The Long-Term Effects of Mindfulness Added to Family Resilience-Oriented Couples Support Group on Psychological Well-Being and Cortisol Responses in Breast Cancer Survivors and Their Partners

Abstract Background To explore and characterize the inter-relationship between psychological well-being, spirituality, social support, comorbidity, demographic and lifestyle factors and quality of life (QoL). Methods This cross-sectional study was conducted with 305 breast cancer survivors in northern Iran in 2017. The demographic and socio-economic data and physical activity were measured with a standard questionnaire. The standard European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 QoL scale, a system-of-belief inventory questionnaire, the social support scale, the short form of the Hospital Anxiety and Depression Scale and the fatigue severity scale (FSS) were used in data collection. In structural equation modelling analysis, we used the maximum likelihood procedure to estimate the direct and indirect effects of relevant factors on QoL. Results The median age (quartile 1 [Q1], quartile 3 [Q3]) of patients was 50 y (43, 55). The psychological factors designated by anxiety, depression and FSS had a negative significant direct effect on QoL (β=−0.62). Spirituality has a positive direct effect (β=0.089) but a negligible indirect effect (β=0.020) on QoL, while the direct association of social support was almost negligible. Conclusions The findings emphasized the unifying structure of the determinants of QoL and the mediating negative association of psychological factors with QoL. Thus the supportive education efforts should focus on improving psychological well-being along with standard treatment in breast cancer survivors.

Download Full-text

Long-term effects of the diagnosis and treatment of breast cancer upon young breast cancer survivors.

Journal of Clinical Oncology ◽

10.1200/jco.2011.29.15_suppl.9045 ◽

2011 ◽

Vol 29 (15_suppl) ◽

pp. 9045-9045

Author(s):

P. K. H. Morrow ◽

A. C. Broxson ◽

M. Munsell ◽

K. Basen-Engquist ◽

C. K. Rosenblum ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Diagnosis And Treatment ◽

Long Term Effects ◽

Young Breast Cancer

Download Full-text

The partner’s insecure attachment, depression and psychological well-being as predictors of diurnal cortisol patterns for breast cancer survivors and their spouses

Stress ◽

10.3109/10253890.2014.880833 ◽

2014 ◽

Vol 17 (2) ◽

pp. 169-175 ◽

Cited By ~ 5

Author(s):

Fei-Hsiu Hsiao ◽

Guey-Mei Jow ◽

Wen-Hung Kuo ◽

Chiun-Sheng Huang ◽

Yu-Ming Lai ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Well Being ◽

Insecure Attachment ◽

Psychological Well Being ◽

Diurnal Cortisol

Download Full-text

The Effects of Psychotherapy on Psychological Well-Being and Diurnal Cortisol Patterns in Breast Cancer Survivors

Psychotherapy and Psychosomatics ◽

10.1159/000329178 ◽

2012 ◽

Vol 81 (3) ◽

pp. 173-182 ◽

Cited By ~ 32

Author(s):

Fei-Hsiu Hsiao ◽

Guey-Mei Jow ◽

Wen-Hung Kuo ◽

King-Jen Chang ◽

Yu-Fen Liu ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Well Being ◽

Psychological Well Being ◽

Diurnal Cortisol

Download Full-text

Communicating Risks of Adjuvant Chemotherapy for Breast Cancer: Getting Beyond the Laundry List

Journal of Oncology Practice ◽

10.1200/jop.18.00162 ◽

2019 ◽

Vol 15 (2) ◽

pp. e98-e109 ◽

Cited By ~ 2

Author(s):

Eden R. Brauer ◽

Elisa F. Long ◽

Joy Melnikow ◽

Peter M. Ravdin ◽

Patricia A. Ganz

Keyword(s):

Breast Cancer ◽

Adjuvant Chemotherapy ◽

Focus Groups ◽

Cancer Survivors ◽

Late Effects ◽

Breast Cancer Survivors ◽

Theoretical Domains Framework ◽

Long Term Effects ◽

Medical Oncologists

PURPOSE: According to the Institute of Medicine, high-quality cancer care should include effective communication between clinicians and patients about the risks and benefits, expected response, and impact on quality of life of a recommended therapy. In the delivery of oncology care, the barriers to and facilitators of communication about potential long-term and late effects, post-treatment expectations, and transition to survivorship care have not been fully defined. PATIENTS AND METHODS: We collected qualitative data through semistructured interviews with medical oncologists and focus groups with breast cancer survivors and applied the Theoretical Domains Framework to systematically analyze and identify the factors that may influence oncologists’ communication with patients with breast cancer about the long-term and late effects of adjuvant therapy. RESULTS: Eight key informant interviews with medical oncologists and two focus groups with breast cancer survivors provided data. Both oncologists and patients perceived information on long-term effects as valuable in terms of improved clinical communication but had concerns about the feasibility of inclusion before treatment. They described the current approaches to communication of therapy risks as a brief laundry list that emphasized acute adverse effects and minimized more long-term issues. We describe the barriers to communication about potential long-term effects from the perspectives of both groups. CONCLUSION: This study provides insight into oncologists’ communication with patients with breast cancer regarding the potential long-term and late effects of adjuvant chemotherapy and about setting realistic expectations for life after treatment. Opportunities to improve oncologists’ communication about the potential toxicities of therapy, particularly regarding long-term and late effects, should be examined further.

Download Full-text