Psychological and Social Factors and Risk Chronic Pain After Surgery in Women With Breast Cancer

NCT ID: NCT00466830

Last Updated: 2025-09-11

Basic Information

• Recruitment Status: WITHDRAWN
• Study Classification: OBSERVATIONAL
• Study Start Date: 2005-09-30
• Study Completion Date: 2011-05-31

Brief Summary

Certain psychological and social factors may increase the risk of developing chronic pain after surgery. Evaluating these factors over time in patients who have undergone surgery for breast cancer may help doctors plan treatment and improve patients' quality of life.

This clinical trial is studying the psychological and social factors that may increase the risk of developing chronic pain after surgery in women with breast cancer .

Detailed Description

OBJECTIVES:

Primary : Determine the psychological and sociological factors that predispose post-mastectomy pain syndrome after surgery in women with resectable breast cancer.

Secondary

• Determine the psychological and sociological factors that predispose post-surgical pain in these patients.
• Evaluate emotional distress over time in these patients.
• Evaluate the acute and chronic pain over time in these patients.

This is a multicenter study. Patients complete multiple questionnaires, including Hospital Anxiety and Depression Scale (HAD), Maudsley Personality Inventory (MPI), PCS, and QLQ-C30, to evaluate psychological variables (alexithymia, neurosis, repression of negative emotions, solicitude, dramatization, emotional distress) and quality of life.

Post-mastectomy chronic pain (PMCP) syndrome is measured immediately after surgery and at 24 hours, day 6, and 5 months post-surgery.

A subgroup of patients (20 with PMCP and 20 without PMCP) are followed at months 5 and 6 months post-surgery for medication use, pathological problems, morbid events, family history, and environmental factors.

Conditions

Breast Cancer; Pain; Psychosocial Effects of Cancer and Its Treatment

Interventions

questionnaire administration

Intervention Type: OTHER

management of therapy complications

Intervention Type: PROCEDURE

psychosocial assessment and care

Intervention Type: PROCEDURE

quality-of-life assessment

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

DISEASE CHARACTERISTICS:

• Diagnosis of breast cancer
• Mastectomy or lumpectomy, including axillary lymph node dissection, planned
• Analgesic fixed (or ordered) the morning of surgery

• No stage III analgesic planned
• Hormone receptor status not specified

PATIENT CHARACTERISTICS:

• Female
• Menopausal status not specified
• WHO performance status 0-2
• Other prior malignancy allowed
• No American Society of Anesthesiologists' class IV
• No contraindication or drug addiction
• No uncontrolled conditions, including any of the following:

• Diabetes
• Thyroid disease
• Neuropsychiatric disease
• Infection
• Insufficient coronary function
• NYHA class III-IV heart disease

PRIOR CONCURRENT THERAPY:

• No recent major surgery
• No participation in another medical or surgical clinical trial in the past 30 days
• Prior breast surgery for a benign lesion or malignant lesion allowed

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Institut Bergonié

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Florence Dixmerias, MD

Role: STUDY_CHAIR

Institut Bergonié

Other Identifiers

IB-2005-31

Identifier Type: -

Identifier Source: org_study_id