• Jiyeon Kim, Soyoung Youn, Byeongil Choi, Kyung Hae Jung, Seung Do Ahn, Sook Yeon Hwang, Seockhoon Chung, and Jaedam Lee.
• Department of Medical Humanities and Social Sciences, University of Ulsan College of Medicine, Seoul, Korea.
• J. Korean Med. Sci. 2018 Apr 23; 33 (17): e140.

BackgroundThe aim of this study was to evaluate the use of the Diagnostic Drawing Series (DDS) as a screening tool for the breast cancer patients with psychological distress.MethodsAll of 64 patients with breast cancer participated in this study. Patients' depressive and anxiety symptoms were assessed using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) when the DDS was applied to the partipicants.ResultsDepressed patients used more enclosure in the Feeling drawings (P = 0.002) and tilt in Free drawings (P = 0.048). Patients with anxiety drew a picture over 67% of the paper (P = 0.015) in Tree drawing and more medium pressure (P = 0.049) in Feeling drawings. Thirty four subjects (77.3%) of unstable emotion group used over 67% of the space (P = 0.002). More Landscapes were observed in the Feeling drawings of unstable patients (P = 0.042).ConclusionThese results suggested that DDS could be used as a supplemental screening tool for psychological distress in breast cancer patients.

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