Evaluation of Symptoms, Depression and Anxiety Levels in Young Women with Idiopathic Granulomatous Mastitis

Author : Demet Yalcin Kehribar - Tugba Izci Duran, Gamze Karakurt Cetinkaya, Ayfer Kamali Polat, Metin Ozgen
Number of pages : 57-61

Abstract

Idiopathic granulomatous mastitis (IGM) is a rare, chronic, inflammatory disease of the breast, and diagnostic and therapeutic procedures are challenging for patients. This study aimed to determine the psychiatric symptom levels of young women clinically diagnosed with IGM, to compare the age and sex-matched controls and to investigate the factors affecting depressive symptoms in patients with IGM. A total of 32 patients and 32 age and sex-matched volunteers were included in the study. The sociodemographic and clinical characteristics of the patients were recorded and Beck's depression and health anxiety inventory were applied. A significant difference was found between the Beck depression inventory and health anxiety inventory scores between the patient and control groups. There was a strong correlation between breast mass size and Beck depression inventory (r:0.83, p:0.01), also moderate correlation was found between breast mass size and health anxiety (r:0.39, p:0.05). In the logistic regression model (χ2:12.274, R2:0.469, p:0.01) created by the retrospective elimination method, presentation with fistula (OR:9.24), the bilateral lesion (OR:7.25) and disease duration (for each month OR:1.29) were found to be significant. In this study, it was determined anxiety and depression levels higher in patients with IGM and also clinical futures of IGM (fistula, bilateral lesions, and disease duration) affect depression levels at different levels. For this reason, it is thought that psychosocial evaluation of patients from the time of diagnosis, referring them to psychiatric treatment if necessary may improve the quality of life of the patients.

Keywords

idiopathic granulomatous mastitis, depression, anxiety

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