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The effect of a pathology clinic on the mental state and adjustment of patients with breast cancer

Published online by Cambridge University Press:  10 April 2015

Miyuki Nagashima-Nishimaki*
Affiliation:
Department of Psychiatry, National Hospital Organization Kure Medical Center, Hiroshima, Japan
Kiyomi Taniyama
Affiliation:
Institute for Clinical Research, National Hospital Organization Kure Medical Center, Hiroshima, Japan
Hanae Minami
Affiliation:
Department of Psychiatry, National Hospital Organization Kure Medical Center, Hiroshima, Japan
Minoru Takebayashi
Affiliation:
Department of Psychiatry, National Hospital Organization Kure Medical Center, Hiroshima, Japan Institute for Clinical Research, National Hospital Organization Kure Medical Center, Hiroshima, Japan
*
Address correspondence and reprint requests to: Minoru Takebayashi, Department of Psychiatry, National Hospital Organization Kure Medical Center, 3-1 Aoyama, Kure, Hiroshima, 737-0023, Japan. E-Mail: [email protected]

Abstract

Objective:

In this study, we examine whether a pathology clinic, conducted by pathologists, a novel medical tool that provides an explanation for the diagnosis of a cancer, can influence the mental state and adjustment of breast cancer patients.

Method:

We created a paper-based questionnaire and interviewed targeted breast cancer patients, who had undergone radical surgery, before and after they visited the clinic.

Results:

We found that there may be increased motivation for treatment, a greater sense of reassurance, and reduced anxiety (as indicated by the Hospital Anxiety and Depression Scale (HADS)) in the group that attended the clinic.

Significance of Results:

Our results suggest that visiting the pathology clinic may reduce anxiety over the short term. On the other hand, Mental Adjustment to Cancer (MAC) Anxious Preoccupation scores were significantly higher in this group as well, both before and after attendance, compared to the group that did not attend. The attending group may have reduced anxiety by such actions as collecting medical data on the cause of their anxiety and adopting healthier behaviors. Our findings suggest that appropriate emotional support and provision of medical information are very important in dealing with patient anxiety.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2015 

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References

REFERENCES

Akechi, T., Okuyama, T., Imoto, S., et al. (2001). Biomedical and psychosocial determinants of psychiatric morbidity among postoperative ambulatory breast cancer patients. Breast Cancer Research and Treatment, 65, 195202.CrossRefGoogle ScholarPubMed
Davidson, R., Geoghegan, L., McLaughlin, L. et al. (2005). Psychological characteristics of cancer patients who use complementary therapies. Psycho-Oncology, 14, 187195.CrossRefGoogle ScholarPubMed
Fujimori, M., Parker, P.A., Akechi, T., et al. (2007). Japanese cancer patients' communication style preferences when receiving bad news. Psycho-Oncology, 16, 617625.CrossRefGoogle ScholarPubMed
Holstein, J.A. & Gubrium, J F. (1995). The active interview. Qualitative research methods series, Vol. 37. Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
Kugaya, A., Akechi, T., Okuyama, T., et al. (1998). Screening for psychological distress in Japanese cancer patients. Japanese Journal of Clinical Oncology, 28, 333338.CrossRefGoogle ScholarPubMed
Kvale, S. (1996). Interviews: An introduction to qualitative research interviewing. Thousand Oaks, CA: Sage Publications.Google Scholar
Lofland, J. & Lofland, L. (1995). Analyzing social settings: A guide to qualitative observation and analysis, 3rd ed. Belmont, CA: Wadsworth Publishing.Google Scholar
Matsuoka, Y., Nakano, T., Inagaki, M., et al. (2002). Cancer-related intrusive thoughts as an indicator of poor psychological adjustment at 3 or more years after breast surgery: A preliminary study. Breast Cancer Research and Treatment, 76, 117124.CrossRefGoogle ScholarPubMed
Taniyama, K., Kuraoka, K., Saito, A., et al. (2012). Social significance of diagnostic pathology as a role of pathology clinic. Rangsit Journal of Arts and Science, 2, 7384.Google Scholar
Watson, M., Greer, S., Young, J., et al. (1988). Development of a questionnaire measure of adjustment to cancer: The MAC scale. Psychological Medicine, 18, 203209.CrossRefGoogle ScholarPubMed
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed