Research view
Title: | Psychiatric morbidity and pattern of coping among a sample of Egyptian women in early versus recurrent stage of breast cancer |
Author: | El Missiry A; Abdel Meguid M,; El Missiry M, and El Serafi D |
Abstract: |
Women with breast cancer have been known to present with high rates of psychiatric disorders, distressing
symptoms and stressful experiences that mobilize different coping strategies and may require social support.
Objectives: To describe the psychiatric morbidity, pattern of coping, and social support in a sample of Egyptian
patients with breast cancer in the early postoperative and recurrent stages. Materials and Methods: A descriptive
cross-sectional study was conducted with 100 female breast cancer patients from the Breast Cancer follow-up clinic at
Ain Shams University Hospitals; 75 patients were in the early postoperative (Group-A) while 25 patients were in the
recurrence stage (Group-B). All participants were evaluated using the Structured Clinical Interview for DSM Axis-I
Disorders (SCID I). Further assessment was done using Beck Depression Inventory (BDI) to assess the severity of
depression, the Manifest Taylor Anxiety Scale (MTAS) to assess anxiety state, the Dealing with Illness Coping
Inventory to assess the pattern of coping, and the Medical Outcome Study (MOS) Social Support Survey to assess the
perceived social support. Results: Higher rates of psychiatric morbidity reaching 76% of patients with recurrent breast
cancer met the criteria for a psychiatric diagnosis compared to 54.7% of patients in the early stages. The spectrum of
the current DSM-IV psychiatric diagnoses differed significantly between the two groups: 44% of the recurrent group
had major depression compared to 17.3% in patients with post-operative early stage, the latter groups showed a high
rate of anxiety disorders (29.3%) and sub-syndromal depressive symptoms (40%). The recurrent cases scored higher in
Beck Depression Inventory (BDI) while the early cases scored higher in Manifest Taylor Anxiety Scale (MTAS).
Active coping methods were frequently used by all patients; however, Avoidance Coping method (P=0.01) and Passive
Resignation strategy (P=0.005) were significantly used more by the recurrent group. All types of social support were
equally served for both groups; however, the recurrent group received more significant practical support. Conclusion:
In the current study, Egyptian breast cancer patients demonstrated a high prevalence of psychiatric disorders, with mild
to moderate symptom severity. In both early and recurrent stages some coping patterns may be influenced by the
psychopathology and the stage of illness. Generally, patients received adequate emotional and practical support. Our
findings provided the rationale for developing a program that facilitates early recognition and management of such high
rate of psychiatric morbidity among women with breast cancer.
Keywords: Breast cancer, coping strategies, social support, depression, anxiety.
Declaration of interest: None
|
Journal: | The Arab Journal of Psychiatry (2011) Vol. 22 No. 1 Page (36 -44) |
Text: | |
Download Link |