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The epidemiology of psychiatric disorders among women with breast cancer in South Korea: analysis of national registry data

Authors
 Jee In Kang  ;  Na Young Sung  ;  Sang Jin Park  ;  Chong Gul Lee  ;  Byung Ook Lee 
Citation
 PSYCHO-ONCOLOGY, Vol.23(1) : 35-39, 2014 
Journal Title
 PSYCHO-ONCOLOGY 
ISSN
 1057-9249 
Issue Date
2014
MeSH
Adjustment Disorders/complications ; Adjustment Disorders/epidemiology ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anxiety Disorders/complications ; Anxiety Disorders/epidemiology ; Breast Neoplasms/complications ; Breast Neoplasms/epidemiology ; Breast Neoplasms/psychology* ; Comorbidity ; Depressive Disorder/complications ; Depressive Disorder/epidemiology ; Female ; Humans ; Incidence ; Mental Disorders/complications ; Mental Disorders/epidemiology* ; Middle Aged ; Registries/statistics & numerical data ; Republic of Korea/epidemiology ; Sleep Wake Disorders/complications ; Sleep Wake Disorders/epidemiology ; Young Adult
Keywords
breast cancer ; incidence ; national registry data ; oncology ; psychiatric disorders
Abstract
OBJECTIVE: Population-based data on the epidemiology of psychiatric disorders in patients with breast cancer are lacking. Because the National Health Insurance (NHI) Program in South Korea is a compulsory social insurance system covering the entire Korean population, the NHI is a good source of information for epidemiological studies. In the present study, we examined the incidence of psychiatric disorders among Korean women newly diagnosed with breast cancer using the NHI Corporation (NHIC) database. METHODS: Data were collected for adult women newly diagnosed with breast cancer using the claim database and cancer registration files of the NHIC from 2005 to 2008. We analysed data for women diagnosed with psychiatric disorders over a 5-year period, from 2004 (at least 1 year before the cancer registration date) to 2009 (at least 1 year after the cancer registration date). RESULTS: We identified 6536 patients with psychiatric disorders among 42 190 women with breast cancer. The most prevalent psychiatric disorder was anxiety disorder (N = 2518). The incidence rates of anxiety disorders, depressive disorders, sleep disorders and adjustment disorders were 27.08, 22.41, 10.57 and 4.35 cases per 1000 person-year, respectively. CONCLUSION: The incidence rates of psychiatric disorders in Korean women with breast cancer from the nationwide database were much lower than found by previous reports using screening tools. The finding implicates that psychiatric disorders among breast cancer patients tend to be underdiagnosed and undertreated in actual clinical practice. Our epidemiological findings provide important information for establishing a national strategy of cancer care to detect and manage psychiatric problems.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/pon.3369/abstract
DOI
10.1002/pon.3369
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98052
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