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The Relationship between Anger Regulation, Mood, Pain, and Pain-Related Disability in Women Treated for Breast Cancer

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Date
2019
Author(s)
Sipilä, R
Hintsa, T
Lipsanen, J
Tasmuth, T
Estlander, AM
Kalso, E
Unique identifier
10.1002/pon.5182
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Self-archived article

Citation
Sipilä, R. Hintsa, T. Lipsanen, J. Tasmuth, T. Estlander, AM. Kalso, E. (2019). The Relationship between Anger Regulation, Mood, Pain, and Pain-Related Disability in Women Treated for Breast Cancer.  Psycho-oncology, 28 (10) , 2002-2008. 10.1002/pon.5182.
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© John Wiley & Sons, Ltd.
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Abstract

Objective
Anger, depressive symptoms, and anxiety are known reactions to cancer and suggested to modulate pain experience. We examined the association between anger regulation, mood, and pain in 952 breast cancer patients followed for 3 years.

Methods
Preoperatively, the patients completed questionnaires about depressive symptoms (BDI), state anxiety (STAI), anger regulation (STAXI‐2), and pains in the surgical and other areas. Experimental pain sensitivity was tested. In the follow‐up, BDI and STAI were assessed at 1 and at 6 months and at 1, 2, and 3 years after surgery. Pain in the surgical area was evaluated during the first 7 days and at 1 and 3 years after surgery. Pain‐related disability was assessed at 3 years after surgery. Latent profile analyses were performed to identify mood profiles, and regression analyses to find independent predictors for mood and pain variables.

Results
Anger inhibition and pain had associations with ongoing depressive symptoms and anxiety. Pain‐related disability was associated with high anxiety at a hazard ratio (HR) of 2.24 (95% CI, 1.17‐4.27), with older age (HR 1.07, 95% CI, 1.01‐1.13), and with pain in the surgical area (HR 3.04, 95% CI, 2.41‐3.85), but not with anger variables. Any relationship between anger regulation and pain intensity disappeared after controlling for age and mood.

Conclusions
Different forms of pain are important to recognize and treat to support breast cancer patients' psychological well‐being. Anger inhibition could be a target for psychotherapeutic intervention, to help with ongoing mood symptoms. The relationship between anger regulation and pain is not straightforward.

Subjects
anger regulation   breast cancer   depressive symptoms   oncology   pain   pain‐related disability   state anxiety   
URI
https://erepo.uef.fi/handle/123456789/7693
Link to the original item
http://dx.doi.org/10.1002/pon.5182
Publisher
Wiley
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  • Filosofinen tiedekunta [248]
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