Shahid Hameed Warris, Sumira Qambar Bokhari, Muhammmad Nasar Sayeed Khan, Nauman Mazhar.
Depression In Post-Mastectomy Breast Cancer Patients.
Esculapio J Services Inst Med Sci Jan ;12(4):194-8.

Objective: To compare the frequency and association of depression in post-mastectomy breast cancer patients. Methods: Two Fifty consecutive outdoor breast cancer patients were included in the study that had undergone mastectomy in the preceding 2-4weeks. They were compared with physically healthy matched females who were accompanying the patients suffering from various cancers to the out patient department of oncology units. A semi structured interview and Present State Examination (PSE) were administered to assess symptomatology. Patients were diagnosed as suffering from depression on the basis of Diagnostic and Statistical Manual of Mental disorders; fourth edition (DSM-|V). The Hamilton Rating Scale for Depression (HRDS) was administered to the positive cases in order to determine the severity of the depressive symptoms. Results: Depressive disorder was found in 20% of post mastectomy breast cancer patients in comparison to 16 % of control group. Depressive disorder was more prevalent (88.8%) in breast cancer females who were younger than their husbands by 0-4 years and those women who had nuclear family system. Among the control group (caregivers/ attendants), depressive disorder was more prevalent (87%) among mothers and sisters of cancer patients (p

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