Journal of psychosomatic research
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Randomized Controlled Trial Comparative Study
A 1-year prospective study of individual variation in distress, and illness perceptions, after treatment for breast cancer.
The primary objective was to conduct a detailed analysis of individual variation in psychological morbidity in the year following surgery for breast cancer. The salience of the patients' "illness perceptions" to morbidity was examined as a secondary objective. ⋯ There is marked individual variation in psychological morbidity in the year following breast cancer surgery, which is reliably predicted by the patient's immediate postoperative state of distress, her perception of the impact of the symptoms and the time line of the disease. Subgroups of patients with chronically high distress are characterised by factors including personality and negative perceptions and beliefs about their illness.
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The aim of this study was to establish how often pain was a factor contributing to an episode of deliberate self-harm. ⋯ We propose closer collaboration between general hospital services and local pain clinics for deliberate self-harm patients with painful disorders. Clinicians need to assess suicidal ideation and risk of self-harm when prescribing for this population.