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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Depression and Breast Cancer—Postoperative Short-Term Implications

by
Răzvan V. Scăunașu
1,2,
Ștefan Voiculescu
1,2,
Bogdan Popescu
1,2,*,
Roxana Popa
1,
Denisa Bălălău
2,
Laura Răducu
3,
Cristina N. Cozma
2,3 and
Cristian R. Jecan
2,3
1
Department of General Surgery, Colțea Clinical Hospital, Bucharest, Romania
2
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
3
Department of Plastic Surgery, Agrippa Ionescu Emergency Clinical Hospital, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2018, 5(1), 82-84; https://doi.org/10.22543/7674.51.P8284
Submission received: 25 January 2018 / Revised: 25 February 2018 / Accepted: 25 March 2018 / Published: 31 March 2018

Highlights

  • surgical patients with depression might have poorer short-term outcomes, while the therapy often requires more resources
  • these patients are more likely to develop postoperative complications, which do not necessarily require reintervention, but prolonge the hospitalization period

Abstract

Introduction. Pre and postoperative psychological status is an important aspect in patients diagnosed with breast cancer, having a great impact on their quality of life. Considering the high incidence, mortality rate, and the added effect on self-image, breast cancer is considered a major stressor for women worldwide, almost 50% of these experiencing psychological distress. Methods. Our study retrospectively analysed the relationship between preoperative diagnosed depression and the number of medical care days, on patients diagnosed with breast cancer and admitted for surgical treatment in Colțea Clinical Hospital between 2017 and 2018. Results. We had 62 patients scheduled for breast cancer surgery, who had been preoperatively evaluated using psychological tests. Of those patients, 18 had scores indicating significant symptoms of depression (moderate or severe symptoms, HDSR > 17). Patients with high HDSR scores needed an 18.4% longer hospitalization than patients without symptoms of depression. They also had 35.4% more ambulatory visits in the month following discharge, and a higher incidence of postoperative complications. Conclusions. There seem to be both physiological and somatic determinants responsible for the need of prolonged medical care, but the mechanisms responsible for these effects remain unclear. Identifying high-risk patients could not only lower the postoperative morbidity, but also increase the therapeutic outcomes.
Keywords: breast cancer; mood disorder; anxiety; depression; postoperative implications breast cancer; mood disorder; anxiety; depression; postoperative implications

Share and Cite

MDPI and ACS Style

Scăunașu, R.V.; Voiculescu, Ș.; Popescu, B.; Popa, R.; Bălălău, D.; Răducu, L.; Cozma, C.N.; Jecan, C.R. Depression and Breast Cancer—Postoperative Short-Term Implications. J. Mind Med. Sci. 2018, 5, 82-84. https://doi.org/10.22543/7674.51.P8284

AMA Style

Scăunașu RV, Voiculescu Ș, Popescu B, Popa R, Bălălău D, Răducu L, Cozma CN, Jecan CR. Depression and Breast Cancer—Postoperative Short-Term Implications. Journal of Mind and Medical Sciences. 2018; 5(1):82-84. https://doi.org/10.22543/7674.51.P8284

Chicago/Turabian Style

Scăunașu, Răzvan V., Ștefan Voiculescu, Bogdan Popescu, Roxana Popa, Denisa Bălălău, Laura Răducu, Cristina N. Cozma, and Cristian R. Jecan. 2018. "Depression and Breast Cancer—Postoperative Short-Term Implications" Journal of Mind and Medical Sciences 5, no. 1: 82-84. https://doi.org/10.22543/7674.51.P8284

APA Style

Scăunașu, R. V., Voiculescu, Ș., Popescu, B., Popa, R., Bălălău, D., Răducu, L., Cozma, C. N., & Jecan, C. R. (2018). Depression and Breast Cancer—Postoperative Short-Term Implications. Journal of Mind and Medical Sciences, 5(1), 82-84. https://doi.org/10.22543/7674.51.P8284

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