 3(2016)
• Page Start: 308
• Page End: 315
• Publication Date: 2015-08-04
• Subjects: Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.3919
• Languages: English
• ISSNs: 1057-9249

Abstract

Abstract: Objective: The aims of this study were to determine the prevalence of severe, definite depression symptoms, as measured using the Center for Epidemiological Studies Depression Scale (CES‐D), and the association between high CES‐D scores (i.e., ≥25) and sociodemographic and perioperative factors during perioperative period. Methods: Among 1690 consecutive breast cancer patients who were admitted for definitive breast surgery during the study period, 1499 patients were included in this study. Patients with a past medical history of psychiatric medication or support, a plan for elective surgery due to locoregional recurrence, or any metastatic disease were excluded. The CES‐D score was checked 1 day before definitive surgeries. The sociodemographic data and perioperative data were analyzed. Results: The mean CES‐D score was 18.5, with 24.1% (362/1499) and 56.7% (850/1499) having high CES‐D scores of ≥25 and ≥16, respectively. Multivariate analysis revealed that the number of family members with any malignancy (≥2 vs. 0), sedative medication (yes vs. no), and postoperative numeric rating scale scores (persistent, severe pain vs. stably mild pain) were significantly associated factors for severe, definite depression symptoms [CES‐D score of ≥25: adjusted odds ratio (OR) = 1.56, 95% confidence interval (CI) = 1.10–2.21, p = 0.013; adjusted OR = 1.65, 95% CI = 1.00–2.71, p = 0.048; and adjusted OR = 2.14, 95% CI = 1.15–3.95, p = 0.016, respectively]. Conclusion: Depression may increase the intensity of postoperative acute pain. Self‐reporting of persistent postoperative pain intensity is potentially useful in detecting hidden depression symptoms in breast cancer patients during the perioperative period. Copyright © 2015 John Wiley & Sons, Ltd.