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Rapid emotional recovery of breast-cancer survivors surprises researchers

Contrary to psychologists' expectations, breast cancer survivors don't experience an extended emotional crisis after their treatment regimens end, according to a new study by researchers at Washington University School of Medicine in St. Louis. The study appears in the December issue of Supportive Care in Cancer.

"We thought we'd find that women do worse psychologically after treatment," says Washington University psychologist, Teresa L. Deshields, Ph.D., assistant professor of medicine. "That's the clinical lore. After all, many of the patients referred to us are the ones struggling at the end of treatment. But our study shows that within two weeks most women adjust very well to survivorship."

The research team surveyed 94 women drawn from patients of the radiation oncology practice at the Siteman Cancer Center at Washington University School of Medicine and Barnes-Jewish Hospital. The women, averaging 55 years of age, had stage 0, I, II or III breast cancer and at the start of the study were completing the last of a six- to seven-week course of daily radiation treatments.

The women were surveyed five times: on their last day of radiation treatment, two weeks later, several days before their first follow-up appointment (four to six weeks post-treatment) and at three and six months. The survey measured patients' depressive symptoms and quality of life (the quality of life measurement quantifies a set of attributes that include physical, social/family, emotional and functional well-being, and breast-cancer-specific concerns). For the group of breast-cancer survivors, the average score for indications of depression was heightened at the end of treatment compared to a group of healthy men and women. A higher score on the depression index indicates more severe depressive symptoms.

The measure of depressive symptoms dropped significantly after treatment, reaching a low two weeks later and staying fairly stable to the six-month time point. The a
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Contact: Gwen Ericson
ericsong@wustl.edu
314-286-0141
Washington University School of Medicine
21-Dec-2005


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