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Predictors of depression in K orean breast cancer patients: A one‐year longitudinal study
Author(s) -
Kim SeonYoung,
Stewart Robert,
Kim SungWan,
Yang SuJin,
Kim JaeMin,
Shin IlSeon,
Park MinHo,
Yoon JungHan,
Yoon JinSang
Publication year - 2012
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/j.1758-5872.2012.00197.x
Subject(s) - depression (economics) , breast cancer , logistic regression , medicine , incidence (geometry) , cancer , oncology , physics , optics , economics , macroeconomics
To investigate the prevalence, and 12‐month persistence and incidence of depression following surgery for breast cancer and to determine factors associated with this in an E ast A sian setting. Methods All cases at a given hospital following surgery for breast cancer were approached and participants were interviewed 2–5 days after surgery. Depression (major and minor depressive disorders) was diagnosed by the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM‐IV) using the M ini I nternational N europsychiatric I nterview at baseline and 12 months after surgery. Sociodemographic and clinical characteristics were investigated as covariates in logistic regression model. Results Of 335 breast cancer patients analyzed at baseline, 80 (23.9%) had prevalent depression. Persistence in those with depression at baseline (60 analyzed) was 33.3%; incidence of depression in those without depression at baseline (202 analyzed) was 13.4%. In adjusted logistic regression analyses, past and family histories of depression were significantly associated with depression on baseline, and number of metastatic axillary lymph nodes was associated with persistence of depression at follow‐up. No factors were associated with incident depression. Discussion Depression is common among K orean women with breast cancer, and predictive factors for depression may differ according to the time after surgery.