dc.contributor.author | Hill, J. | |
dc.contributor.author | Holcombe, C. | |
dc.contributor.author | Clark, L. | |
dc.contributor.author | Boothby, M. R. K. | |
dc.contributor.author | Hincks, A. | |
dc.contributor.author | Fisher, J. | |
dc.contributor.author | Salmon, P. | |
dc.date.accessioned | 2019-08-13T12:10:23Z | |
dc.date.accessioned | 2019-08-13T16:04:07Z | |
dc.date.available | 2019-08-13T12:10:23Z | |
dc.date.available | 2019-08-13T16:04:07Z | |
dc.date.issued | 2011 | |
dc.identifier.issn | 0033-2917 | |
dc.identifier.uri | https://dx.doi.org/10.1017/S0033291710001868 | |
dc.identifier.uri | http://hdl.handle.net/11446/3236 | |
dc.description | WOS: 000291854700010 | en_US |
dc.description | PubMed ID: 20942992 | en_US |
dc.description.abstract | Background. Depression and anxiety are common after diagnosis of breast cancer. We examined to what extent these are recurrences of previous disorder and, controlling for this, whether shame, self-blame and low social support after diagnosis predicted onset of depression and anxiety subsequently. Method. Women with primary breast cancer who had been treated surgically self-reported shame, self-blame, social support and emotional distress post-operatively. Psychiatric interview 12 months later identified those with adult lifetime episodes of major depression (MD) or generalized anxiety disorder (GAD) before diagnosis and onset over the subsequent year. Statistical analysis examined predictors of each disorder in that year. Results. Of the patients, two-thirds with episodes of MD and 40% with episodes of GAD during the year after diagnosis were experiencing recurrence of previous disorder. Although low social support, self-blame and shame were each associated with both MD and GAD after diagnosis, they did not mediate the relationship of disorder after diagnosis with previous disorder. Low social support, but not shame or self-blame, predicted recurrence after controlling for previous disorder. Conclusions. Anxiety and depression during the first year after diagnosis of breast cancer are often the recurrence of previous disorder. In predicting disorder following diagnosis, self-blame and shame are merely markers of previous disorder. Low social support is an independent predictor and therefore may have a causal role. | en_US |
dc.description.sponsorship | Cancer Research UK; Institute of Advanced Studies at LaTrobe University, Melbourne | en_US |
dc.description.sponsorship | This work was funded by a research grant from Cancer Research UK to P.S., J.H., C.H. and J.F. We are grateful for the enthusiastic cooperation of consultant and specialist nursing staff in Royal Liverpool University Hospital and Whiston Hospital. Preparation of the manuscript was assisted by the award of a Distinguished Fellowship to P.S. from the Institute of Advanced Studies at LaTrobe University, Melbourne. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | CAMBRIDGE UNIV PRESS | en_US |
dc.identifier.doi | 10.1017/S0033291710001868 | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Anxiety | en_US |
dc.subject | breast cancer | en_US |
dc.subject | depression | en_US |
dc.subject | onset | en_US |
dc.title | Predictors of onset of depression and anxiety in the year after diagnosis of breast cancer | en_US |
dc.type | article | en_US |
dc.relation.journal | PSYCHOLOGICAL MEDICINE | en_US |
dc.department | DBÜ | en_US |
dc.identifier.issue | 7 | en_US |
dc.identifier.volume | 41 | en_US |
dc.identifier.startpage | 1429 | en_US |
dc.identifier.endpage | 1436 | en_US |
dc.contributor.authorID | 0000-0001-6450-5209 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.department-temp | [Clark, L. -- Hincks, A. -- Salmon, P.] Univ Liverpool, Div Clin Psychol, Liverpool L69 3GB, Merseyside, England -- [Hill, J.] Univ Manchester, Child Psychiat Res Grp, Manchester, Lancs, England -- [Holcombe, C. -- Fisher, J.] Royal Liverpool Univ Hosp, Breast Unit, Linda McCartney Ctr, Liverpool, Merseyside, England -- [Boothby, M. R. K.] Istanbul Bilim Univ, Dept Psychol, Istanbul, Turkey -- [Tufail, S.] N Manchester Grp Hosp, Manchester, Lancs, England | en_US |