Psychological Distress and Pain Significantly Increase Before Death in Metastatic Breast Cancer Patients
Lisa D. Butler, PhD,
Cheryl Koopman, PhD,
Matthew J. Cordova, PhD,
Robert W. Garlan, MS,
Sue DiMiceli, BA and
David Spiegel, MD
From the Department of Psychiatry and Behavioral Sciences (L.D.B., C.K., M.J.C., S.DiM., D.S.), Stanford University School of Medicine, Stanford, California and Pacific Graduate School of Psychology (R.W.G.), Palo Alto, California.

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Fig. 1. Estimated marginal mean POMS Total Mood Disturbance score (with SEM for each time point) by three mean time points of assessment (N = 57).
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Fig. 2. Estimated marginal mean IES total score (with SEM for each time point) by three mean time points of assessment (N = 54).
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Fig. 3. Estimated marginal mean CES-D total score (with SEM for each time point) by three mean time points of assessment (N = 56).
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Fig. 4. Estimated marginal mean PSOM total score (with SEM for each time point) by three mean time points of assessment (N = 52).
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Fig. 5. Estimated marginal mean Pain score (with SEM for each time point) by three mean time points of assessment (N = 59).
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Copyright © 2003 by the American Psychosomatic Society