The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Estimation of anxiety and depression in patients with early stage breast cancer before and after radiation therapy
Open accessAbstract
Background Most previous studies about anxiety and depression in patients undergoing radiotherapy have only measured the quantity of general depression and anxiety and have not studied specific periods of involvement. The aim of this study was to assess anxiety and depression among early breast cancer patients, and the anxiety experienced immediately before and after radiotherapy.Methods Women who started radiotherapy for stage I or II breast cancer (n = 172) were asked to answer two questionnaires: the Hospital Anxiety and Depression Scale (HADS) and Radiotherapy Categorical Anxiety Scale immediately before and after radiation therapy.Results The results showed that the mean scores of anxiety and depression (HADS and Radiotherapy Categorical Anxiety Scale) decreased after radiotherapy. The mean score of depression (HAD-D) in the group receiving conventional radiotherapy was higher than in those receiving hypofractionated radiotherapy before and after radiotherapy. The mean scores of anxiety and depression (HADS) in the endocrine therapy group were lower than in the group without endocrine therapy before treatment. However, the scores after treatment of both groups were not significant.Conclusion Some intervention may be needed to decrease the temporary anxiety and depression raised during radiotherapy for early stage breast cancer patients. This is especially so for patients who do not receive concurrent endocrine therapy and choose the conventional radiotherapy course.
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“Often related to fatigue are stress, anxiety, depression, and sleep disturbance – all of which are known to manifest before, during and following RT. 6”
Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · cited 11×
“The mean scores of anxiety and depression (HADS) in the endocrine therapy group were lower than in the group without endocrine therapy before treatment.”
MethodInfluentialThe validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779
Herrmann, C. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00216-4 · Cited by 2,885
Depression and anxiety in women with early breast cancer: five year observational cohort study
Burgess, C. C., Cornelius, V. R., Love, S., Graham, J., Richards, M. A., & Ramirez, A. J. (2005) · BMJ · doi:10.1136/bmj.38343.670868.d3 · Cited by 1,336 · cited 2×
“Almost half of the patients having early breast cancer had depression and/or anxiety within 1 year after diagnosis [6] and even after some years they continued to suffer from the distress of their disease, particularly with the worry about a recurrence [6, 21, 22].”
BackgroundResultScreening for Adjustment Disorders and Major Depressive Disorders in Cancer In-Patients
Razavi, D., Delvaux, N., Farvacques, C., & Robaye, E. (1990) · British Journal of Psychiatry · doi:10.1192/bjp.156.1.79 · Cited by 514
Psychological Sequelae of Cancer Diagnosis
Spijker, A. V., Trijsburg, R. W., & Duivenvoorden, H. J. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199705000-00011 · Cited by 511
Screening for Psychological Distress in Japanese Cancer Patients
Kugaya, A., Akechi, T., Okuyama, T., Okamura, H., & Uchitomi, Y. (1998) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/28.5.333 · Cited by 365 · cited 3×
“The cutoff scores of 10/11 and 19/20 for HADS among Japanese cancer patients were determined to detect adjustment disorder and major depressive disorder, respectively [16].”
BackgroundDifferences in patterns of depression after treatment for breast cancer
Deshields, T. L., Tibbs, T. L., Fan, M., & Taylor, M. (2005) · Psycho-Oncology · doi:10.1002/pon.962 · Cited by 245 · cited 1×
“such as the Center for Epidemiological Studies Depression Scale (CES-D) and HADS, respectively [2, 8, 9].”
MethodCulver, J. L., Arena, P. L., Antoni, M. H., & Carver, C. S. (2002) · Psycho-Oncology · doi:10.1002/pon.615 · Cited by 241 · cited 2×
“Almost half of the patients having early breast cancer had depression and/or anxiety within 1 year after diagnosis [6] and even after some years they continued to suffer from the distress of their disease, particularly with the worry about a recurrence [6, 21, 22].”
BackgroundResultHopwood, P., Howell, A., & Maguire, P. (1991) · British Journal of Cancer · doi:10.1038/bjc.1991.304 · Cited by 189
Research works printed but not linked: 1
- Zigmond AS, Snaith RP, Kitamura T. Hospital Anxiety and Depression Scale (HAD). Seishinka Shindangaku. 1993;4:371–2. (in Japanese).
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Lalla, V. D., Chaput, G., Williams, T., & Sultanem, K. (2020) · Current Oncology · doi:10.3747/co.27.6233 · Cited by 165
Ho, S. S. M., So, W. K. W., Leung, D. Y. P., Lai, E. T. L., & Chan, C. W. H. (2013) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2013.04.005 · Cited by 88
Torres, M. A., Pace, T. W. W., Liu, T., Felger, J. C., Mister, D., Doho, G., Kohn, J. N., Barsevick, A. M., Long, Q., & Miller, A. H. (2013) · Cancer · doi:10.1002/cncr.28003 · Cited by 71
“Because previous studies have demonstrated a relationship between baseline distress and depression, distress was assessed by using the perceived stress scale (PSS), which has been used in multiple populations, including breast cancer patients undergoing radiation.(2,28)”
BackgroundMethodMarta, G. N., Macedo, C. R., Carvalho, H. D. A., Hanna, S. A., da Silva, J. L. F., & Riera, R. (2014) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2014.11.014 · Cited by 70
“Moreover, a shorter period of time needed to deliver treatment might improve the convenience and quality of life of the patients, possibly reducing the physical and psychological stress related to the radiotherapy [41,42].”
BackgroundDepression and family support in breast cancer patients
Su, J., Yeh, D., Chang, C., Lin, T.-C., Lai, C.-H., Hu, P.-Y., Ho, Y.-F., Chen, V. C., Wang, T., & Gossop, M. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s135624 · Cited by 66
Manne, S. L., Siegel, S. D., Heckman, C. J., & Kashy, D. A. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000110 · Cited by 39
“…symptoms within the first year after diagnosis (Christensen et al., 2009; Deshields, Tibbs & Taylor, 2005; Ganz, Kwan, Stanton et al., 2011; Kawase et al., 2012; Luutonen et al., 2011; Vadnaninia et al., 2010), and between 12.5% and 48% of women report clinically-significant levels of…”
BackgroundInfluentialAstrup, G. L., Hofsø, K., Paul, S. M., Miaskowski, C. A., & Rustøen, T. (2012) · Cancer Nursing · doi:10.1097/ncc.0b013e31826fc9cc · Cited by 27
Shin, J., Chang, J. S., Kim, J. S., An, J., Chung, S. Y., Yoon, S., & Kim, Y. B. (2023) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2023.06.275 · Cited by 27
Augmented Reality in Radiology for Education and Training—A Design Study
Raith, M. A., Kamp, C., Stoiber, C., Jakl, A., & Wagner, M. (2022) · Healthcare · doi:10.3390/healthcare10040672 · Cited by 27
Abbreviated course of radiotherapy (RT) for breast cancer
Schoenfeld, J. D., & Harris, J. R. (2011) · The Breast · doi:10.1016/s0960-9776(11)70308-3 · Cited by 24
Patients' outcomes related to person-centred nursing care in radiation oncology: A case study
Rose, P. M., & Yates, P. M. (2015) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2015.05.008 · Cited by 21
Exploring clinical determinants and anxiety symptom domains among Asian breast cancer patients
Cheung, Y. T., Lee, H. H.-L., & Chan, A. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1769-8 · Cited by 19
Shaitelman, S. F., Khan, A. J., Woodward, W. A., Arthur, D. W., Cuttino, L. W., Bloom, E. S., Shah, C., Freedman, G. M., Wilkinson, J. B., Babiera, G. V., et al. (2014) · The Breast Journal · doi:10.1111/tbj.12232 · Cited by 19
Wu, Z. F., Wang, G., Pan, D. D., Guo, Y., Zeng, X., Sun, Y., & Cao, J. (2016) · Beneficial Microbes · doi:10.3920/bm2015.0192 · Cited by 19
Lewis, F., Merckaert, I., Liénard, A., Libert, Y., Étienne, A.-M., Reynaert, C., Slachmuylder, J., Scalliet, P. G. M., Houtte, P. V., Coucke, P. A., et al. (2014) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2014.07.017 · Cited by 18
“Many studies have shown that patients undergoing radiotherapy often experience anxiety [1–7].”
BackgroundThe Level of COVID-19 Anxiety among Oncology Patients in Poland
Grajek, M. K., Krupa-Kotara, K. H., Rozmiarek, M., Sobczyk, K., Działach, E., Górski, M. K., & Kobza, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811418 · Cited by 18
Vintilă, M., Ştefǎnuţ, A. M., & Sârbescu, P. (2019) · Current Psychology · doi:10.1007/s12144-019-00543-z · Cited by 14
Zaheer, S., Gul, R. B., Bhamani, S. S., & Memon, M. A. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101826 · Cited by 14
Tagliaferri, L., Lancellotta, V., Colloca, G. A., Marazzi, F., Masiello, V., Garganese, G., Kovács, G., Valentini, V., & Gambacorta, M. A. (2020) · Journal of Oncology · doi:10.1155/2020/3928976 · Cited by 12
Accelerated partial-breast irradiation: the current state of our knowledge.
Shaitelman, S. F., & Kim, L. H. (2013) · PubMed · Cited by 12
Mouw, K. W., & Harris, J. R. (2012) · PubMed · Cited by 11
Mood Disorder in Cancer Patients Undergoing Radiotherapy During the COVID-19 Outbreak
Nardone, V., Reginelli, A., Vinciguerra, C., Correale, P., Calvanese, M. G., Falivene, S., Sangiovanni, A., Grassi, R., Biase, A. D., Polifrone, M. A., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.568839 · Cited by 10
“Conversely, Kawase et al. investigated a homogeneous cohort of 172 patients with early-stage breast cancer and found that 42% of the patients showed depressive disorder (Kawase et al., 2012).”
BackgroundHypofractionation in the era of modulated radiotherapy (RT)
Mouw, K. W., & Harris, J. R. (2013) · The Breast · doi:10.1016/j.breast.2013.07.024 · Cited by 9
Psychosomatic symptoms affect radiotherapy setup errors in early breast cancer patients
He, Y., Gao, C., Pang, Y., Chen, J.-X., & Tang, L. (2021) · Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · doi:10.21147/j.issn.1000-9604.2021.03.04 · Cited by 7
Bhandari, T., Babaran, W., Forouzannia, A., Williams, V. L., Harness, J. K., Carpenter, M. M., Gobran, M., Khanijou, R. K., Wagman, B., ASH, R. B., et al. (2017) · Brachytherapy · doi:10.1016/j.brachy.2017.09.002 · Cited by 7
Quality of Life and Symptom Experience of Breast Cancer Patients Undergoing Chemotherapy
Şahin, Z. A., & Tan, M. (2016) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000157 · Cited by 6
Victorson, D., Mishra, K. K., Sauer, J., Langford, G., Maletich, C., Horowitz, B., Sauer, C., Sejpal, S. V., & Kalapurakal, J. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241249140 · Cited by 5
Depression and anxiety in patients with breast cancer receiving radiotherapy: a longitudinal study
Wang, S.-J., Feng, X., Zhang, W., Sun, G.-Y., Fang, H., Hao, J., Tang, Y., Li, T., Qi, S., Song, Y.-W., et al. (2025) · Therapeutic Advances in Medical Oncology · doi:10.1177/17588359251345930 · Cited by 5
“8,28,32 This may indicate that what matters to patients most is the side effects or the financial burden caused by treat-ment rather than the treatment itself.”
InfluentialFerreira, A. S., Bicalho, B. P., Oda, J. M. M., Duarte, S. J. H., & Machado, R. M. (2016) · Arquivos de Ciências da Saúde da UNIPAR · doi:10.25110/arqsaude.v19i3.2015.5548 · Cited by 4
Cihan, Y. B., & Öztürk, O. (2023) · Klinicka onkologie · doi:10.48095/ccko2023453 · Cited by 1
Unthink pink : master narratives and counterstories of breast cancer.
Hume, J. C. (2017) · doi:10.18297/etd/2659 · Cited by 1
Effect of Yoga on Sleep Quality among Adult Cancer Patients: A Systematic Review Protocol
Alexander, G. K., & Lockwood, S. (2013) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2013-612
Astrup, G. L. (2012) · NORA - Norwegian Open Research Archives
ACCELERATED PARTIAL-BREAST IRRADIATION: A STATE OF THE ART STRATEGY.
Service., P.-K. R. O., Hamoud, E., Ghorbel, I., Service., P.-K. R. O., Falfali, K., Service., P.-K. R. O., Zahrani, A., service., K. B. &. E. S., Alawi, Y., Qatarneh, S. M., et al. (2017) · International Journal of Advanced Research · doi:10.21474/ijar01/4223
Güven, E., & Birsen, A. (2022) · Progress in Health Sciences · doi:10.5604/01.3001.0015.8863
Wang, S., Feng, X., Zhang, W., Fang, H., Jing, H., Tang, Y., Li, T., Qi, S., Song, Y.-W., Zhang, W., et al. (2025) · Breast Cancer · doi:10.1007/s12282-025-01690-x
“Only one study on RT-related anxiety suggested that the total RCAS scores are higher before RT than after RT in patients with stage I–II BC [13], which is consistent with our results.”
Influential
Metadata
- Authors
- Kawase, E., Karasawa, K., Shimotsu, S., Izawa, H., Hirowatari, H., Saito, A. I., Ito, K., & Horikawa, N.
- Affiliations
- Social Insurance Saitama Chuo Hospital (JP)
- Juntendo University (JP)
- Kyushu University of Medical Science (JP)
- Corresponding author
- Karasawa, Kumiko
- Venue
- Breast Cancer
- Published
- 2010-09-03
- Volume
- 19
- Issue
- 2
- Pages
- 147-152
- ISSN
- 1340-6868 (ISSN-L)
- 1880-4233
- OpenAlex
- W2005956609
- Cited by
- 36
- References
- 24
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 1 · 2017: 4 · 2016: 4 · 2015: 1 · 2014: 3 · 2013: 6 · 2012: 3
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- green
- repo.qst.go.jp
- Licence
- cc-by-nc-nd
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
- QST-Repository (National Institutes for Quantum and Radiological Science and Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anxiety, depression, early breast cancer, radiotherapy, hypofractionated radiotherapy, endocrine therapy, Hospital Anxiety and Depression Scale
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety Disorders, Breast Neoplasms, Depressive Disorder, Female, Humans, Middle Aged, Neoplasm Staging, Prognosis, Surveys and Questionnaires, Dose Fractionation, Radiation
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