{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:43:47Z","timestamp":1778503427085,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T00:00:00Z","timestamp":1438646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National R&D program for Cancer Control, Ministry for Health and Welfare","award":["1220170"],"award-info":[{"award-number":["1220170"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aims of this study were to determine the prevalence of severe, definite depression symptoms, as measured using the Center for Epidemiological Studies Depression Scale (CES\u2010D), and the association between high CES\u2010D scores (i.e., \u226525) and sociodemographic and perioperative factors during perioperative period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 1690 consecutive breast cancer patients who were admitted for definitive breast surgery during the study period, 1499 patients were included in this study. Patients with a past medical history of psychiatric medication or support, a plan for elective surgery due to locoregional recurrence, or any metastatic disease were excluded. The CES\u2010D score was checked 1\u00a0day before definitive surgeries. The sociodemographic data and perioperative data were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean CES\u2010D score was 18.5, with 24.1% (362\/1499) and 56.7% (850\/1499) having high CES\u2010D scores of \u226525 and \u226516, respectively. Multivariate analysis revealed that the number of family members with any malignancy (\u22652 vs. 0), sedative medication (yes vs. no), and postoperative numeric rating scale scores (persistent, severe pain vs. stably mild pain) were significantly associated factors for severe, definite depression symptoms [CES\u2010D score of \u226525: adjusted odds ratio (OR)\u2009=\u20091.56, 95% confidence interval (CI)\u2009=\u20091.10\u20132.21, <jats:italic>p<\/jats:italic>\u2009=\u20090.013; adjusted OR\u2009=\u20091.65, 95% CI\u2009=\u20091.00\u20132.71, <jats:italic>p<\/jats:italic>\u2009=\u20090.048; and adjusted OR\u2009=\u20092.14, 95% CI\u2009=\u20091.15\u20133.95, <jats:italic>p<\/jats:italic>\u2009=\u20090.016, respectively].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Depression may increase the intensity of postoperative acute pain. Self\u2010reporting of persistent postoperative pain intensity is potentially useful in detecting hidden depression symptoms in breast cancer patients during the perioperative period. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3919","type":"journal-article","created":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T07:51:13Z","timestamp":1438674673000},"page":"308-315","source":"Crossref","is-referenced-by-count":17,"title":["Patient reporting pain intensity immediately after surgery can be associated with underlying depression in women with breast cancer"],"prefix":"10.1002","volume":"25","author":[{"given":"Yoo Seok","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Chosun University College of Medicine  Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuigyung","family":"Do","sequence":"additional","affiliation":[{"name":"Department of Nursing Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Ulsan 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