Prevalence of depression in breast cancer survivors: a systematic review of observational studies
Open accessAbstract
BACKGROUND: Depression is common in breast cancer patients. The aim of this paper was to make a systematic review of its prevalence and associated factors oin breast cancer survivors. MATERIALS AND METHODS: An extensive systematic electronic review (PUBMED, CINAHL, PsyINFO and Ovid) and handsearch were carried out to retrieve published articles up to November 2012, using Depression OR Dysthymia AND (Cancer OR Tumor OR Neoplasms as the keywords. Information about the design of the studies, measuring scale, characteristics of the participants, prevalence of depression and its associated factors from the included studies were extracted and summarized. RESULTS: We identified 32 eligible studies that recruited 10,826 breast cancer survivors. Most were cross-sectional or prospective designed. The most frequent instrument used to screen depression was the Center for Epidemiological Studies for Depression (CES-D, n=11 studies) followed by the Beck Depression Inventory (BDI, n=6 studies) and the Hospital Anxiety and Depression Scale (HADS, n=6 studies). CES-D returned about similar prevalence of depression (median=22%, range=13-56%) with BDI (median=22%, range=17-48%) but higher than HADS (median=10%, range=1-22%). Depression was associated with several socio-demographic variables, cancer-related factors, treatment-related factors, subject psychological factors, lifestyle factors, social support and quality of life. CONCLUSIONS: Breast cancer survivors are at risk for depression so that detection of associated factors is important in clinical practice.
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The prevalence of depression and anxiety in breast cancer survivors varies from 6% to 56% and 17.9% to 33.3%, respectively.
“Recent reviews by Zainal et al. (2013) and Maass et al. (2015) determined that the prevalence of depression and anxiety in breast cancer survivors varies from 6% to 56% and 17,9% to 33,3%, respectively.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Zainal et al., 2013
The “Prevalence of depression” section reports a range of 1%–56% in breast cancer survivors, not 6%–56%; the Discussion repeats 1%–56%. The anxiety range is attributed to Maass et al. in the citing sentence, so it is not assessed against Zainal et al. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCompared to the general female population, the prevalence of depression in breast cancer survivors is higher and persistent over >5 years after diagnosis, while the prevalence of anxiety is equivalent to the general female population.
“When compared to the general female population, the prevalence of depression was found to be higher and persistent over >5 years after diagnosis, while the prevalence of anxiety was considered equivalent to results exhibited by the general female population.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Zainal et al., 2013
The 'Prevalence of depression' section reports depression among breast cancer survivors, and the Results table includes measurements through 60 months after diagnosis. Neither establishes that depression remains higher than in the general female population beyond five years; the paper also does not report that anxiety prevalence is equivalent to that population. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Cites
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InfluentialDifferences in patterns of depression after treatment for breast cancer
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BackgroundInfluentialPost-Treatment Symptoms Among Ethnic Minority Breast Cancer Survivors
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BackgroundInfluentialStudy of Sexual Functioning Determinants in Breast Cancer Survivors
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InfluentialUnmet Needs of Breast Cancer Patients Relative to Survival Duration
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“The prevalence of depression from the Asian studies (Inagaki et al., 2004; Karakoyun-Celik et al., 2010; Vahdaninia et al., 2010; Chen et al., 2009; Alcalar et al., 2012; Hsiao et al., 2012; Jang et al., 2012) reported a narrower range of 12.”
InfluentialPan, L., Han, Y., Sun, X., Liu, J., & Gang, H. (2010) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-009-0746-6 · Cited by 77 · cited 2× · see citing works
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An assessment of the CES-D scale factor structure in black women: The Black Women's Health Study
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BackgroundMethodPoststroke Depression Incidence and Risk Factors
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Influentialvan Wilgen, C. P., Dijkstra, P. U., Stewart, R. E., Ranchor, A. V., & Roodenburg, J. L. N. (2006) · Psychosomatics · doi:10.1176/appi.psy.47.6.465 · Cited by 59 · see citing works
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“…depressive symptoms (Den Oudsten et al., 2009), poor body image, less attractiveness, less feminine (Begovic-Juhant et al., 2012), negative automatic thoughts, more cognitive errors, low fighting spirit (Alcalar et al., 2012) and lacking presence of the meaning of life (Hsiao et al., 2012).”
InfluentialPopoola, A. O., & Adewuya, A. O. (2011) · Psycho-Oncology · doi:10.1002/pon.1968 · Cited by 54 · cited 1× · see citing works
“Depression is often underestimated in breast cancer sufferers, with prevalence varied between 10% and 25% (Qiu et al., 2012; Popoola and Adewuya, 2012).”
BackgroundEvaluation of screening instruments for depression and anxiety in breast cancer survivors
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Depression and Perceptions of Quality of Life of Breast Cancer Survivors and Their Male Partners
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“Three studies found poor quality of life was significantly associated with depression (Deshields et al., 2006; Chen et al., 2009; Rabin et al., 2009) in which Rabin et al.”
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“One study found that depression was correlated with poor quality and dietary intakes (Tangney et al., 2002).”
BackgroundPsychological and sexual disorders in long-term breast cancer survivors
Tralongo, P., Pumo, V., Iacono, M., Giuliano, S. R., Anna, D., & Bordonaro, S. (2012) · Cancer Management and Research · doi:10.2147/cmar.s28547 · Cited by 49 · cited 2× · see citing works
“Regarding marital status, being unmarried (Broeckel et al., 2000; Morrill et al., 2008), widowed or divorced (Chen et al., 2009) were significantly associated with depression although in contrast with one study which found being married (Pumo et al., 2012) was associated with depression.”
ResultPrevalence and correlates of major depressive disorder in breast cancer survivors in Shanghai, China
Qiu, J., Yang, M., Chen, W., Gao, X., Liu, S., Shi, S., & Xie, B. (2011) · Psycho-Oncology · doi:10.1002/pon.2075 · Cited by 44 · cited 1× · see citing works
“Depression is often underestimated in breast cancer sufferers, with prevalence varied between 10% and 25% (Qiu et al., 2012; Popoola and Adewuya, 2012).”
BackgroundImage of God: Effect on Coping and Psychospiritual Outcomes in Early Breast Cancer Survivors
Schreiber, J. A. (2011) · Oncology nursing forum · doi:10.1188/11.onf.293-301 · Cited by 44 · see citing works
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“The prevalence of depression from the Asian studies (Inagaki et al., 2004; Karakoyun-Celik et al., 2010; Vahdaninia et al., 2010; Chen et al., 2009; Alcalar et al., 2012; Hsiao et al., 2012; Jang et al., 2012) reported a narrower range of 12.”
InfluentialWeinberger, T. E., Forrester, A., Markov, D., Chism, K., & Kunkel, E. J. S. (2010) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2010.01.005 · Cited by 22 · cited 1× · see citing works
“Early detection and treatment of depression in breast cancer sufferers not only significantly improved their quality of life but also increased their survival rates (Weinberger et al., 2010).”
BackgroundAdjustment and discussion of cancer: A comparison of breast and prostate cancer survivors
Ullrich, P. M., Rothrock, N. E., Lutgendorf, S. K., Jochimsen, P. R., & Williams, R. D. (2008) · Psychology and Health · doi:10.1080/14768320701227980 · Cited by 11 · cited 1× · see citing works
“Other factors included having frequent cancer discussion and high level of detrimental interactions (Ullrich et al., 2008).”
BackgroundBreast cancer survivorship and surveillance.
Odle, T. G. (2012) · PubMed · Cited by 6 · see citing works
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Awareness and current knowledge of breast cancer
Akram, M., Iqbal, M., Daniyal, M., & Khan, A. U. (2017) · Biological Research · doi:10.1186/s40659-017-0140-9 · Cited by 1,418 · see citing works
“Depression is most commonly found in women with breast cancer [76].”
BackgroundRunowicz, C. D., Leach, C. R., Henry, N. L., Henry, K. S., Mackey, H. T., Cowens-Alvarado, R. L., Cannady, R. S., Pratt-Chapman, M. L., Edge, S. B., Jacobs, L. A., et al. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2015.64.3809 · Cited by 1,071 · see citing works
Runowicz, C. D., Leach, C. R., Henry, N. L., Henry, K. S., Mackey, H. T., Cowens‐Alvarado, R. L., Cannady, R. S., Pratt‐Chapman, M. L., Edge, S. B., Jacobs, L. A., et al. (2016) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21319 · Cited by 728 · see citing works
“In a systematic review of observational studies, the prevalence of depression and anxiety specifically among breast cancer survivors was 22% (range, 13%56%) using the Center for Epidemiological Studies for Depression, 22% (range, 17%-48%) using the Beck Depression Inventory, and 10% (range, 1%-22%) using the Hospital…”
Maass, S. W. M. C., Roorda, C., Berendsen, A. J., Verhaak, P. F. M., & de Bock, G. H. (2015) · Maturitas · doi:10.1016/j.maturitas.2015.04.010 · Cited by 420 · see citing works
Carreira, H., Williams, R., Müller, M., Harewood, R., Stanway, S., & Bhaskaran, K. (2018) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/djy177 · Cited by 416 · see citing works
“Other systematic reviews on the topic assessed the prevalence of anxiety and depressive symptoms in cancer survivors (11,116–118), including studies without a comparison group.”
BackgroundLong-Term and Latent Side Effects of Specific Cancer Types
Gegechkori, N., Haines, L., & Lin, J. J. (2017) · Medical Clinics of North America · doi:10.1016/j.mcna.2017.06.003 · Cited by 290 · see citing works
Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers
Carlson, L. E., Zelinski, E. L., Toivonen, K. I., Sundstrom, L., Jobin, C. T., Damaskos, P., & Zebrack, B. (2019) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2018.1521490 · Cited by 237 · see citing works
“Similarly, a systematic review of depressive symptoms in post-treatment breast cancer survivors reports median estimates of 10–22%, depending on which measure is used.(16) Although depression and anxiety are included in the definition of distress, distress is a broader construct that is not limited to depression and a…”
BackgroundCaruso, R., Nanni, M. G., Riba, M., Sabato, S., Mitchell, A. J., Croce, E., & Grassi, L. (2017) · Acta Oncologica · doi:10.1080/0284186x.2016.1266090 · Cited by 203 · see citing works
“When these prevalence figures were compared with the general female population, the percentage of women with severe symptoms of depression was higher in four studies and equal in four studies, with a tendency to a reduction of depression over the ensuing years [43].”
Resulton behalf of the MyBCC Study group, Ng, C. G., Mohamed, S., See, M., Harun, F., Dahlui, M., Sulaiman, A. H., Zainal, N. Z., & Taib, N. A. M. (2015) · Health and Quality of Life Outcomes · doi:10.1186/s12955-015-0401-7 · Cited by 171 · see citing works
“On average, the prevalence of depression and anxiety among cancer patients ranged from 20 to 30 % [8, 11, 33].”
BackgroundSelf-citationAnxiety, depression and perceived stress among breast cancer patients: single institute experience
Alagizy, H. A., Soltan, M. R., Soliman, S. S., Hegazy, N. N., & Gohar, S. F. (2020) · Middle East Current Psychiatry · doi:10.1186/s43045-020-00036-x · Cited by 138 · see citing works
“[23] showed that in the Western countries, the prevalence of depression ranges from 1 to 56%, whereas the prevalence of depression from Asian studies was between 12.”
BackgroundHER-2 Positive Breast Cancer - a Mini-Review
Asif, H. M., Sultana, S., Ahmed, S., Akhtar, N., & Tariq, M. (2016) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2016.17.4.1609 · Cited by 118 · see citing works
“Breast cancer is one of among all with increased incidence, high mortality rate, and high economic and social costs (Zainal et al., 2013).”
BackgroundSaxton, J. M., Scott, E. J., Daley, A. J., Woodroofe, M. N., Mutrie, N., Crank, H., Powers, H. J., & Coleman, R. E. (2014) · Breast Cancer Research · doi:10.1186/bcr3643 · Cited by 111 · see citing works
“been associated with fatigue, pain, sleep disturbances, low libido, poor financial status and social support, and a range of other psychological factors [2].”
BackgroundClinical pharmacokinetics and pharmacogenetics of tamoxifen and endoxifen
Sanchez‐Spitman, A., Swen, J. J., Dezentjé, V. O., Moes, D. J. A. R., Gelderblom, H. A. J., & Guchelaar, H. (2019) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2019.1610390 · Cited by 110 · see citing works
“Since around 10–25% of female breast cancer patients suffer from depression [101,102], these patients might require antidepressant treatment with SSRIs or SNRIs.”
BackgroundDepression and social support among breast cancer patients in Addis Ababa, Ethiopia
Wondimagegnehu, A., Abebe, W., Abraha, A., & Teferra, S. (2019) · BMC Cancer · doi:10.1186/s12885-019-6007-4 · Cited by 107 · see citing works
Global depression in breast cancer patients: Systematic review and meta-analysis
Biparva, A. J., Raoofi, S., Rafiei, S., Masoumi, M., Doustmehraban, M., Bagheribayati, F., Shahrebabak, E. S. V., Mejareh, Z. N., Khani, S., Abdollahi, B., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0287372 · Cited by 112 · see citing works
Huang, H.-P., He, M., Wang, H.-Y., & Zhou, M. (2016) · Breast Cancer · doi:10.1007/s12282-015-0604-0 · Cited by 105 · see citing works
“Some studies have revealed that one of every three breast cancer patients experience substantial psychological problems such as depression, anxiety, and stress [4, 5].”
BackgroundVenkateswaran, C., Purkayastha, D., Nayar, K., & Unnikrishnan, U. G. (2017) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_6_17 · Cited by 99 · see citing works
“5% to 50%, depending on the sample, and particularly the definition of depression and method of assessment.[8,9] Background: Breast cancer is the leading cause of cancer death among women worldwide.”
BackgroundYang, H., Brand, J. S., Fang, F., Chiesa, F., Johansson, A. L. V., Hall, P. N., & Czene, K. (2016) · International Journal of Cancer · doi:10.1002/ijc.30514 · Cited by 87 · see citing works
Breast Cancer Screening Barriers from the Womans Perspective: a Meta-synthesis
Aghdash, S. A., Ghojazadeh, M., Sheyklo, S. G., Daemi, A., Kolahdouzan, K., Mohseni, M., & Moosavi, A. (2015) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2015.16.8.3463 · Cited by 88 · see citing works
“, 2013) Breast cancer (BC) is one of them with increased incidence, high mortality rate, and high economic and social costs (Zainal et al., 2013).”
BackgroundPatsou, E. D., Alexias, G., Anagnostopoulos, F., & Karamouzis, M. V. (2017) · ESMO Open · doi:10.1136/esmoopen-2017-000271 · Cited by 86 · see citing works
“1136/esmoopen-2017-000271 from active treatment to recovery, in which the transition from being a ‘patient’ with breast cancer to ‘survivor’ takes place through living after recovery, including those who are symptom free or stable and finally up to the phase where advanced cancer, recurrence and death may occur.(4) 6…”
BackgroundDepression in breast cancer patients who have undergone mastectomy: A national cohort study
Kim, M., Kim, S. Y., Kim, J. H., Park, B., & Choi, H. G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175395 · Cited by 72 · see citing works
Anxiety and Depression in Cancer Patients: The Association with Religiosity and Religious Coping
Ng, G. C., Mohamed, S., Sulaiman, A. H., & Zainal, N. Z. (2017) · Journal of Religion and Health · doi:10.1007/s10943-016-0267-y · Cited by 98 · see citing works
“systematic review, we found that the prevalence of depression was about 20 % among the breast cancer patients depending on the assessment tolls used (Zainal et al. 2013).”
BackgroundSelf-citationWomen with breast cancer taking chemotherapy: depression symptoms and treatment adherence
de Souza, B. F., de Moraes, J. A., Inocenti, A., dos Santos, M. A., Silva, A. E. B. D. C., & Miasso, A. I. (2014) · Revista Latino-Americana de Enfermagem · doi:10.1590/0104-1169.3564.2491 · Cited by 70 · see citing works
“Tais sintomas, presentes em cerca de 22% das pacientes(4), podem evoluir para um quadro crônico e impossibilitálas de desempenhar suas tarefas cotidianas e, em situações mais graves, resultar em suicídio.”
BackgroundEffect of Perceived Social Support on Psychosocial Adjustment of Turkish Patients with Breast Cancer
Rızalar, S., Özbaş, A., Akyolcu, N., & Güngör, B. (2014) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.8.3429 · Cited by 68 · see citing works
“Therefore, breast cancer causes patients to have a disrupted image of their body, which results in decreased self-esteem, fear of losing femininity, sexual dysfunctions, anxiety, depression, desperateness, feelings of guilt and embarrassment, fear of relapse, isolation and fear of death (Gümüş, 2006; Aygin and Eti Asl…”
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 · see citing works
“35 The prevalence of major depressive disorder in our study (8.33”
InfluentialChen, S., Wang, H., Yang, H., & Chung, U. (2015) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.31277 · Cited by 65 · see citing works
“Distress symptoms for breast cancer patients receiving chemotherapy or radiotherapy include fatigue, insomnia, loss of appetite, nausea, vomiting, changes in appearance, numbness, mild anxiety, and depression (4, 5).”
BackgroundThe Impact of Cancer on Psychological and Social Outcomes
Costa, D. S. J., Mercieca‐Bebber, R., Rutherford, C., Gabb, L., & King, M. T. (2016) · Australian Psychologist · doi:10.1111/ap.12165 · Cited by 65 · see citing works
Current status and prospect of ZIF-based materials for breast cancer treatment
Zeng, Y., Liao, D., Kong, X., Huang, Q., Zhong, M., Liu, J., Nezamzadeh‐Ejhieh, A., Pan, Y. H., & Song, H. (2023) · Colloids and Surfaces B Biointerfaces · doi:10.1016/j.colsurfb.2023.113612 · Cited by 63 · see citing works
Berhili, S., Kadiri, S. E., Bouziane, A., Aissa, A., Marnouche, E., Ogandaga, E., Echchikhi, Y., Touil, A., Loughlimi, H., Lahdiri, I., et al. (2016) · The Breast · doi:10.1016/j.breast.2016.10.015 · Cited by 62 · see citing works
Depression and Resilience in Breast Cancer Patients
Ristevska-Dimitrovska, G., Stefanovski, P., Smichkoska, S., Raleva, M., & Dejanova, B. (2015) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2015.119 · Cited by 62 · see citing works
“Potential reasons for the inconsistency in the literature include differences in methodology (many different tools for screening and diagnosis of depression are used), there are too much differences in defining the research population, and often the entire population of patients with breast cancer is comprised without…”
BackgroundVardar‐Yağlı, N., Şener, G., Sağlam, M., Kutukcu, E. C., Arıkan, H., Inal-Ince, D., Savcı, S., Altundağ, K., Kutluk, T., Ozisik, Y. Y., et al. (2015) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2015.16.2.585 · Cited by 60 · see citing works
“Most of the breast cancer patients suffer psychological problems (Bleiker et al., 2000; Zainal et al., 2013; AbuHelalah et al., 2014) because of pain and associated functional limitations after treatment (Cantarero- Naciye Vardar-Yagli et al Villanueva et al., 2011; Charlier et al., 2012).”
BackgroundPsychological interventions for women with non-metastatic breast cancer
Jassim, G. A., Doherty, S., Whitford, D. L., & Khashan, A. S. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008729.pub3 · Cited by 58 · see citing works
Calderón, C., Carmona‐Bayonas, A., Hernández, R., Ghanem, I., Castelo, B., de Castro, E. M., Ferreira, E., Ciria‐Suarez, L., Muñiz, M., & Jiménez‐Fonseca, P. (2019) · The Breast · doi:10.1016/j.breast.2019.01.012 · Cited by 59 · see citing works
Chiesi, F., Vizza, D., Valente, M., Bruno, R., Lau, C., Campagna, M. R., Iacono, M. L., & Bruno, F. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07123-1 · Cited by 57 · see citing works
“Several studies showed that breast cancer is associated with psychological distress both in women recently diagnosed [13] and survivors [14, 15].”
BackgroundBeyond broadband: digital inclusion as a driver of inequities in access to rural cancer care
DeGuzman, P. B., Bernacchi, V., Cupp, C. A., Dunn, B., Ghamandi, B. J. F., Hinton, I. D., Jameson, M. J., Lewandowski, D. L., & Sheffield, C. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-020-00874-y · Cited by 57 · see citing works
Shammas, R. L., Marks, C. E., Broadwater, G., Le, E. L. H., Glener, A. D., Sergesketter, A. R., Cason, R. W., Rezak, K. M., Phillips, B. T., & Hollenbeck, S. T. (2021) · Journal of Reconstructive Microsurgery · doi:10.1055/s-0041-1724465 · Cited by 56 · see citing works
Study of Anxiety and Depression among Breast Cancer Patients from North India
Srivastava, V., & Ansari, M. A. (2015) · Clinical Psychiatry · doi:10.21767/2471-9854.100017 · Cited by 57 · see citing works
“5% and 31% [10].”
Zhang, C., Hu, G., Biskup, E. M., Qiu, X., Zhang, H., & Zhang, H. (2018) · World Journal of Surgery · doi:10.1007/s00268-018-4477-1 · Cited by 55 · see citing works
Ghorbani, V., Zanjani, Z., Omidi, A., & Sarvizadeh, M. (2021) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2020-0022 · Cited by 48 · see citing works
Patsou, E. D., & Karamouzis, M. V. (2018) · ESMO Open · doi:10.1136/esmoopen-2018-000333 · Cited by 52 · see citing works
Alacacıoğlu, A., Ülger, E., Varol, U., Yildiz, I., Salman, T., Bayoğlu, İ. V., Dirican, A., Demir, L., Akyol, M., Yıldız, Y., et al. (2015) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.24.10631 · Cited by 51 · see citing works
“In the literature, studies showed the important role of lower educational status on depression and anxiety (Zainal et al., 2013).”
BackgroundRajadurai, U. M., Hariharan, A., Siva, D., Ameén, F., Dawoud, T. M. S., Alwakeel, S., Palanivel, I., Prabha, A. L., & Jacob, J. A. (2021) · Journal of Drug Delivery Science and Technology · doi:10.1016/j.jddst.2021.102766 · Cited by 50 · see citing works
Effect of Yoga Therapy on Symptoms of Anxiety in Cancer Patients
Hardoerfer, K., & Jentschke, E. (2018) · Oncology Research and Treatment · doi:10.1159/000488989 · Cited by 43 · see citing works
Chung, I. Y., Jung, M., Lee, S. B., Lee, J. W., Park, Y. R., Cho, D., Chung, H., Youn, S., Min, Y. H., Park, H. J., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/13463 · Cited by 38 · see citing works
Patsou, E. D., Alexias, G., Anagnostopoulos, F., & Karamouzis, M. V. (2018) · Psychology Research and Behavior Management · doi:10.2147/prbm.s170027 · Cited by 40 · see citing works
“Depressive mood is a common symptom among breast cancer survivors which remains even after the completion of cancer treatment.(2) It has been shown that at some point, right after diagnosis or even throughout their survivorship, all breast cancer survivors will encounter some degree of physical and psychological side…”
BackgroundLee, P. L. T., Tam, K., Yeh, M., & Wu, W. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2016.06.003 · Cited by 37 · see citing works
Berhili, S., Ouabdelmoumen, A., Sbai, A., Kebdani, T., Benjaafar, N., & Mezouar, L. (2018) · Clinical Breast Cancer · doi:10.1016/j.clbc.2018.08.013 · Cited by 37 · see citing works
Singleton, A. C., Raeside, R., Partridge, S. R., Hayes, M., Maka, K., Hyun, K. K., Thiagalingam, A., Chow, C. K., Sherman, K. A., Elder, E. E., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/27076 · Cited by 37 · see citing works
“However, women’s mental health can be impacted years after a breast cancer diagnosis [41,42] and increase the urgency for ongoing supportive care.”
Depression in Women with Breast Cancer: A Systematic Review of Cross-Sectional Studies in Iran
Jafari, A., Goudarzian, A. H., & Bagheri‐Nesami, M. (2018) · Europe PMC (PubMed Central) · doi:10.22034/apjcp.2018.19.1.1 · Cited by 35 · see citing works
“In this regard, the identification, diagnosis and treatment of depression not only affects the quality of life of individuals, but also affects their survival rate and increases their ability to cope with diseases (Didehdar Ardebil et al., 2013; Zainal et al., 2013).”
BackgroundChung, I. Y., Jung, M., Park, Y. R., Cho, D., Chung, H., Min, Y. H., Park, H. J., Lee, M., Lee, S. B., Chung, S., et al. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2019.01505 · Cited by 35 · see citing works
Park, S. R., Lee, J. H., Kim, K., Kim, T. M., Lee, S. H., Choo, Y., Kim, K. S., & Ko, K. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21041354 · Cited by 35 · see citing works
Dissatisfaction After Post-Mastectomy Breast Reconstruction: A Mixed-Methods Study
Shammas, R. L., Fish, L. J., Sergesketter, A. R., Offodile, A. C., Phillips, B. T., Oshima, S. M., Lee, C. N., Hollenbeck, S. T., & Greenup, R. A. (2021) · Annals of Surgical Oncology · doi:10.1245/s10434-021-10720-9 · Cited by 34 · see citing works
Kim, J. H., Paik, H., Jung, Y. J., Kim, D., Jo, H. J., Lee, S., & Kim, H. Y. (2019) · Oncology · doi:10.1159/000500724 · Cited by 35 · see citing works
Psychiatric comorbidities in cancer survivors across tumor subtypes: A systematic review
Bach, A., Knauer, K., Graf, J., Schäffeler, N., & Stengel, A. (2022) · World Journal of Psychiatry · doi:10.5498/wjp.v12.i4.623 · Cited by 34 · see citing works
Lavdaniti, M., Owens, D. A., Liamopoulou, P., Marmara, K., Zioga, E., Mantzanas, M. S., Evaνgelidou, E., & Vlachou, E. D. (2019) · Diseases · doi:10.3390/diseases7010026 · Cited by 32 · see citing works
Psychosocial factors associated with quality of life in cancer survivors: umbrella review
Voskanyan, V., Marzorati, C., Sala, D., Grasso, R., Pietrobon, R. S., van der Heide, I., Engelaar, M., Bos, N., Caraceni, A. T., Couespel, N., et al. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-05749-8 · Cited by 35 · see citing works
“…ties well with the analyzed studies published within the last 10 years reporting social support and depression having a profound effect on QoL (Zainal et al. 2013; Howard-Anderson et al. 2012; Rimmer et al. 2023; Aizpurua-Perez and Perez-Tejada 2020; Bours et al. 2016; Dunne et al. 2017;…”
BackgroundInfluentialHealth Locus of Control in Indonesian Women with Breast Cancer: a Comparison with Healthy Women
Iskandarsyah, A., de Klerk, C., Suardi, D. R., Sadarjoen, S. S., & Passchier, J. (2014) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.21.9191 · Cited by 31 · see citing works
“Keywords: Health locus of control - anxiety - depression - breast cancer - Indonesia Buzlu, 2011; Abu-Helalah et al., 2014), and 4.5% to 37% (Massie et al., 2011; Nazlican et al., 2012; Zainal et al., 2013), respectively.”
BackgroundInfluentialFactors Predictive of Quality of Life among Breast Cancer Patients
Daldoul, A., Khechine, W., Bhiri, H., Ammar, N., Bouriga, R., Krir, M. W., Soltani, S., Zoukar, O., Rhim, M. S., Bouslah, S., et al. (2018) · Europe PMC (PubMed Central) · doi:10.22034/apjcp.2018.19.6.1671 · Cited by 31 · see citing works
“Thanks to these progresses, patients’ quality of life is becoming more and more important and its evaluation is of increasing interest (Zainal et al., 2013).”
BackgroundThe quality of life of Croatian women after mastectomy: a cross-sectional single-center study
Pačarić, S., Kristek, J., Mirat, J., Kondža, G., Turk, T., Farčić, N., Orkić, Ž., & Nemčić, A. (2018) · BMC Public Health · doi:10.1186/s12889-018-5929-0 · Cited by 29 · see citing works
Gharaei, H. A., Dianatinasab, M., kouhestani, M., Fararouei, M., Moameri, H., Pakzad, R., & Ghaiasvand, R. (2019) · Epidemiology and Health · doi:10.4178/epih.e2019030 · Cited by 29 · see citing works
“Stata version 14 (StataCorp., College Station, TX, USA) was used for the statistical analysis [20].”
BackgroundResultInfluentialRelated Factors with Depression and Anxiety in Mastectomized Women Breast Cancer Survivors
Álvarez-Pardo, S., PAZ, J. A. D., Romero-Pérez, E., Tánori-Tapia, J., Rendón-Delcid, P. A., González-Bernal, J., Fernández-Solana, J., Simón-Vicente, L., Mielgo-Ayuso, J., & González-Santos, J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20042881 · Cited by 31 · see citing works
“The results are in agreement with a large number of studies which state that the side effects of treatment, such as nausea, vomiting, fatigue and deterioration of body image caused by alopecia, skin or nail problems, are one of the triggers for this symptomatology [12,34,37,38].”
ResultParra, G., Soto‐Ruiz, N., Martín‐Rodríguez, L. S., Escalada‐Hernández, P., & García‐Vivar, C. (2023) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2023.151418 · Cited by 32 · see citing works
Chow, P. I., Drago, F., Kennedy, E. M., & Cohn, W. F. (2019) · JMIR Cancer · doi:10.2196/15750 · Cited by 28 · see citing works
“Depression, which affects between 10% and 25% of survivors of women’s cancer [4,9,10], is perhaps the most studied psychosocial effect of cancer treatment.”
BackgroundPrevalence of Severe Depression in Iranian Women with Breast Cancer: A Meta-Analysis
Isfahani, P., Arefy, M., & Shamsaii, M. (2020) · Depression Research and Treatment · doi:10.1155/2020/5871402 · Cited by 28 · see citing works
“For example, a 2017 study reported that the prevalence of depression was 22% in women with breast cancer in an Indian city [8].”
BackgroundPsychosocial and family‐centered support among breast cancer patients with dependent children
Hammersen, F., Pursche, T., Fischer, D., Katalinic, A., & Waldmann, A. (2020) · Psycho-Oncology · doi:10.1002/pon.5585 · Cited by 39 · see citing works
Xu, C., Ganesan, K., Liu, X., Ye, Q.-B., Cheung, Y., Liu, D., Zhong, S.-W., & Chen, J. (2022) · Cancers · doi:10.3390/cancers14030475 · Cited by 25 · see citing works
Taira, N., Iwata, H., Hasegawa, Y., Sakai, T., Higaki, K., Kihara, K., Yamaguchi, T., Ohsumi, S., Shimozuma, K., & Ohashi, Y. (2014) · Breast Cancer Research and Treatment · doi:10.1007/s10549-014-2935-5 · Cited by 28 · see citing works
miR‑519 regulates the proliferation of breast cancer cells via targeting human antigen�R
Ren, L., Li, Y., Zhao, Q., Fan, L., Tan, B., Zang, A., & Yang, H. (2019) · Oncology Letters · doi:10.3892/ol.2019.11230 · Cited by 27 · see citing works
“There are numerous causes of breast cancer, including lifestyle (obesity, alcohol, Western-style diet) (5), depression and anxiety disorder (6) and gene mutations, including breast cancer (BRCA) gene mutation (7); however, the mechanisms underlying breast cancer pathogenesis remain unclear.”
BackgroundPuszczałowska-Lizis, E., Flak, K., Biskup, M., & Žák, M. (2020) · Cancer Control · doi:10.1177/1073274819900407 · Cited by 26 · see citing works
“Depressed mood, apathy, anxiety, excessive sense of fatigue, and abandonment of previously pursued passions and hobbies may well bring about deep depression and, in extreme cases, suicidal thoughts.(8-10) Pursuit of psychological therapy in oncological diseases is a long-term and very complex process.”
BackgroundPrevalence of Depression and the Quality-of-Life of Breast Cancer Patients in Jordan
Alquraan, L. T., Alzoubi, K. H., Rababa'h, S. Y., Karasneh, R. A., Al-Azzam, S. I., & Al‐Azayzih, A. (2020) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s277243 · Cited by 26 · see citing works
Mihic-Góngora, L., Jiménez‐Fonseca, P., Hernández, R., Gil-Raga, M., Pacheco-Barcía, V., Manzano, A., Polo, S. H., Antoñanzas, M., Corral, M. J., Arbizu, M. V., et al. (2022) · BMC Palliative Care · doi:10.1186/s12904-022-01034-y · Cited by 26 · see citing works
“Psychological distress and depression have been proven to be risk factors [12, 25] and spirituality to be protective in the development of depression [13, 26].”
BackgroundMendes-Santos, C., Weiderpass, E., Santana, R., & Andersson, G. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.01.004 · Cited by 24 · see citing works
Kim, S., Kim, S., Shin, I., Park, M., Yoon, J.-H., Yoon, J., & Kim, J. (2017) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2017.09.009 · Cited by 23 · see citing works
Comfort and Anxiety Levels of Women with Early Stage Breast Cancer Who Receive Radiotherapy
Unver, G. T., & Yücel, Ş. Ç. (2014) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.5.2109 · Cited by 22 · see citing works
“…with breast cancer in Turkey (Alacacioglu et al., 2009; Turhal et al., 2010; Dastan and Buzlu, 2011; Tasci et al., 2012) and around the world (Zainal et al., 2013; Schleife et al., 2014; Stafford et al., 2014); there are many studies that analyze the impact of non-pharmacological…”
BackgroundInfluentialSocial support, quality of life and mental health status in breast cancer patients
shrestha, J. S., Shrestha, A., Sapkota, A., Sharma, R., Shrestha, S., Shestha, S., Amatya, K., & Gautam, M. (2017) · Cancer Reports and Reviews · doi:10.15761/crr.1000107 · Cited by 22 · see citing works
“Results and discussion On average, the prevalence of depression and anxiety among cancer patients ranged from 20 to 30%, according to the study published in Asia Pacific Journal of oncology [13] and BMJ [14].”
BackgroundAzizi, M., Heshmatnia, F., Milani, H., Shahhosseini, Z., Marvdashti, L. M., & Moghadam, Z. B. (2024) · Brain and Behavior · doi:10.1002/brb3.70098 · Cited by 21 · see citing works
“According to the results of two studies that examined the prevalence of psychiatric disorders in BC survivors, the prevalence of depression and anxiety was 6%–56% and 17.9%–33%, respectively (Maass et al. 2015; Zainal et al. 2013).”
InfluentialMioduszewski, O., Hatchard, T., Fang, Z., Poulin, P. A., Khoo, E., Romanow, H. C., Shergill, Y., Tennant, E. M., Schneider, M. A., Browne, N., et al. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-020-00903-w · Cited by 22 · see citing works
“Left unregulated, feelings of hopelessness, anxiety, negative automatic thoughts, and cognitive errors associated with psychological distress may lead to increased rates of psychopathology, a known vulnerability associated with breast cancer survivorship [4, 5].”
BackgroundMcNeish, B. L., Richardson, J. K., & Whitney, D. G. (2022) · European Journal of Cancer Care · doi:10.1111/ecc.13648 · Cited by 21 · see citing works
Bredicean, A., Crainiceanu, Z., Oprean, C., Riviș, I., Papavă, I., Secoșan, I., Frandeș, M., Giurgi-Oncu, C., & Grujic, D. (2019) · BMC Women's Health · doi:10.1186/s12905-020-00898-7 · Cited by 18 · see citing works
Milbury, K., Kavanagh, A., Meng, Z., Chen, Z., Chandwani, K. D., Garcia, K., Perkins, G. H., McQuade, J. L., Raghuram, N. V., Nagarathna, R., et al. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3612-0 · Cited by 20 · see citing works
“Because previous studies focused entirely on healthy, community samples, the current study seeks to examine if the noted positive affect response pattern (or potential affect suppression) generalizes to women with breast cancer, who are more vulnerable to depressive symptoms than the general population [6, 7, 12].”
BackgroundAyeni, O., Joffe, M., Cubasch, H., Rinaldi, S., Taljaard‐Krugell, C., Vorster, E., Romieu, I., & Norris, S. A. (2019) · South African Medical Journal · doi:10.7196/samj.2019.v109i4.13465 · Cited by 20 · see citing works
“5% to 50% among women with breast cancer, depending on definitions and methods of assessment of psychological disorders.[24,25] There have been conflicting reports on the association of education with breast cancer.”
BackgroundBreast reconstruction after mastectomy: does it decrease depression at the long-term?
de Raaff, C. A. L., Derks, E. A.-J., Torensma, B., Honig, A., & Vrouenraets, B. C. (2016) · Gland Surgery · doi:10.21037/gs.2016.05.02 · Cited by 20 · see citing works
“Although mastectomy without breast reconstruction (M) is a very effective and often curative procedure, it has a profound mutilating effect that inevitably influences a patient psychologically, often causing not only negative body image and anxiety, but also depression (2,3), a condition that is associated with breast…”
BackgroundAminnasab, A., Mohammadi, S., Zareinezhad, M., Chatrrouz, T., Mirghafari, S. B., & Rahmani, S. (2018) · PubMed Central · Cited by 19 · see citing works
Acid-Producing Diet and Depressive Symptoms among Breast Cancer Survivors: A Longitudinal Study
Wu, T., Hsu, F.-C., & Pierce, J. (2020) · Cancers · doi:10.3390/cancers12113183 · Cited by 17 · see citing works
Park, C.-Y., Kim, K., Kim, Y., Zhu, R., Hain, L., Seferovic, H., Kim, M., Woo, H. J., Hwang, H., Lee, S. H., et al. (2024) · ACS Nano · doi:10.1021/acsnano.4c00360 · Cited by 18 · see citing works
Wang, Y., Huang, T., Li, H., Fu, J., Ao, H., Lu, L., Han, M., Guo, Y., Feng, Y., & Wang, X. (2020) · Drug Delivery · doi:10.1080/10717544.2020.1716877 · Cited by 18 · see citing works
“…multiple drug resistance (Peng et al., 2009; Akram et al., 2017; Chatterjee & Bivona, 2019), which will in return aggravate the patient’s depression (Rao et al., 2019), the most widely occurred symptom among the breast cancer patients (Zainal et al., 2013; Shah et al., 2014; Stanton & Bower, 2015).”
BackgroundNilsson, M. I., Saboonchi, F., Alexanderson, K. A. E., Olsson, M., Wennman‐Larsen, A., & Petersson, L. (2015) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0502-7 · Cited by 17 · see citing works
Shih, I.-H., Lin, C., & Fang, S. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101816 · Cited by 16 · see citing works
Batcha, J. S. D., Raju, A. P., Matcha, S., Elstin Raj, S., Udupa, K., Gota, V., & Mallayasamy, S. (2022) · Biology · doi:10.3390/biology12010051 · Cited by 17 · see citing works
“The result was a significant drop in endoxifen concentration, leading to subtherapeutic concentrations [53,54].”
BackgroundBreast cancer treatment and recovery: pets’ roles as emotional buffers and stressors
Kogan, L. R., Currin-McCulloch, J. A., & Cook, L. S. (2023) · BMC Women s Health · doi:10.1186/s12905-023-02662-z · Cited by 17 · see citing works
“Many people diagnosed with breast cancer struggle with depression and anxiety [134, 135, 137], and having dependents can exacerbate these negative effects [14, 65].”
BackgroundBrandt‐Salmeri, A., & Przybyła-Basista, H. (2019) · Health Psychology Report · doi:10.5114/hpr.2019.84213 · Cited by 16 · see citing works
The Prevalence of Depression in Iranian Women With Breast Cancer: A Meta-Analysis
Isfahani, P., Zare, S. M. H., & Shamsaii, M. (2020) · Quarterly of Horizon of Medical Sciences · doi:10.32598/hms.26.2.3207.1 · Cited by 16 · see citing works
Home-Based Psychoeducational Intervention for Breast Cancer Survivors
İnan, F. Ş., & Üstün, B. (2017) · Cancer Nursing · doi:10.1097/ncc.0000000000000483 · Cited by 16 · see citing works
“In the present study, the rates of baseline distress, anxiety, and depression were higher than those reported in other studies.(12,14) It has been reported that physical symptoms (eg, fatigue and pain), poor general health, increased awareness of symptoms, the lack of preparation for lingering symptoms, insufficient s…”
ResultFactors Affecting the Quality of Life of Korean Cancer Survivors Who Return to the Workplace
Han, K., Park, E., Kim, S. J., Jang, S., Shin, J., Kim, C. O., Choi, J. W., & Lee, S. G. (2014) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.20.8783 · Cited by 15 · see citing works
Hassan, M., Barakat, Z., Fares, Y., & Abbas, L. A. (2023) · Health and Quality of Life Outcomes · doi:10.1186/s12955-023-02095-0 · Cited by 15 · see citing works
Casavilca-Zambrano, S. A., Custodio, N., Liendo-Picoaga, R., Cancino-Maldonado, K., Esenarro, L., Montesinos, R., Bertani, S., Fejerman, L., Guerchet, M., & Vidaurre, T. (2020) · Seminars in Oncology · doi:10.1053/j.seminoncol.2020.08.003 · Cited by 14 · see citing works
Carreira, H., Williams, R., Müller, M., Harewood, R., & Bhaskaran, K. (2017) · Systematic Reviews · doi:10.1186/s13643-017-0551-2 · Cited by 15 · see citing works
Kaur, M. N., Klassen, A. F., Xie, F., Bordeleau, L. J., Zhong, T., Cano, S., Tsangaris, E., Breitkopf, T., Kuspinar, A., & Pusic, A. L. (2021) · BMC Women s Health · doi:10.1186/s12905-020-01125-z · Cited by 15 · see citing works
Pan, M., Wu, K., Zhao, J., Hou, X., Chen, P., & Wang, B. (2023) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.12418 · Cited by 12 · see citing works
“The incidence of depression in breast cancer survivors is 56%, which is much higher than that in healthy women (Zainal et al., 2013”
Follow-up and Cancer Survivorship
Neuman, H. B., & Schumacher, J. R. M. (2022) · Surgical Clinics of North America · doi:10.1016/j.suc.2022.08.009 · Cited by 12 · see citing works
- Authors
- Zainal, N. Z., Nik-Jaafar, N. R., Baharudin, A., Sabki, Z. A., & Ng, C. G.
- Affiliations
- University of Malaya (MY)
- University Kebangsaan Malaysia Medical Centre (MY)
- Venue
- Asian Pacific Journal of Cancer Prevention
- Published
- 2013-04-30
- Volume
- 14
- Issue
- 4
- Pages
- 2649-2656
- ISSN
- 1513-7368 (ISSN-L)
- OpenAlex
- W2107370237
- Cited by
- 204
- References
- 56
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 17 · 2023: 17 · 2022: 20 · 2021: 20 · 2020: 22 · 2019: 24 · 2018: 15 · 2017: 15 · 2016: 12 · 2015: 15 · 2014: 13 · 2013: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Asian Pacific Journal of Cancer Prevention (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- depression, breast cancer survivors, prevalence, risk factors, depression screening, CES-D, Beck Depression Inventory, Hospital Anxiety and Depression Scale, social support, quality of life, lifestyle factors, cancer treatment effects
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Staging, Obesity, Prognosis, Receptors, Estrogen, Receptors, Progesterone, Retrospective Studies, Body Mass Index, Survival Rate, Erb-b2 Receptor Tyrosine Kinases, Young Adult
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