breast-pathology-2017-scientifictracks-abstracts

12 / 26

Page 37
Notes:
conferenceseries.com
Volume 2, Issue 4 (Suppl) Breast Can Curr Res, an open access journal Breast Pathology 2017
August 23-24, 2017
August 23-24, 2017 Toronto, Canada
4th World Congress on
Breast Pathology and Cancer Diagnosis
Michael Grube, Breast Can Curr Res 2017, 2:4 (Suppl)
DOI: 10.4172/2572-4118-C1-008
Psychopathology and psychiatric interventions in a group of hospitalized breast cancer inpatients - A
contribution to liaison-consultation psychiatry
Michael Grube
Johann Wolfgang Goethe University Frankfurt, Germany
Background: Psychosocial stress and psychopathological abnormalities are expected in cancer patients at a frequency of 30%
to 60%. Apart from decreased quality of life psychological factors may cause a negative impact on treatment-compliance and
on the biological course of the tumor development subsequently.
Materials & Methods: We examined the association of different psychiatric and psychotherapeutic interventions in
liaison-consultation psychiatry with the four psychopathological dimensions derived by factor analysis based on the items of
psycho oncological basic documentation in a group of 141 breast cancer patients without pre-existing mental disorders that
were inpatients of a gynecologic cancer center. In addition information concerning subjective stress experience was gathered
with the distress-thermometer.
Results: The plausible fit of the various psychiatric and psychotherapeutic interventions due to the psychopathological
dimensions and due to the subjective experience of stress could be demonstrated. Those intervention variables that were
associated with an improvement of the psychological state could be described as well. The findings showed that improvement
or at least permanence of the psychological state was associated with completing of oncological treatment regularly in the
relevant index inpatient stay. In addition, it was found that the interventions offered could contribute to improved psychological
well-being in the subgroup of patients without mental disorders particularly in normal grief reactions.
Conclusions: Despite methodological limitations our investigation contributes to describe relevant psychopathological
syndromes in a group of breast cancer patients without pre-existing mental disorders and the goodness of fit of the different
psychiatric and psychotherapeutic interventions. Finally the study confirms the assumption that the stabilization of the mental
state may help to avoid treatment interruptions in an oncological inpatient setting and therefore decreases the likelihood that
reduced psychological well-being which may impact the biological course of the tumor development negatively.
Biography
Micheal has received the license as a physician in 1983 after finishing school and medical studies at the University of Aachen (RWTH). In 1986, he moved to the
municipal clinic Frankfurt Höchst, a teaching hospital of the Johann Wolfgang Goethe University Frankfurt in 1988 he became specialist for psychiatry, in 1998 as
specialist for psychiatry and psychotherapy. In 1999, he completed his psychoanalytic training. In 2007, Micheal was appointed as an assistant professor of the
Johann Wolfgang Goethe University and in 2008 he was appointed as physician of the clinic for Psychiatry and Psychotherapy - Psychosomatics at the municipal
clinic Frankfurt Höchst. In 2011 he passed the exam for forensic psychiatry. Micheal’s main scientific topics are: psychooncology, perinatal psychiatry, aggression
in psychiatric patients, and psychotherapy in patients suffering from psychosis.