Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1987 Jun 13;294(6586):1515–1518. doi: 10.1136/bmj.294.6586.1515

Psychosocial effects of radiotherapy after mastectomy.

A V Hughson, A F Cooper, C S McArdle, D C Smith
PMCID: PMC1246671  PMID: 3111617

Abstract

Psychosocial morbidity was measured in 47 patients who received postoperative radiotherapy and in 38 who received no further treatment after mastectomy. Roughly one third of all patients experienced depression or anxiety. One month after operation, before radiotherapy, there were no significant differences between the two groups in any of the measures of psychosocial morbidity. Knowledge of impending treatment did not seem to influence morbidity. At three months patients who had completed radiotherapy had significantly more somatic symptoms and social dysfunction than those not so treated. At six months the radiotherapy group continued to show more somatic symptoms, but a year after operation there were no significant differences between the groups. Although several patients who received radiotherapy were upset by their treatment, the study failed to confirm that depression and anxiety were commoner among those given radiotherapy than among patients given no further treatment.

Full text

PDF
1515

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Fallowfield L. J., Baum M., Maguire G. P. Effects of breast conservation on psychological morbidity associated with diagnosis and treatment of early breast cancer. Br Med J (Clin Res Ed) 1986 Nov 22;293(6558):1331–1334. doi: 10.1136/bmj.293.6558.1331. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Forester B. M., Kornfeld D. S., Fleiss J. Psychiatric aspects of radiotherapy. Am J Psychiatry. 1978 Aug;135(8):960–963. doi: 10.1176/ajp.135.8.960. [DOI] [PubMed] [Google Scholar]
  3. Gazet J. C., Rainsbury R. M., Ford H. T., Powles T. J., Coombes R. C. Survey of treatment of primary breast cancer in Great Britain. Br Med J (Clin Res Ed) 1985 Jun 15;290(6484):1793–1795. doi: 10.1136/bmj.290.6484.1793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hughes J. Emotional reactions to the diagnosis and treatment of early breast cancer. J Psychosom Res. 1982;26(2):277–283. doi: 10.1016/0022-3999(82)90047-2. [DOI] [PubMed] [Google Scholar]
  5. Hughson A. V., Cooper A. F., McArdle C. S., Smith D. C. Psychological impact of adjuvant chemotherapy in the first two years after mastectomy. Br Med J (Clin Res Ed) 1986 Nov 15;293(6557):1268–1271. doi: 10.1136/bmj.293.6557.1268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Maguire G. P., Lee E. G., Bevington D. J., Küchemann C. S., Crabtree R. J., Cornell C. E. Psychiatric problems in the first year after mastectomy. Br Med J. 1978 Apr 15;1(6118):963–965. doi: 10.1136/bmj.1.6118.963. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Maguire G. P., Tait A., Brooke M., Thomas C., Howat J. M., Sellwood R. A., Bush H. Psychiatric morbidity and physical toxicity associated with adjuvant chemotherapy after mastectomy. Br Med J. 1980 Nov 1;281(6249):1179–1180. doi: 10.1136/bmj.281.6249.1179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. McArdle C. S., Crawford D., Dykes E. H., Calman K. C., Hole D., Russell A. R., Smith D. C. Adjuvant radiotherapy and chemotherapy in breast cancer. Br J Surg. 1986 Apr;73(4):264–266. doi: 10.1002/bjs.1800730407. [DOI] [PubMed] [Google Scholar]
  9. Morris T., Greer H. S., White P. Psychological and social adjustment to mastectomy: a two-year follow-up study. Cancer. 1977 Nov;40(5):2381–2387. doi: 10.1002/1097-0142(197711)40:5<2381::aid-cncr2820400555>3.0.co;2-b. [DOI] [PubMed] [Google Scholar]
  10. Morris T. Psychological adjustment to mastectomy. Cancer Treat Rev. 1979 Mar;6(1):41–61. doi: 10.1016/s0305-7372(79)80058-4. [DOI] [PubMed] [Google Scholar]
  11. Peck A., Boland J. Emotional reactions to radiation treatment. Cancer. 1977 Jul;40(1):180–184. doi: 10.1002/1097-0142(197707)40:1<180::aid-cncr2820400129>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  12. Silberfarb P. M., Maurer L. H., Crouthamel C. S. Psychosocial aspects of neoplastic disease: I. Functional status of breast cancer patients during different treatment regimens. Am J Psychiatry. 1980 Apr;137(4):450–455. doi: 10.1176/ajp.137.4.450. [DOI] [PubMed] [Google Scholar]
  13. Snaith R. P., Bridge G. W., Hamilton M. The Leeds scales for the self-assessment of anxiety and depression. Br J Psychiatry. 1976 Feb;128:156–165. doi: 10.1192/bjp.128.2.156. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES