Original Article

Pre-Treatment and Post-Treatment Anxiety, Depression, Sleep and Sexual Function Levels in Patients with Breast Cancer


  • Filiz İzci
  • Gözdem Özdem
  • Ahmet Serkan İlgün
  • Filiz Ağaçayak
  • Tomris Duymaz
  • Zeynep Erdoğan
  • Gül Alço
  • Filiz Elbüken
  • Alper Öztürk
  • Çetin Ordu
  • Kübra Ceren Ateşal
  • Özge İpek Doğan
  • Fatma Aktepe
  • Vahit Özmen

Received Date: 24.10.2019 Accepted Date: 05.03.2020 Eur J Breast Health 2020;16(3):219-225


In the phase of diagnosis and treatment of breast cancer cases, patients can usually experience sexual dysfunctions, sleep disorders and psychiatric disorders such as anxiety and depression. The main objective of our research is to study of the pre-treatment and post-treatment anxiety, depression, sleep and sexual function levels in the patients with breast cancer.

Materials and Methods:

Fifty-six patients with breast cancer and 52 healthy women have participated in our study. In order to determine the anxiety, depression, sleep and sexual function levels, Sociodemographic and Clinical Data Form, Hospital Anxiety Depression Scale (HADS), Pittsburgh Sleep Quality Scale (PSQI) and Arizona Sexual Experiences Scale (ASEX) scores are utilized at pre-treatment and post-treatment phases for patients with breast cancer and our control group.


According to scale scores applied to patients and control group, it has been determined that patients with breast cancer HADS sexual and sleep disorders, that their HADS and PSQI scores were higher and that ASEX scores decreased significantly (p<0.05). According to the scale scores calculated before and after treatment, there was a significant decrease in HADS and PSQI scores, whereas SEX scores have been increased significantly (p<0.05).


According to the findings of our study, anxiety, depression, sexual dysfunction and sleep disorders in patients with breast cancer are far more explicit in the pre-treatment phase than post-treatment phase. Therefore, it is crucial to psycho-socially support patients with breast cancer in the early periods before starting the treatment after diagnosis.

Keywords: Anxiety, breast cancer, depression, sexual function, sleep quality