| Abstract [eng] |
In order to help breast cancer patients, it is appropriate to assess the stress experienced by breast cancer patient, the proportion of patients with relevant symptoms of depression, and how long they persist. It should also be noted that severe somatic diseases, including oncological diseases, increase the likelihood of suicidal behavior. Both symptoms of depression and post-traumatic stress disorder can increase the risk of suicidal ideation, cause suicidal ideation, and exacerbate the painful problem in Lithuania. The aim of this study was to determine the incidence of post-traumatic stress disorder, depression, and suicidal thoughts in breast cancer patients and their change over the year, and to evaluate the factors influencing them in order to optimize psychological support for these patients. Assessing changes in post-traumatic stress disorder risk, depression, and suicidal ideation among breast cancer patients before and one year after surgery, the risk of post-traumatic stress disorder decreased statistically significantly over the year, depression remained unchanged, and suicidal ideation increased. Sociodemographic and clinical factors and traumatic experiences influence the risk of post-traumatic stress disorder, depression, and suicidal ideation in breast cancer patients. Age, marriage or life in partnership, paid work, place of residence, scope of surgery, and time since diagnosis were significant. The risk of post-traumatic stress disorder, depression, and suicidal ideation are related and interact. It is appropriate to pay attention to the psychological problems and needs of breast cancer patients both in the early stages of health care delivery (before surgery) and later (after one year). It is particularly important to pay attention to patients with multiple risk factors for post-traumatic stress disorder, depression or suicidal ideation. |
