Psychological distress in Chinese women with benign breast disease and breast cancer during diagnosis: A cross-sectional study.

IF 1.9 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Advances in Clinical and Experimental Medicine Pub Date : 2025-09-04 DOI:10.17219/acem/204102

Yan Gao, Jintao Wang, Jun Guo, Jinnan Gao

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Abstract

Background: Research on the psychological distress experienced by women with benign breast disease (BBD) remains limited, though some evidence suggests it may resemble that of women with breast cancer (BC).

Objectives: This study aimed to use the Distress Thermometer (DT) to assess the levels of psychological distress and identify influencing factors during the diagnostic phase in patients with BC and BBD.

Material and methods: From October 2022 to May 2023, a questionnaire survey incorporating the DT and Problem List (PL) was conducted among inpatients in the diagnostic phase for BC or BBD at the Breast Surgery Department of Shanxi Bethune Hospital (Taiyuan, China). Statistical analysis, including descriptive and inferential methods, was performed to examine factors affecting psychological distress in patients with BBD and BC.

Results: In this study, 373 participants were evaluated for psychological distress during the diagnostic phase. Among 255 patients diagnosed with BBD, the median distress score was 4, with a distress prevalence of 52%. The primary sources of distress included anxiety (43.5%), fear (21.2%), pain (7.1%), sleep disturbances (6.7%), and childcare responsibilities (5.1%). Among 118 BC patients, the median distress score was slightly higher at 4.5, with a distress prevalence of 63.6%. Key distress factors were anxiety (47.5%), fear (33.1%), financial worries (21.2%), depression (18.6%), and sadness (15.3%). Key predictors of distress varied between the 2 groups. For patients diagnosed with BBD, younger age, lower education levels, unemployment, and a higher Breast Imaging Reporting and Data System (BI-RADS®) classification significantly contributed to higher distress levels. In patients diagnosed with BC, younger age, lower education levels, and unemployment were the primary risk factors.

Conclusions: These findings underscore the psychological burden faced by both patient groups during diagnosis, highlighting the need for early identification and management of distress in this population.

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中国女性良性乳腺疾病和乳腺癌诊断期间的心理困扰：一项横断面研究

背景：尽管一些证据表明，良性乳腺疾病（BBD）女性的心理困扰可能与乳腺癌（BC）女性相似，但对其心理困扰的研究仍然有限。目的：本研究旨在使用困扰温度计（DT）评估BC和BBD患者在诊断阶段的心理困扰水平，并确定影响因素。材料与方法：于2022年10月至2023年5月，在山西省白求恩医院乳腺外科对BC或BBD诊断期住院患者进行DT和问题清单（Problem List， PL）问卷调查。统计分析，包括描述性和推断性方法，检查影响BBD和BC患者心理困扰的因素。结果：在本研究中，373名参与者在诊断阶段进行了心理困扰评估。在255名诊断为BBD的患者中，困扰评分中位数为4分，困扰患病率为52%。苦恼的主要来源包括焦虑（43.5%）、恐惧（21.2%）、疼痛（7.1%）、睡眠障碍（6.7%）和照顾孩子的责任（5.1%）。在118例BC患者中，困扰评分中位数略高，为4.5分，困扰患病率为63.6%。主要的困扰因素为焦虑（47.5%）、恐惧（33.1%）、经济担忧（21.2%）、抑郁（18.6%）和悲伤（15.3%）。两组患者的主要焦虑预测指标有所不同。对于诊断为BBD的患者，年龄较小、受教育程度较低、失业和较高的乳腺成像报告和数据系统（BI-RADS®）分类显著增加了其痛苦程度。在诊断为BC的患者中，年龄较小、教育水平较低和失业是主要的危险因素。结论：这些发现强调了两组患者在诊断过程中所面临的心理负担，强调了在这一人群中早期识别和管理痛苦的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Clinical and Experimental Medicine MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

3.70

自引率

4.80%

发文量

153

审稿时长

6-12 weeks

期刊介绍： Advances in Clinical and Experimental Medicine has been published by the Wroclaw Medical University since 1992. Establishing the medical journal was the idea of Prof. Bogumił Halawa, Chair of the Department of Cardiology, and was fully supported by the Rector of Wroclaw Medical University, Prof. Zbigniew Knapik. Prof. Halawa was also the first editor-in-chief, between 1992-1997. The journal, then entitled "Postępy Medycyny Klinicznej i Doświadczalnej", appeared quarterly. Prof. Leszek Paradowski was editor-in-chief from 1997-1999. In 1998 he initiated alterations in the profile and cover design of the journal which were accepted by the Editorial Board. The title was changed to Advances in Clinical and Experimental Medicine. Articles in English were welcomed. A number of outstanding representatives of medical science from Poland and abroad were invited to participate in the newly established International Editorial Staff. Prof. Antonina Harłozińska-Szmyrka was editor-in-chief in years 2000-2005, in years 2006-2007 once again prof. Leszek Paradowski and prof. Maria Podolak-Dawidziak was editor-in-chief in years 2008-2016. Since 2017 the editor-in chief is prof. Maciej Bagłaj. Since July 2005, original papers have been published only in English. Case reports are no longer accepted. The manuscripts are reviewed by two independent reviewers and a statistical reviewer, and English texts are proofread by a native speaker. The journal has been indexed in several databases: Scopus, Ulrich’sTM International Periodicals Directory, Index Copernicus and since 2007 in Thomson Reuters databases: Science Citation Index Expanded i Journal Citation Reports/Science Edition. In 2010 the journal obtained Impact Factor which is now 1.179 pts. Articles published in the journal are worth 15 points among Polish journals according to the Polish Committee for Scientific Research and 169.43 points according to the Index Copernicus. Since November 7, 2012, Advances in Clinical and Experimental Medicine has been indexed and included in National Library of Medicine’s MEDLINE database. English abstracts printed in the journal are included and searchable using PubMed http://www.ncbi.nlm.nih.gov/pubmed.