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Title: Psychological impact of diagnosis and surgery in the treatment of early stage breast cancer
Author: Johnston, Elaine
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2001
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Comparable effectiveness of breast conserving therapy (BCT) with mastectomy for early stage breast cancer has now been demonstrated (Early Breast Trialists' Collaborative Group, 1995). The widespread introduction of BCT was expected to significantly improve the quality of life for many women (Fallowfield & Clark, 1992). However, studies comparing the psychosocial outcome of BCT with mastectomy have failed to demonstrate any evidence of substantial benefit for BCT in relation to aspects of quality of life other than body image, with levels of psychological distress as frequent for patients in both groups (Moyer, 1997). As many women may now be offered a choice of treatment, psychological factors have been increasingly recognised as important for optimal matching of patients with appropriate treatment options in relation to quality of life issues (Stanton, Cameron, Danoff-Burg et al, 2000). The aim of this study was to investigate predictors of psychological adjustment among women recently diagnosed and undergoing surgery for early stage breast cancer. Psychological adjustment pre and post survey was compared for patients undergoing either breast-conserving surgery or mastectomy in relation to several key aspects of psychosocial outcome reported in the literature: psychological distress (anxiety/depression), body image satisfaction, adjustment/coping, and emotional processing of experience (intrusion/avoidance and expression of emotion). Results are discussed with reference to the relevant literature and in relation to implications for aspects of psychosocial care for breast cancer patients.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available