Psychosocial impact of newly-diagnosed advanced breast cancer (original) (raw)
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Indicators of distress in newly diagnosed breast cancer patients
PeerJ, 2015
Background. The diagnosis, treatment, and long-term management of cancer can present individuals with a multitude of stressors at various points in that trajectory. Psychosocial distress may appear early in the diagnostic process and have negative effects on compliance with treatment and subsequent quality of life. Purpose. The aim of the study was to determine early-phase predictors of distress before any medical treatment. Method. Consistent with the goals of the study, 123 newly diagnosed breast cancer patients (20 to 74 years old) completed multiple indicators of knowledge about breast cancer management and treatment, attitudes toward cancer, social support, coping efficacy, and distress. Results. SEM analysis confirmed the hypothesized model. Age was negatively associated with the patient's knowledge (β = −0.22), which, in turn, was positively associated with both attitudes toward breast cancer (β = 0.39) and coping selfefficacy (β = 0.36). Self-efficacy was then directly related to psychological distress (β = −0.68). Conclusions. These findings establish indicators of distress in patients early in the cancer trajectory. From a practical perspective, our results have implications for screening for distress and for the development of early interventions that may be followed by healthcare professionals to reduce psychological distress. Subjects Oncology, Psychiatry and Psychology WB, Golden-Kreutz DM, Emery CF, Thornton LM, Young DC, Carson 3rd WE. 2008. Psychologic intervention improves survival for breast cancer patients: a randomized clinical trial. Cancer 113(12):Arora NK, Finney Rutten LJ, Gustafson DH, Moser R, Hawkins RP. 2007. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology 16(5):474-486 DOI 10.1002/pon.1084. Avci IA. 2008. Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community. AS, Moffat Jr FL, Clark KC. 1993. How coping mediates the effects of optimism on distress: a study of women with early stage breast cancer. . Carver CS, Scheier MF. 2000. Scaling back goals and recalibration of the affect system are processes in normal adaptive self-regulation: understanding 'response shift' phenomena. Social Science and Medicine 50(12):1715-1722 DOI 10.1016/S0277-9536(99)00412-8. Casellas-Grau A, Font A, Vives J. 2014. Positive psychology interventions in breast cancer. A systematic review. Psycho-Oncology 23(1):9-19 DOI 10.1002/pon.3353. Chen JY, Diamant AL, Thind A, Maly RC. 2008. Determinants of breast cancer knowledge among newly diagnosed, low-income, medically underserved women with breast cancer. Cancer . Fiszer C, Dolbeault S, Sultan S, Brédart A. 2014. Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review. Psychooncology 23(4):I, Dulay MF, Liscum KR. 2006. Optimism, social support and psychosocial functioning among women with breast cancer. Psycho-Oncology 15(7):595-560 DOI 10.1002/pon.992. Gallagher J, Parle M, Cairns D. 2002. Appraisal and psychological distress six months after diagnosis of breast cancer. . Henselmans I, Fleer J, de Vries J, Baas PC, Sanderman R, Ranchor AV. 2010. The adaptive effect of personal control when facing breast cancer: cognitive and behavioural mediators. Psychology and Health 25(9):HW, Fielding R. 2007. Treatment decision difficulties and post-operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery. Psychooncology 16(10):Maunsell E, Brisson J, Deschi'nes L. 1992. Psychological distress after initial treatment of breast cancer assessment of potential risk factors. Cancer 70(1):120-125 . Mehnert A, Koch U. 2008. Psychological co-morbidity and health-related quality of life and its association with awareness, utilization and need for psychosocial support in a cancer register based sample of long-term breast cancer survivors. Journal of Psychosomatic Research (02)00350-1. Ohaeri BM, Ofi AB, Campbell OB. 2012. Relationship of knowledge of psychosocial issues about cancer with psychic distress and adjustment among breast cancer clinic attendees in a Nigerian teaching hospital. Psycho-Oncology 21(4):419-426 DOI 10.1002/pon.1914. Philip EJ, Merluzzi TV, Zhang Z, Heitzmann CA. 2013. Depression and cancer survivorship: importance of coping self-efficacy in post-treatment survivors. Psycho-Oncology 22:987-994 DOI 10.1002/pon.3088. Preacher KJ, Hayes AF. 2008. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods 40(3):879-891
Psychological Symptoms of Breast Cancer Survivors
Journal of Psychosocial Oncology, 2007
Background: The incidence of breast cancer in Eastern Country is unexpectedly increasing more than any other types of cancer in women. The purpose of this study was to explore and describe how breast cancer affects well-being of affected women, particularly their physical, emotional, personal and social aspects. Method: For the present study thirty-nine women were interviewed at different stages of diseases. Thirteen patients were recently diagnosed with breast cancer, ten were undergoing chemotherapy, nine were on follow-up and rest consisted of socially rejected once by others for their disease. All participants reported their experience through structured interview. A constructive grounded theory approach was used where includes different areas of domains of problems having impact on daily life. Results: Our study showed that, the reactions of the patients, when they were first informed about their disease is usually the thought of death. After first chemotherapy, behavioral changes were observed, in the form of lack of awareness about side effects. Social factors also play an important role in developing psychological stress. Conclusion: Various stages of diagnostic treatment pathway give rise to a range of unique and diverse influences on physical, emotional social and psychological well-being.
Assessment of psychological impact of breast cancer in women
International Journal of Applied Pharmaceutical Sciences and Research, 2016
Objective: The objective is to identify opportunities for improvements in care for cancer patients and their relatives. Method: 53 patients of breast cancer were included in the study. The type of breast cancer was recognized and treatment which is been carried out is studied along with its psychological impact. It was a retrospective observational study. A specially designed patient data collection form has been used which has been prepared with all the requisite features like patient name, demographic information, physical examination, complaints, previous history, diagnosis, investigations, medications and advice to the patients. Results: The patients’ most frequently reported unmet needs were mainly related to the psychological dimensions. Patients are vulnerable to anxiety, distress and depression under treatment and in the post-treatment period. Distress, anxiety and depression were also factors which characterized patients with unmet supportive care needs. Thus Breast cancer ...
Psychosocial Impact of Breast Cancer Diagnosis
2014
Objectives: The aim of this study was to explore different psychosocial impacts on Omani women diagnosed with breast cancer. Methods: Semi-structured individual interviews were conducted with 19 Omani women diagnosed with breast cancer to describe the impact of the disease on their personal and social life. Women were recruited from wards and out-patient clinics at the Sultan Qaboos University Hospital, Muscat. Results: Four main themes emerged. These were: a) factors related to psychological distress of the disease and uncertainty (worry of death, interference with work and family responsibilities, searching for hope/cure, travelling overseas); b) reactions of family members (shocked, saddened, unity, pressure to seek traditional treatments); c) views of society (sympathy, isolation, reluctant to disclose information); and d) worries and threats about the future (side effects of chemotherapy, spread of the disease, effect on offspring ). Conclusion: Breast cancer diagnosis has seve...
Women with breast cancer: self-reported distress in early survivorship
Oncology nursing forum, 2015
To identify and compare levels of distress and sources of problems among patients with breast cancer in early survivorship. Descriptive, cross-sectional. A National Cancer Institute-designated comprehensive cancer center. 100 breast cancer survivors were selected to represent four time points in the cancer trajectory. Distress was self-reported using the Distress Thermometer and its 38-item problem list. Analysis of variance and chi-square analyses were performed as appropriate. Distress scores, problem reports, and time groups. Participants scored in range of the cutoff of more than 4 (range = 4.1-5.1) from treatment through three months post-treatment. At six months post-treatment, distress levels were significantly lower. Significant differences were found between groups on the total problem list score (p = 0.007) and emotional (p = 0.01) and physical subscale scores (p = 0.003). Comparison of groups at different points in the cancer trajectory found similar elevated levels from ...
Supportive Care in Cancer, 2009
Goals of work The objective of this study was to determine how psychological characteristics, subjective symptoms, a family history of breast cancer, and age impact psychological distress in outpatients at the first hospital visit prior to breast cancer diagnosis. Materials and methods Participants were prediagnosed women with complaints of breast symptoms who either came to our hospital directly, or with a referral from another clinic. Patients were asked to complete questionnaires to determine the following: trait anxiety (State-Trait Anxiety Inventory), negative emotional suppression (Courtauld Emotional Control Scale), life stress events (Life Experiences Survey), and psychological distress (Profile of Mood States). We examined subjective symptoms (lumps, pain, abnormal nipple discharge, or deformed nipple) and family history of breast cancer based on answers to the interview sheet filled out by patients on their first visit. We analyzed a total of 154 patients who completed the questionnaires out of 237 eligible patients. Main results A significant model was obtained by multiple regression analysis (adjusted R 2 =0.574, p<0.01) in which the standard partial regression coefficients for trait anxiety, suppression of anxiety, negative life change events, positive life change events, and subjective symptoms were statistically significant (β=0.623, 0.133, 0.155, 0.108, and 0.124, respectively; p<0.05). Conclusions Psychological distress prior to diagnosis was higher in patients who had high trait anxiety, suppression of anxiety, many life stress events, and subjective symptoms. In particular, trait anxiety had a large impact on psychological distress, underscoring the need for and importance of adequate psychological care.
Psychological distress two years after diagnosis of breast cancer: frequency and prediction
Patient education and counseling, 2000
The present prospective study aimed at (1) investigating the frequency of high levels of psychological distress in women with early-stage breast cancer almost two years after diagnosis and (2) identifying characteristics associated with long-term distress. One hundred and seventy women participated on two occasions. Two months after surgery, patients completed questionnaires measuring psychosocial variables (e.g., stressful life-events, health complaints, sleep problems, social support, subjective distress, personality factors), demographic and biomedical variables (e.g., TNM status, type of surgery). At the second measurement, subjective distress was assessed for a second time by means of the Impact of Events Scale (IES). Almost two years after diagnosis, 16% of the women reported a high level of psychological distress as measured by the Intrusion scale (IES). Best predictors of a high level of distress were: intrusive thoughts about the disease, trait-anxiety, health complaints an...
Supportive Care in Cancer, 2018
Purpose Cancer patient survival rates are rapidly growing, and further data are needed on the impact of the disease beyond diagnosis and treatment phases. The aims of this study were to analyze the prevalence and sociodemographic and medical risk factors of clinical distress. Additionally, we also explore the relationship between unmet psychosocial needs and both clinical distress and subgroups of survival periods. Methods A cross-sectional study of 450 women who at least 1 month before had completed the primary treatment for breast cancer was conducted. The Brief Symptom Inventory 18 and the Cancer Survivors Unmet Needs measure were used. Results One in four women showed clinical distress related to unmet psychosocial needs. None of the sociodemographic and medical predictors was associated with clinical distress. Needs focused on the possibility of recurrence and its cognitiveemotional impact were the most frequent. Needs tended to decrease through periods of survival; however, there was a considerable level of unmet needs even among long-term survivors. Conclusions The findings highlight the relevance of extending psychosocial care beyond the breast cancer primary medical treatment. Early and regular screen for distress and unmet supportive needs permits to identify high-risk groups that likely benefit from targeted preventive interventions.
Psychosocial Issues among Gestacional Breast Cancer Patients: An Exploratory Study
Background/Purpose: Cancer during pregnancy can present complex and traumatic concerns. Little research has explored the impact of these two major life-changing events. We sought to explore the experience of gestational breast cancer patients (GBCP) and identify unique challenges GBCP are facing, compared to not pregnant breast cancer patients (BCP). Methods: A cohort study compared data from GBCP (n=6) and BCP (n=46), undergoing the same treatment at a Brazilian public hospital. Measures included the DT, HADS and FACT-G. GBCP also completed a semistructured interview. Results: GBCP reported lower levels of distress, anxiety/depression and better QoL than BCP. The content analyses revealed that GBCP discovered their pregnancy weeks after their diagnosis. Fears were related to risk of miscarriage or potential harm of treatment to the unborn baby. Ultrasonography helped to monitor baby’s health and to lessen anxiety. After the first chemotherapy infusion, 83.3% turned their focus to their baby. One patient reported increased distress associated with smoking cessation efforts. Other preferred to minimize social contact and avoided celebrations until their baby's healthy birth. Health care providers was essential and helped them to address issues regarding baby’s health and well-being. Conclusions: Unexpectedly, our preliminary findings suggest that GBCP experience less psychological turmoil than BC. It is possible that pregnancy provides a sense of meaning and a broader perspective for women diagnosed with cancer, possibly through the focus given to ensuring the health of their unborn child. Future studies should explore the long-term impact of GBCP.