scholarly journals The influence of coping types on post-traumatic growth in patients with primary breast cancer

2020 ◽  
Vol 51 (1) ◽  
pp. 85-91
Author(s):  
Tomomi Fujimoto ◽  
Hitoshi Okamura

Abstract Background The physical and mental impacts of breast cancer diagnosis on women are substantial. Several studies have investigated the negative mental health effects of breast cancer. However, in recent years, there has also been growing interest in post-traumatic growth, a positive response to stressful events. Considering positive psychology focuses on such virtues, proactive coping theory was chosen as a theoretical guide. This study investigates how breast cancer patients’ post-traumatic growth is associated with proactive coping and mental well-being. Methods A self-administered questionnaire survey was conducted with 80 breast cancer patients aged 20–70 years attending an outpatient clinic. The survey was conducted using the Posttraumatic Growth Inventory-Japanese version (PTGI-J), Proactive Coping Inventory-Japanese version and the Japanese version of the General Health Questionnaire. Single regression and multiple regression analyses with PTGI-J as the dependent variable were performed. Results The multiple regression analysis extracted proactive coping (P = 0.006), emotional support seeking (P = 0.004) and avoidance coping (P = 0.001) as factors associated with post-traumatic growth in breast cancer patients. Conclusions These results suggest that using proactive coping for conflicts caused by a breast cancer diagnosis and temporary avoidant coping for daily stresses during the treatment process may enhance post-traumatic growth while preventing deterioration in mental well-being. Additionally, seeking emotional support is important for post-traumatic growth.

2015 ◽  
Vol 4 (2) ◽  
pp. 77-84 ◽  
Author(s):  
Maria Cristina Canavarro ◽  
Sónia Martins da Silva

Author(s):  
Safoora Mavaeeyan ◽  
Fazlolah Mirderikvand ◽  
Masoud Sadecghi

Introduction: Breast cancer is one of the most common cancers among Iranian women. The aim of this study was to evaluate the effectiveness of existential-humanity based therapy on psychological well-being and post-traumatic growth in women with breast cancer. Methods: This was a quasi-experimental study with a pre-test, post-test and follow-up design with a control group. The population of  this study insisted all the patients with breast cancer that referred to Khorramabad Shahid Rahimi Hospital in 2020. 30 patients selected randomly and assigned in two groups (15 experimental and 15 evidence), and it was asked them to answer to the Reef psychological well-being scale and post-traumatic growth questionnaire by Tedachi et al. Afterwards, the experimental group was intervened in 8 sessions of 90 minutes. After the intervention, post-test was taken from both groups and both groups were followed up again after two months. The data were analyzed by repeated measures ANOVA and SPSS version 16 software. Results: The results of analysis of repeated measures ANOVA showed that the interaction between group and time was significant. Therefore, psychological well-being variable increased significantly (F=77.98, P<0/01) and post-­trauma growth variable increased significantly (F=27.46, P<0/01). Conclusion: According to the results of the study, existential-humanity based therapy has a significant effect on psychological well-being and post-traumatic growth in breast cancer patients. It would be beneficial to offer, along with medication, psychological treatments, including existential-humanity based therapy to these patients should be considered.


Biomolecules ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 301
Author(s):  
Amal Ahmed Abd El-Fattah ◽  
Nermin Abdel Hamid Sadik ◽  
Olfat Gamil Shaker ◽  
Amal Mohamed Kamal ◽  
Nancy Nabil Shahin

Long non-coding RNAs play an important role in tumor growth, angiogenesis, and metastasis in several types of cancer. However, the clinical significance of using lncRNAs as biomarkers for breast cancer diagnosis and prognosis is still poorly investigated. In this study, we analyzed the serum expression levels of lncRNAs PVT1, HOTAIR, NEAT1, and MALAT1, and their associated proteins, PAI-1, and OPN, in breast cancer patients compared to fibroadenoma patients and healthy subjects. Using quantitative real-time PCR (qRT-PCR), we compared the serum expression levels of the four circulating lncRNAs in patients with breast cancer (n = 50), fibroadenoma (n = 25), and healthy controls (n = 25). The serum levels of PAI-1 and OPN were measured using ELISA. Receiveroperating-characteristic (ROC) analysis and multivariate logistic regression were used to evaluate the diagnostic value of the selected parameters. The serum levels of HOTAIR, PAI-1, and OPN were significantly higher in breast cancer patients compared to controls and fibroadenoma patients. The serum level of PVT1 was significantly higher in breast cancer patients than in the controls, while that of NEAT1 was significantly lower in breast cancer patients compared to controls and fibroadenoma patients. Both ROC and multivariate logistic regression analyses revealed that PAI-1 has the greatest power in discriminating breast cancer from the control, whereas HOTAIR, PAI-1, and OPN have the greatest power in discriminating breast cancer from fibroadenoma patients. In conclusion, our data suggest that the serum levels of PVT1, HOTAIR, NEAT1, PAI-1, and OPN could serve as promising diagnostic biomarkers for breast cancer.


2015 ◽  
Vol 107 (7) ◽  
pp. djv099-djv099 ◽  
Author(s):  
K. Hermelink ◽  
V. Voigt ◽  
J. Kaste ◽  
F. Neufeld ◽  
R. Wuerstlein ◽  
...  

Author(s):  
C. T. Sánchez-Díaz ◽  
S. Strayhorn ◽  
S. Tejeda ◽  
G. Vijayasiri ◽  
G. H. Rauscher ◽  
...  

Abstract Background Prior studies have observed greater levels of psychosocial stress (PSS) among non-Hispanic (nH) African American and Hispanic women when compared to nH White patients after a breast cancer diagnosis. We aimed to determine the independent and interdependent roles of socioeconomic position (SEP) and unmet support in the racial disparity in PSS among breast cancer patients. Methods Participants were recruited from the Breast Cancer Care in Chicago study (n = 989). For all recently diagnosed breast cancer patients, aged 25–79, income, education, and tract-level disadvantage and affluence were summed to create a standardized socioeconomic position (SEP) score. Three measures of PSS related to loneliness, perceived stress, and psychological consequences of a breast cancer diagnosis were defined based on previously validated scales. Five domains of unmet social support needs (emotional, spiritual, informational, financial, and practical) were defined from interviews. We conducted path models in MPlus to estimate the extent to which PSS disparities were mediated by SEP and unmet social support needs. Results Black and Hispanic patients reported greater PSS compared to white patients and greater unmet social support needs (p = 0.001 for all domains). Virtually all of the disparity in PSS could be explained by SEP. A substantial portion of the mediating influence of SEP was further transmitted by unmet financial and practical needs among Black patients and by unmet emotional needs for Hispanic patients. Conclusions SEP appeared to be a root cause of the racial/ethnic disparities in PSS within our sample. Our findings further suggest that different interventions may be necessary to alleviate the burden of SEP for nH AA (i.e., more financial support) and Hispanic patients (i.e., more emotional support).


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