scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2019 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Correct Identification ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, chose to undergo breast reconstruction surgery. We employed two assessment scales: the YSQ-S3 Cognitive Schema Questionnaire and the DASS-21 Depression, Anxiety, and Stress Scale. Results We concluded that participants who underwent mastectomy and breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in the group of women who refused reconstructive breast surgery significantly correlated with the presence of anxiety-depressive symptoms. The cognitive schema domain of ‘disconnection and rejection' did not correlate reliably with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r = 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r = 0.647, p < 0.01). Negative emotional schemas correlated significantly with the presence of anxiety-depressive symptoms (Spearman's r = 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan.

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2020 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background: The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods: 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, also chose to undergo breast reconstruction surgery. For the purposes of evaluating a possible change in mental health status, we employed two assessment scales: the Young Cognitive Schema Questionnaire - Short Form 3 (YSQ-S3) and the Romanian version of the Depression Anxiety Stress Scale – 21 (DASS-21R). Results: Participants who underwent mastectomy and subsequent breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in women who refused reconstructive breast surgery were significantly correlated with the presence of anxiety-depressive symptoms.The cognitive schema domain of ‘disconnection and rejection' correlated uncertainly with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r= 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r= 0.647, p < 0.01). Negative emotional schemas were significantly correlated with the presence of anxiety-depressive symptoms (Spearman's r= 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion: A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan. Keywords: breast cancer, cognitive schemas, anxiety, depression, mastectomy, breast reconstruction

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2019 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background: The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods: 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, also chose to undergo breast reconstruction surgery. For the purposes of evaluating a possible change in mental health status, we employed two assessment scales: the Young Cognitive Schema Questionnaire - Short Form 3 (YSQ-S3) and the DASS-21R (Depression Anxiety Stress Scale - 21 Romanian version). Results: Participants who underwent mastectomy and subsequent breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in women who refused reconstructive breast surgery were significantly correlated with the presence of anxiety-depressive symptoms.The cognitive schema domain of ‘disconnection and rejection' correlated uncertainly with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r= 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r= 0.647, p < 0.01). Negative emotional schemas were significantly correlated with the presence of anxiety-depressive symptoms (Spearman's r= 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion:A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan. Keywords:breast cancer, cognitive schemas, anxiety, depression, mastectomy, breast reconstruction

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Riviș ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Cancer Patients ◽  
Cognitive Schemas ◽  
Breast Cancer Patients

scholarly journals Post-surgical depressive symptoms and long-term survival in non-metastatic breast cancer patients at 11-year follow-up

2017 ◽  
Vol 44 ◽  
pp. 16-21 ◽  
Author(s):  
Michael H. Antoni ◽  
Jamie M. Jacobs ◽  
Laura C. Bouchard ◽  
Suzanne C. Lechner ◽  
Devika R. Jutagir ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Depressive Symptoms ◽  
Cancer Patients ◽  
Metastatic Breast ◽  
Breast Cancer Patients ◽  
Term Survival ◽  
Long Term Survival

Outcomes of Breast Reconstruction in Breast Cancer Patients With a History of Mantle Radiation for Hodgkin Lymphoma

2014 ◽  
Vol 72 ◽  
pp. S46-S50 ◽  
Author(s):  
Ryan K. Wong ◽  
Shane D. Morrison ◽  
Arash Momeni ◽  
Matthew Nykiel ◽  
Gordon K. Lee
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Patients ◽  
Hodgkin Lymphoma ◽  
Breast Cancer Patients ◽  
History Of

scholarly journals LIPOFILLING OPPORTUNITIES IN BREAST CANCER SURGERY

2016 ◽  
Vol 4 ◽  
pp. 36-42
Author(s):  
Igor Motuzyuk ◽  
Oleg Sydorchuk ◽  
Yevhenii Kostiuchenko ◽  
Ivan Smolanka
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Patients ◽  
Special Treatment ◽  
Control Group ◽  
Aesthetic Perception ◽  
Breast Cancer Patients ◽  
Aesthetic Result ◽  
Reconstructive Operations ◽  
The Aesthetic

In this article the authors described the experience of lipofilling usage at the National Cancer Institute. Aim of this work was to improve the aesthetic results of surgical treatment of breast cancer patients by the usage of lipofilling in patients after breast reconstruction. The description of methods of lipofilling and their application in cancer patients, the benefits of usage of LipiVage® system was performed. Materials and methods. The study included 42 women with breast cancer, who received special treatment in 2012–2016. The main group included 21 patients that have received special treatment and undergone lipofilling. The control group included 21 patients, who received only special treatment, (with no lipofilling). Different objective and subjective criteria for evaluating the effectiveness of lipofilling in achieving a satisfactory aesthetic result in patients, who underwent radical and reconstructive surgery for breast cancer, were used in this investigation. The results shows that the implementation of lipofilling improves the aesthetic perception after breast reconstruction in 20 % of patients, decreases the number of complications after reconstructive operations and are not accompanied by a worsening of results of special treatment in breast cancer patients. In conclusion it can be noted that our results show a high efficiency of lipofilling after special treatment, its safety and advisability for further usage.

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