유방암 생존자의 우울예측요인 = Predictive Factors for Depression in Breast Cancer Survivors

다국어 초록 (Multilingual Abstract)

Purpose: This study was to identify the predictive factors for depression in breast cancer survivors. Methods: The participants were 180 female survivors who visited outpatient clinics after mastectomy or partial resection for breast cancer and had completed adjuvant treatment such as chemotherapy and/or radiation therapy at a university hospital and a general hospital. Data were collected utilizing the Zung depression scale, the Mishel uncertainty scale, the Fitts & Osgoods body image scale, and the Zimet social support scale. Results: The level of depression in the participants was moderate. There were significant correlations among depression, body image, uncertainty, and social support. There were significant differences in depression by education, economic state, perceived health status, fatigue, and pain. In regression analysis, the most powerful predictor of depression was body image (40%). Overall, body image, fatigue, social support, and uncertainty explained 62% of the variance of depression in the participants. Conclusion: Body image, fatigue, social support, and uncertainty were important predictors of depression. These results demonstrate the need for interventions to manage depression in breast cancer survivors.

목차 (Table of Contents)

• 서론
• 연구 방법
• 연구 결과
• 논의
• 결론 및 제언
• REFERENCES

참고문헌 (Reference)

1 채영란, "유방암 절제술을 받은 여성의 지각된 건강상태, 우울 및 삶의 질의 관계" 성인간호학회 17 (17): 119-127, 2005

2 김혜영, "유방암 생존자의 삶의 질, 성기능 및 우울: 성생활 집단과 비성생활 집단 간의 비교" 대한종양간호학회 8 (8): 77-85, 2008

3 태영숙, "여성암 환자의 영적 건강과 우울의 관계" 대한종양간호학회 7 (7): 169-178, 2007

4 이숙정, "암환자의 우울이 전이발생에 미치는 영향" 대한종양간호학회 8 (8): 105-110, 2008

5 Bennett JA, "Time since diagnosis as a predictor of symptoms, depression, cognition, social concerns, perceived benefits, and overall health in cancer survivors" 37 (37): 331-338, 2010

6 Zimet GD, "The multidimensional scale of perceived social support" 52 : 30-41, 1988

7 Mishel MH, "The measurement of uncertainty in illness" 30 : 259-263, 1981

8 Shin JS, "The effects of social supports on psychosocial well-being of the unemployed" 37 : 241-269, 1999

9 Hopwood P, "The course of anxiety and depression over 5 years of follow-up and risk factors in women with early breast cancer : results from the UK standardization of radiotherapy trials(START)" 19 (19): 84-91, 2010

10 Choi EJ, "Relationships between spiritual health, family support, and depression in women with breast cancer" 6 : 137-152, 2013

11 Kwon OJ, "Relationships between hope and depression in patients with breast cancer" 6 : 123-136, 2013

12 Sammarco A, "Quality of life, social support, and uncertainty among Latina breast cancer survivors" 35 : 844-849, 2008

13 Ferrel BR, "Quality of life in breast cancer survivors : implications for developing support services" 25 : 887-895, 1998

14 Massie MJ, "Prevalence of depression in patients with cancer" 32 : 57-71, 2004

15 Choi JS, "Predictive factors of quality of life in mastectomy patients" Kosin Univ 2007

16 Levine M, "Mental disorders in cancer patient" 42 (42): 1385-1391, 1978

17 Hartl K, "Long-term quality of life, body image, and anxiety in women after breast cancer" 63 : 446-452, 2003

18 White JL, "Long-term breast cancer survivors’ perceptions of support from female partners : An exploratory study" 39 (39): 210-217, 2012

19 Davis LA, "Hardiness, social support, uncertainty, and adjustment in women clinically free of breast cancer" Alabama Univ 1997

20 Jacobsen PB, "Fatigue in women receiving adjuvant chemotherapy for breast cancer : characteristics, course, and correlates" 18 : 233-242, 1999

21 Eversley R, "Examining emotional outcomes among a multiethnic Cohort of breast cancer survivors" 38 (38): 279-288, 2011

22 Burgess C, "Depression and anxiety in women with early breast cancer : five year observational cohort study" 26 : 702-705, 2005

23 So HS, "Changes on the uncertainty, ways of doing, and depression for patients with uterine cervical cancer during the early adaptation process: a longitudinal study" Yonsei Univ 1995

24 Korean Breast Cancer Society, "Breast cancer facts & figures" Korean Breast Cancer Society 2012

25 Byun TH, "A study on the perception of breast reconstruction in mastectomized patients" 21 : 1225-1233, 1994

26 Jeon JY, "A study on body image, spouse support, and psychosocial adjustment of patients in mastectomy" 8 : 394-409, 1996

27 Zung WWK, "A self relating depression scale" 12 : 63-70, 1965

28 Tae YS, "A path analysis : a model of depression in Korean women with breast cancer-mediating effects of self-esteem and hope" 39 (39): 49-57, 2012

29 National Cancer Information Center, "2009 Cancer Statistics"