THE DIFFERENCES OF THE EMOTIONAL DISTRESS BETWEEN PATIENTS WITH EMOTIONAL INHIBITION AND PATIENTS WITH EMOTIONAL EXPRESSION AFTER BEING GIVEN THE DIAGNOSIS OF BREAST CANCER
 
Iwamitsu, Y., Abe, H., Okawa, M., Shimoda, K. and Tani, T., Shiga University of Medical Science, Japan
 
We studied the differences of the affective status between 42 patients who inhibit negative emotion and 45 those who express negative emotion after being given their diagnosis by using Profile of Mood States at two sessions, 1) at the first visit to the outpatient clinic of operation, 2) immediately after telling the diagnosis. Eight out of 42 patients who inhibit negative emotion were breast cancer patients. Eight of 45 those who express negative emotion were patients with benign breast tumor. There were no substantial differences on affective status at first visit between the breast cancer patients with emotional inhibition, the breast cancer patients with emotional expression, benign tumor patients with emotional inhibition or benign tumor patients with emotional expression. The emotional distress was reduced in benign breast tumor patients after being given the diagnosis regardless of the trend of emotional inhibition. While the emotional distress was significantly increased in the breast cancer patients with emotional inhibition after being given the diagnosis, affective status of breast cancer patients with emotional expression was not altered between 2 sessions. That is, when being diagnosed as having malignant tumor, the breast cancer patients with emotional inhibition group had more emotional distress as compared to the other three groups. These results suggested that it is essential to advise the breast cancer patients to express the negative emotion.