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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Bibliographic Details
Main Authors: Abdel Wahab KM, Refky B, Hafez MT, Hegazy MAF, Elnahas W, El-Hadidy MA
Format: Article
Language:English
Published: Dove Medical Press 2012-03-01
Series:Breast Cancer : Targets and Therapy
Online Access:http://www.dovepress.com/psychiatric-morbidity-among-egyptian-breast-cancer-patients-and-their--a9413
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Summary: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' 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
ISSN:1179-1314