乳腺癌手术对抑郁和焦虑水平的影响：系统回顾和荟萃分析。

IF 3.4 2区医学 Q2 ONCOLOGY

BMC Cancer Pub Date : 2025-05-19 DOI:10.1186/s12885-025-14277-8

Fatemeh Movahed, Masoud Dehbozorgi, Saba Goodarzi, Fatemeh Esmaeilpur Abianeh, Razman Arabzadeh Bahri, Arman Shafiee

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引用次数: 0

摘要

背景：乳腺癌手术是一项具有潜在显著心理影响的关键干预措施。本系统综述和荟萃分析探讨了不同手术入路对乳腺癌患者抑郁和焦虑水平的影响。方法：根据PRISMA 2020指南，我们对截至2024年3月21日的PubMed、Scopus、Web of Science和Embase等国际文献计量数据库进行了全面检索。结果：从1576篇确定的文章中，筛选和资格评估后纳入13项研究。meta分析结果显示抑郁症显著降低(SMD: -0.14；95% CI: -0.25至-0.02)和焦虑(SMD: -0.42；95% CI: -0.56至-0.28)。亚组分析显示，乳房切除术患者的抑郁和焦虑都显著减少，而保乳手术和乳房重建的结果则更加多样化。结论：乳腺癌手术与抑郁和焦虑的减少有关，尤其是在乳房切除术后。进一步的研究应侧重于长期的心理影响，并针对不同的手术类型制定量身定制的干预措施。

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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Effect of breast cancer surgery on levels of depression and anxiety: a systematic review and meta-analysis.

Background: Breast cancer surgery is a critical intervention with potentially significant psychological impacts. This systematic review and meta-analysis investigate the effect of different surgical approaches on levels of depression and anxiety in breast cancer patients.

Methods: Following the PRISMA 2020 guidelines, we conducted a comprehensive search of international bibliometric databases including PubMed, Scopus, Web of Science, and Embase, up to March 21, 2024.

Results: From 1576 identified articles, 13 studies were included after screening and eligibility assessments. Meta-analysis results indicated a significant reduction in depression (SMD: -0.14; 95% CI: -0.25 to -0.02) and anxiety (SMD: -0.42; 95% CI: -0.56 to -0.28) following breast cancer surgery. Subgroup analysis revealed that mastectomy patients experienced a notable decrease in both depression and anxiety, while results for breast-conserving surgery and reconstruction were more varied.

Conclusions: Breast cancer surgery is associated with a decrease in depression and anxiety, particularly following mastectomy. Further research should focus on long-term psychological effects and the development of tailored interventions for different surgical types.

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来源期刊

BMC Cancer 医学-肿瘤学

CiteScore

6.00

自引率

2.60%

发文量

1204

审稿时长

6.8 months

期刊介绍： BMC Cancer is an open access, peer-reviewed journal that considers articles on all aspects of cancer research, including the pathophysiology, prevention, diagnosis and treatment of cancers. The journal welcomes submissions concerning molecular and cellular biology, genetics, epidemiology, and clinical trials.