Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study
Background. With treatment for breast cancer, women treated may present significant sensory abnormalities in the upper extremity. However, there are no conclusive studies that have evaluated pressure pain thresholds (PPT) in the shoulder of postoperated women for breast cancer. The aim of this study...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | International Journal of Breast Cancer |
| Online Access: | http://dx.doi.org/10.1155/2021/5691584 |
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| author | Ivana Leao Ribeiro Ximena Gálvez González Diego Lara Torres Luz Alejandra Lorca Snehil Dixit Nicolás Yáñez Benavides Francisco Ortega Gonzalez |
| author_facet | Ivana Leao Ribeiro Ximena Gálvez González Diego Lara Torres Luz Alejandra Lorca Snehil Dixit Nicolás Yáñez Benavides Francisco Ortega Gonzalez |
| author_sort | Ivana Leao Ribeiro |
| collection | DOAJ |
| description | Background. With treatment for breast cancer, women treated may present significant sensory abnormalities in the upper extremity. However, there are no conclusive studies that have evaluated pressure pain thresholds (PPT) in the shoulder of postoperated women for breast cancer. The aim of this study was to compare PPT in the shoulder, stress, anxiety, depression symptoms, and quality of sleep among postoperated women for breast cancer (PO group) and asymptomatic women of shoulder pain (control group). Methods. 40 women participated (n=20, PO group, age: average±standard deviation, 49.2±8.3 years; body mass index (BMI): 27.5±3.0 kg/cm2; surgery time: 22.2±34.4 months; n=20, control group, 46.9±8.1 years; BMI: 26.8±3.5 kg/cm2). The PPT was evaluated with a digital algometer at 32 points in the shoulder region and one control point in the tibialis anterior. Stress, anxiety, and depression were evaluated with the Depression, Anxiety and Stress Scale 21 (DASS-21) and the quality of sleep by the Pittsburgh Sleep Quality Index. Results. Significant differences were observed over 1.5 kgf/cm2 in 33 points evaluated (p<0.01) with a small to high effect size (Cliff’s delta range=0.16; 0.92) and higher levels of anxiety and stress in the PO group (anxiety: median [first; third quartile], 5[3; 12.5]; stress: 9.7±4.7 (7.8; 11.8)) in comparison with the control group (anxiety: 2.5[1; 4.8]; stress: 6.7±3.31 (5.2; 8.3), (p<0.05)). No significant differences were found between the groups in depression and sleep quality (p>0.05). Conclusion. Postoperated women for breast cancer present hyperalgesia in the shoulder anterior and posterior region, low PPT in the tibialis anterior, and higher levels of stress and anxiety compared to the control group. |
| format | Article |
| id | doaj-art-bc7ef4a1c8bf446692e546dd44d30bb9 |
| institution | Kabale University |
| issn | 2090-3170 2090-3189 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Breast Cancer |
| spelling | doaj-art-bc7ef4a1c8bf446692e546dd44d30bb92025-02-03T01:27:21ZengWileyInternational Journal of Breast Cancer2090-31702090-31892021-01-01202110.1155/2021/56915845691584Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control StudyIvana Leao Ribeiro0Ximena Gálvez González1Diego Lara Torres2Luz Alejandra Lorca3Snehil Dixit4Nicolás Yáñez Benavides5Francisco Ortega Gonzalez6Department of Kinesiology, Faculty of Healthy Sciences, Universidad Católica del Maule, Talca, ChileDepartment of Kinesiology, Faculty of Healthy Sciences, Universidad Católica del Maule, Talca, ChileDepartment of Kinesiology, Faculty of Healthy Sciences, Universidad Católica del Maule, Talca, ChileHospital del Salvador, Servicio de Salud Metropolitano Oriente, Santiago de Chile, ChileDepartment of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaSubdepartamento de Oncología-Hospital Clínico Regional Valdivia, Unidad de Oncología-Clinica Alemana Valdivia, ChileFacultad de Medicina, Universidad Católica del Maule, Talca, ChileBackground. With treatment for breast cancer, women treated may present significant sensory abnormalities in the upper extremity. However, there are no conclusive studies that have evaluated pressure pain thresholds (PPT) in the shoulder of postoperated women for breast cancer. The aim of this study was to compare PPT in the shoulder, stress, anxiety, depression symptoms, and quality of sleep among postoperated women for breast cancer (PO group) and asymptomatic women of shoulder pain (control group). Methods. 40 women participated (n=20, PO group, age: average±standard deviation, 49.2±8.3 years; body mass index (BMI): 27.5±3.0 kg/cm2; surgery time: 22.2±34.4 months; n=20, control group, 46.9±8.1 years; BMI: 26.8±3.5 kg/cm2). The PPT was evaluated with a digital algometer at 32 points in the shoulder region and one control point in the tibialis anterior. Stress, anxiety, and depression were evaluated with the Depression, Anxiety and Stress Scale 21 (DASS-21) and the quality of sleep by the Pittsburgh Sleep Quality Index. Results. Significant differences were observed over 1.5 kgf/cm2 in 33 points evaluated (p<0.01) with a small to high effect size (Cliff’s delta range=0.16; 0.92) and higher levels of anxiety and stress in the PO group (anxiety: median [first; third quartile], 5[3; 12.5]; stress: 9.7±4.7 (7.8; 11.8)) in comparison with the control group (anxiety: 2.5[1; 4.8]; stress: 6.7±3.31 (5.2; 8.3), (p<0.05)). No significant differences were found between the groups in depression and sleep quality (p>0.05). Conclusion. Postoperated women for breast cancer present hyperalgesia in the shoulder anterior and posterior region, low PPT in the tibialis anterior, and higher levels of stress and anxiety compared to the control group.http://dx.doi.org/10.1155/2021/5691584 |
| spellingShingle | Ivana Leao Ribeiro Ximena Gálvez González Diego Lara Torres Luz Alejandra Lorca Snehil Dixit Nicolás Yáñez Benavides Francisco Ortega Gonzalez Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study International Journal of Breast Cancer |
| title | Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study |
| title_full | Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study |
| title_fullStr | Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study |
| title_full_unstemmed | Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study |
| title_short | Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study |
| title_sort | signs of central hypersensitivity stress and anxiety following treatment for breast cancer a case control study |
| url | http://dx.doi.org/10.1155/2021/5691584 |
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