J Korean Med Sci.  2018 Apr;33(17):e140. 10.3346/jkms.2018.33.e140.

Psychological Distress and Drawing Tests among Women with Breast Cancer

Affiliations
  • 1Department of Medical Humanities and Social Sciences, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. schung@amc.seoul.kr
  • 3Department of Medical Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 5Department of Social Welfare, Duksung Women's University College of Social Sciences, Seoul, Korea.

Abstract

BACKGROUND
The 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.
METHODS
All 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.
RESULTS
Depressed 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).
CONCLUSION
These results suggested that DDS could be used as a supplemental screening tool for psychological distress in breast cancer patients.

Keyword

Anxiety; Depression; Breast Cancer; Diagnostic Drawing Series

MeSH Terms

Anxiety
Breast Neoplasms*
Breast*
Depression
Female
Humans
Mass Screening
Trees
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