The Effectiveness of a Ward-Based Nurse Counselling Service for Mastectomy Patients

  • Robert Clacey
  • Chris Thomas
  • Henry Pearson
Conference paper


Cancer of the breast is nowadays the commonest malignancy in women, over 20.000 new cases occuring each year in England and Wales alone1. Many of these women will still be treated initially by undergoing a mastectomy. Recent controlled studies2,3 have confirmed earlier beliefs, that 20–40% of women following mastectomy will suffer significant psychiatric morbidity in the form of an affective disorder (depression and/or anxiety). With such high numbers of women being psychiatrically disturbed a variety of approaches have been used to see whether intervention might relieve the distress. These have included prosthesis clinics4, mastectomy nurses5,6, post-mastectomy rehabilitation groups7, ex-patient volunteer counsellors8 and voluntary advice services such as the Mastectomy Association. Many of these interventions have been reviewed by Morris9 who has shown that whereas most believe they are effective, definite proof from properly controlled studies is still lacking. One study15 has shown that a specially trained mastectomy nurse who counselled patients in surgical clinics and in their own homes played a part in the lower incidence of psychiatric symptoms 18 months after surgery compared to the women who just received the normal surgical follow-up.


Counselling Service General Health Questionnaire Crisp Index Mastectomy Patient Intensive Counselling 


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Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • Robert Clacey
    • 1
  • Chris Thomas
    • 1
  • Henry Pearson
    • 1
  1. 1.Department of Liaison PsychiatryLeicester Royal InfirmaryLeicesterUnited Kingdom

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