Post-traumatic stress symptoms and social constraints in the communication with family caregivers among Chinese-speaking breast cancer survivors

2019 ◽  
Vol 28 (9) ◽  
pp. 4115-4122
Author(s):  
Chiara Acquati ◽  
Christina E. Miyawaki ◽  
Qian Lu
Cancers ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3000
Author(s):  
Clémence Boscher ◽  
Florence Joly ◽  
Bénédicte Clarisse ◽  
Xavier Humbert ◽  
Jean-Michel Grellard ◽  
...  

Cognitive complaints are common adverse effects in cancer patients. Identifying subjects at risk could make it possible to limit their impact. We aimed to explore the relationship between current cognitive complaints and demographic and psychological factors in a group of breast cancer survivors. Through an online survey, cancer survivors reported current cognitive complaints using the FACT-Cog questionnaire (Perceived Cognitive Impairment) and answered questions about their demographics, lifestyle and cancer-related characteristics. Anxiety, depression, fatigue and post-traumatic stress symptoms were also assessed. We used multivariable logistic regression models to explore the relationships between current cognitive complaints and social and psychological factors. Among the 1393 breast cancer survivors, 47.2% (n = 657) reported current cognitive complaints. Chemotherapy (OR = 2.26, 95%CI = 1.67–3.05), age (OR21-44 vs. >65 = 0.14, 95%CI = 0.07–0.27), sleep difficulties (ORnever vs. often = 2.41, 95%CI = 1.47–3.95), frequency of psychotropic treatments (ORnever vs. >1/week = 1.70, 95%CI = 1.23–2.36), post-traumatic stress symptoms (OR = 2.05, 95%CI = 1.57–2.69) and employment status (ORfull-time or part-time vs. sick leave = 1.64, 95%CI = 1.08–2.49) were strongly associated with current cognitive complaints. In this large study, about half of breast cancer survivors reported cognitive complaints, particularly after chemotherapy. Some risk factors should be detected early to reduce persistent cognitive complaints after cancer: mainly sleep difficulties, post-traumatic stress symptoms and psychotropic medications.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037078
Author(s):  
William Tsai ◽  
Sumaiya Nusrath ◽  
Ruidi Zhu

ObjectivesThis paper aimed to review the experience of psychopathology symptoms (ie, depressive, anxiety and post-traumatic stress) and their social, cognitive and affective correlates among Asian American breast cancer survivors. Studies on psychosocial interventions for reducing psychopathology symptoms were also included in this review.DesignA systematic review was conducted.MethodsPubMed, PsycINFO and Web of Science were searched from database inception to November 2018. Empirical, peer-reviewed articles on adult women of Asian heritage residing in the USA with breast cancer diagnoses were included in this review. The methodological quality of the included articles was coded.ResultsThe search yielded 16 empirical articles, which were all deemed to be of high methodological quality. Eleven studies utilised a quantitative design, two studies utilised a qualitative design and three studies utilised a mixed-methods design. Thirteen were cross-sectional and three were longitudinal in design. Only two intervention studies were identified. Studies showed that Asian American breast cancer survivors endorsed moderate to high levels of depressive symptoms, anxiety and post-traumatic stress symptoms; those who are more acculturated demonstrated lower levels of depressive and anxiety symptoms. Asian American breast cancer survivors with social constraints were more likely to have intrusive thoughts and, in turn, have high levels of psychopathology symptoms. Intervention studies were limited, but the use of community-based participatory research approaches and cultural adaptations were noted strengths of the studies.DiscussionIn addition to discussing clinical implications, we highlight limitations of the literature, including a lack of longitudinal studies and the limited use of standardised diagnostic instruments for assessing psychopathology symptoms among this population. Clarifying the prospective relationships between psychopathology symptoms and their social, cognitive and affective correlates will help inform the development of culturally sensitive psychosocial interventions among Asian American breast cancer survivors.


2021 ◽  
Author(s):  
Silvia De Padova ◽  
Luigi Grassi ◽  
Alessandro Vagheggini ◽  
Martino Belvederi Murri ◽  
Federica Folesani ◽  
...  

2019 ◽  
Vol 50 ◽  
pp. 5-10 ◽  
Author(s):  
Hanne Birgit Alfheim ◽  
Kristin Hofsø ◽  
Milada Cvancarova Småstuen ◽  
Kirsti Tøien ◽  
Leiv Arne Rosseland ◽  
...  

2019 ◽  
Vol 2 (2) ◽  
pp. 29-35 ◽  
Author(s):  
O Zsigmond ◽  
A Vargay ◽  
E Józsa ◽  
É Bányai

Purpose The purpose of this study was to explore the factors influencing post-traumatic growth in breast cancer patients during 3 years after diagnosis. Materials and methods Our longitudinal study involved 71 medium and high-risk breast cancer patients, who received special attention and either hypnosis or music psychological intervention while receiving the same chemotherapy protocol. The influences of the interventions, as well as the demographic (age, marital status, and educational level) and psychosocial factors (coping, post-traumatic stress, and well-being), on post-traumatic growth were explored. Results The results showed that over 97% of our patients experienced post-traumatic growth. It was positively associated with Quality of Life domains 3 years after diagnosis, and with Psychological Immune Competence cumulative scores after treatment and 3 years after diagnosis. Psychological Immune Competence, emotional severity of post-traumatic stress symptoms, and the social support scale of Quality of Life explained 33.9% of the variance of post-traumatic growth. Conclusion The results confirm that positive coping strategies, emotional severity of post-traumatic stress symptoms, and social support contribute to post-traumatic growth, and that post-traumatic growth has a weak to moderate association with quality of life.


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