4.7 Article

The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis

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BRITISH JOURNAL OF CANCER
卷 125, 期 11, 页码 1582-1592

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DOI: 10.1038/s41416-021-01542-3

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oncology; anxiety; depression; psychological distress; post-traumatic stress; well-being

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A breast cancer diagnosis can have negative impacts on mental health, leading to symptoms such as non-specific distress, anxiety, post-traumatic stress, and depression. This study highlights the need for interventions to mitigate the effects of breast cancer diagnosis on mental health.
Background Receiving a breast cancer diagnosis can be a turning point with negative impacts on mental health, treatment and prognosis. This meta-analysis sought to determine the nature and prevalence of clinically significant psychological distress-related symptoms in the wake of a breast cancer diagnosis. Methods Ten databases were searched between March and August 2020. Thirty-nine quantitative studies were meta-analysed. Results The prevalence of clinically significant symptoms was 39% for non-specific distress (n = 13), 34% for anxiety (n = 19), 31% for post-traumatic stress (n = 7) and 20% for depression (n = 25). No studies reporting breast cancer patients' well-being in our specific time frame were found. Conclusion Mental health can be impacted in at least four domains following a diagnosis of breast cancer and such effects are commonplace. This study outlines a clear need for mitigating the impacts on mental health brought about by breast cancer diagnosis. CRD42020203990.

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