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The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis | British Journal of Cancer - Nature.com

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Abstract

Background

Receiving a breast cancer diagnosis can be a turning point with negative impacts on mental health, treatment and prognosis. This meta-analysis sought to determine the nature and prevalence of clinically significant psychological distress-related symptoms in the wake of a breast cancer diagnosis.

Methods

Ten databases were searched between March and August 2020. Thirty-nine quantitative studies were meta-analysed.

Results

The prevalence of clinically significant symptoms was 39% for non-specific distress (n = 13), 34% for anxiety (n = 19), 31% for post-traumatic stress (n = 7) and 20% for depression (n = 25). No studies reporting breast cancer patients’ well-being in our specific time frame were found.

Conclusion

Mental health can be impacted in at least four domains following a diagnosis of breast cancer and such effects are commonplace. This study outlines a clear need for mitigating the impacts on mental health brought about by breast cancer diagnosis. CRD42020203990.

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Fig. 1: PRISMA flow diagram [63].
Fig. 2: Forest plot for anxiety symptoms.
Fig. 3: Forest plot for depressive symptoms.
Fig. 4: Forest plot for non-specific distress symptoms.
Fig. 5: Forest plot for PTSD symptoms.

Data availability

Data are available upon request to the corresponding author.

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Acknowledgements

The authors thank the members of Dr Brunet’s lab (Research Laboratory on Psychological Trauma) and Dr. Marin’s lab (Stress, Trauma, Emotions, Anxiety and Memory [STEAM] lab) for their generous feedback. The authors are thanking Dr. Bernard Fortin, MD, for providing his expertise in oncology. Dr. Marie-France Marin is thanking the Fonds de Recherche en Santé du Québec for a salary award. Finally, the authors thank Connie Guo for linguistic revisions.

Funding

The authors did not receive funding to conduct the meta-analysis.

Author information

Affiliations

  1. Department of Psychology, Université de Montréal, Montréal, QC, Canada

    Justine Fortin & Mélissandre Leblanc

  2. Psychosocial Research Division, Research Center of the Douglas Mental Health University Institute, Verdun, QC, Canada

    Justine Fortin, Guillaume Elgbeili & Alain Brunet

  3. Department of Psychology, Palo Alto University, Palo Alto, CA, USA

    Matthew J. Cordova

  4. Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada

    Marie-France Marin

  5. Research Center of the Institut universitaire en santé mentale de Montréal, Montréal, QC, Canada

    Marie-France Marin

  6. Department of Psychiatry, McGill University, Montréal, QC, Canada

    Alain Brunet

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  1. Justine Fortin
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Contributions

JF coordinated the study, carried out all the search and wrote most of the paper. ML assisted JF in all stages of the project, she also reviewed the table of results and wrote some sections of the paper. GE performed the statistical analyses and created the figures and helped with the revisions of the paper. Drs. M-FM and AB provided mentorship at all stages of the study and as the paper was being written and reviewed. Dr. MJC also provided mentorship and precious feedback, especially in the field of breast cancer and mental health. All authors have reviewed this version of the article and agreed to its publication.

Corresponding author

Correspondence to Justine Fortin.

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The authors declare no competing interests.

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This meta-analysis study did not thus involve human participants, human data or human tissue. No ethics approval or contentment to participate were not required.

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Fortin, J., Leblanc, M., Elgbeili, G. et al. The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis. Br J Cancer (2021). https://ift.tt/38GiIq7

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Keywords

  • oncology, anxiety
  • depression
  • psychological distress
  • post-traumatic stress
  • well-being

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