{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T22:53:23Z","timestamp":1763765603939},"reference-count":52,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2007,1,15]],"date-time":"2007-01-15T00:00:00Z","timestamp":1168819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> The patterns and determinants of longer\u2010term psychological morbidity in women following breast cancer surgery have not been described for Chinese populations.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> Chinese women were assessed at 3\u2010days, 4\u2010months and 8\u2010months following breast surgery, on treatment decision\u2010making difficulty (TDMD), satisfaction with treatment outcome (E\u2010OI), self efficacy (GSeS), optimism (C\u2010LOT\u2010R), consultation satisfaction (C\u2010MISS\u2010R), physical symptom distress (PSD) and psychological morbidity (CHQ\u201012) and compared using polynomial logistic models.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> Of 303\/405 women providing complete data, 33% received chemotherapy and 26% radiotherapy. GSeS, CLOTR and TDMD scores were moderate. Though the proportion of women meeting psychological morbidity case\u2010criteria declined from 78% (95% Confidence Interval 73\u201383%) at Baseline to 64% (59\u201369%) at 8\u2010months, almost 50% (44\u201354%) of women remained distressed over the 8\u2010month period. After adjustment for demographic and clinical factors, severity of psychological morbidity at 4\u2010months was predicted by PSD, disappointment and higher Baseline CHQ12, and among moderate\/severe cases only, greater TDMD and pessimistic outlook. At 8\u2010months, CHQ12 scores were predicted by PSD, Baseline CHQ\u201012, and difficulties with TDM.<\/jats:p><jats:p><jats:italic>Conclusion:<\/jats:italic> TDM difficulties, early post\u2010surgical psychological and physical symptom distress indicate risk for prolonged distress in Chinese women following breast cancer surgery. 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