Tamoxifen treatment and new-onset depression in breast cancer patients

Psychosomatics. 2007 May-Jun;48(3):205-10. doi: 10.1176/appi.psy.48.3.205.

Abstract

The authors conducted a retrospective cohort study of female patients diagnosed with breast cancer (BRCA), evaluating the risk of new-onset depression associated with tamoxifen treatment among those with estrogen receptor-positive (ER+) tumors, versus estrogen receptor-negative (ER-) tumors, who were not receiving tamoxifen. A total cohort of 2,943 patients was identified. The hazard-ratio for new-onset depression in the tamoxifen group was nonsignificant. A post-hoc analysis revealed that chemotherapy and ER+ status were significantly and independently associated with an increased risk for developing depression.

MeSH terms

  • Antineoplastic Agents, Hormonal / adverse effects*
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / metabolism
  • Breast Neoplasms / psychology*
  • Cohort Studies
  • Depressive Disorder / chemically induced*
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Female
  • Humans
  • Middle Aged
  • Receptors, Estrogen / antagonists & inhibitors
  • Receptors, Estrogen / biosynthesis
  • Retrospective Studies
  • Risk Assessment / methods
  • Risk Factors
  • Tamoxifen / adverse effects*
  • Tamoxifen / therapeutic use
  • Time Factors

Substances

  • Antineoplastic Agents, Hormonal
  • Receptors, Estrogen
  • Tamoxifen