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      Investigating the levels of depression, anxiety, sexual disorders, and other influencing factors in breast cancer patients: Turkish radiation oncology integrative group study (12-05)

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          Abstract

          The fear of death associated with cancer and the side effects of its treatments can have a detrimental psychological impact on breast cancer patients. Early detection and support services play a crucial role in alleviating the expected symptoms of depression, anxiety, and sexual dysfunction. The objective of our study is to assess the levels of depression, anxiety, and sexual dysfunction in breast cancer patients, as well as identify the factors that influence these conditions. The study involved 329 voluntarily participating breast cancer patients who had undergone surgery and were in the follow-up stage. Data were collected from 8 different centers after obtaining ethical approval. The assessment utilized tools such as the Sociodemographic Information Form, Beck Depression and Anxiety Scale, and Arizona Sexual Experiences Scale. Data analysis was performed using SPSS 20. The study included 329 breast cancer patients in the follow-up stage post-surgery. Their average age was 52.7 years (range: 27–83). Results indicated that 33.1% experienced moderate to severe depression, 18.2% reported severe anxiety, and 82.7% scored above 11 on the sexual scale. Factors linked to higher scores were mastectomy, surgical dissatisfaction, insufficient information on sexual side effects, and comorbidities like smoking and diabetes. The study emphasizes the importance of closely monitoring anxiety, depression levels, and sexual side effects in breast cancer treatment. It underscores the need to focus not only on reducing mortality rates but also on supporting patients’ psychological and sexual well-being, ultimately improving their overall quality of life.

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          An inventory for measuring clinical anxiety: psychometric properties.

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            Cognition and depression: current status and future directions.

            Cognitive theories of depression posit that people's thoughts, inferences, attitudes, and interpretations, and the way in which they attend to and recall information, can increase their risk for depression. Three mechanisms have been implicated in the relation between biased cognitive processing and the dysregulation of emotion in depression: inhibitory processes and deficits in working memory, ruminative responses to negative mood states and negative life events, and the inability to use positive and rewarding stimuli to regulate negative mood. In this review, we present a contemporary characterization of depressive cognition and discuss how different cognitive processes are related not only to each other, but also to emotion dysregulation, the hallmark feature of depression. We conclude that depression is characterized by increased elaboration of negative information, by difficulties disengaging from negative material, and by deficits in cognitive control when processing negative information. We discuss treatment implications of these conclusions and argue that the study of cognitive aspects of depression must be broadened by investigating neural and genetic factors that are related to cognitive dysfunction in this disorder. Such integrative investigations should help us gain a more comprehensive understanding of how cognitive and biological factors interact to affect the onset, maintenance, and course of depression.
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              On the validity of the Beck Depression Inventory. A review.

              The present review discusses validity aspects of the Beck Depression Inventory (BDI) on the basis of meta-analyses of studies on the psychometric properties. Shortcomings of the BDI are its high item difficulty, lack of representative norms, and thus doubtful objectivity of interpretation, controversial factorial validity, instability of scores over short time intervals (over the course of 1 day), and poor discriminant validity against anxiety. Advantages of the inventory are its high internal consistency, high content validity, validity in differentiating between depressed and nondepressed subjects, sensitivity to change, and international propagation. The present paper outlines agreements and contradictions between the various studies on the BDI and discusses the potential factors (composition of the subject sample, statistical procedures, point in time of measurement) accounting for the variance in their results. The Beck Depression Inventory (BDI) is world-wide among the most used self-rating scales for measuring depression. Since the test construction in 1961, the test has been employed in numerous (more than 2,000) empirical studies. The present review will only consider those investigations which are primarily concerned with the validity or the psychometric properties of the BDI. Since most studies are oriented along the criteria of the classical test theory, our review will discuss to what extent the BDI meets these criteria.
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                Author and article information

                Contributors
                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MD
                Medicine
                Lippincott Williams & Wilkins (Hagerstown, MD )
                0025-7974
                1536-5964
                10 November 2023
                10 November 2023
                : 102
                : 45
                : e35280
                Affiliations
                [a ] University of Health Sciences, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [b ] Prof. Dr. Cemil Tascioglu City Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [c ] Faculty of Medicine, Ege University, Izmir, Turkey
                [d ] Istanbul Oncology Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [e ] Eskisehir City Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [f ] Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
                [g ] Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey
                [h ] University of Health Sciences, Umraniye Training and Research Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [i ] Koc University Hospital, Department of Radiation Oncology, Istanbul, Turkey
                [j ] Hamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey
                [k ] Faculty of Medicine, Gazi University, Ankara, Turkey.
                Author notes
                [* ] Correspondence: Sule Karabulut Gul, University of Health Sciences, Dr. Lutfi Kirdar Kartal City Hospital Health Application Center, Cevizli, D-100 Guney Yanyol, Cevizli Mevkii No:47, 34865 Kartal/Istanbul, Turkey (e-mail: sulegul2003@ 123456yahoo.com ).
                Article
                00058
                10.1097/MD.0000000000035280
                10637556
                37960771
                510b632d-c7e1-44f7-bb48-281c3329967f
                Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.

                History
                : 28 March 2023
                : 26 August 2023
                : 28 August 2023
                Categories
                5700
                Research Article
                Observational Study
                Custom metadata
                TRUE

                asex,bdi,mastectomy,sexual health,sociodemographic
                asex, bdi, mastectomy, sexual health, sociodemographic

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