Abstract P5-13-12: Symptom burden, unmet need for assistance, and psychosocial adaptation among longer term breast cancer survivors

2017 ◽  
Author(s):  
SC Palmer ◽  
AN Blauch ◽  
DA Pucci ◽  
LA Jacobs
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Unmet Need ◽  
Symptom Burden ◽  
Psychosocial Adaptation

Acupuncture for symptoms management in Korean breast cancer survivors: a prospective pilot study

2019 ◽  
Vol 37 (3) ◽  
pp. 164-174 ◽  
Author(s):  
Tae-Hun Kim ◽  
Jung Won Kang
Keyword(s):  
Breast Cancer ◽  
Pilot Study ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Unmet Need ◽  
Symptomatic Treatment ◽  
Common Symptom ◽  
Specific Outcome ◽  
Acupuncture Research

Background: There is an unmet need for effective treatment of the various treatment-related symptoms experienced by breast cancer survivors. These symptoms could be alleviated by acupuncture. Although several lines of evidence in Western countries suggest that acupuncture has a beneficial effect on symptoms in breast cancer survivors, few relevant studies have been conducted in Korean patients. This pilot study assessed the feasibility of acupuncture for a variety of treatment-related symptoms in Korean breast cancer survivors. Method: From October 2015 to March 2016, we recruited patients who had undergone treatment for breast cancer and subsequently reported symptoms, including aromatase inhibitor-related knee pain, vasomotor symptoms, insomnia, sexual dysfunction and post-mastectomy pain in the chest wall or shoulder. The women received 4 weeks of symptom-specific acupuncture followed by a further 4 weeks of follow-up to evaluate the feasibility of acupuncture for this indication, and its impact on common and symptom-specific outcome variables. Results: Eight study participants were recruited over a period of 6 months, six of whom completed the planned acupuncture treatment and follow-up assessments. A total of 78 acupuncture sessions were performed. We found that acupuncture was feasible, with only six minor self-limiting acupuncture-related adverse events. Most of the women felt that they had benefitted from participation in the study. The preliminary analysis indicated improvement in common symptom-specific outcomes. Conclusion: Our findings suggest that acupuncture is feasible, but low recruitment rates should be considered when considering future acupuncture research in Korean breast cancer survivors. Rigorous evaluation of this symptomatic treatment strategy is now needed in the Korean population.

scholarly journals The Relationship between Visuospatial Memory and Coping Strategies in Breast Cancer Survivors

2011 ◽  
Vol 5 ◽  
pp. BCBCR.S6957 ◽  
Author(s):  
Michelle Ayala-Feliciano ◽  
Jaime J. Pons-Valerio ◽  
José Pons-Madera ◽  
Summer F. Acevedo
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Coping Strategies ◽  
Breast Cancer Survivors ◽  
Psychosocial Adaptation ◽  
Visuospatial Memory ◽  
Neurocognitive Deficits ◽  
Immediate Memory ◽  
The Impact ◽  
The Relationship

Background In the US there are over 2.5 million breast cancer survivors (BCSs), most of whom have required some type of intensive treatment. How individuals cope with the treatment process may relate to why neurocognitive problems arise. Method We explored the impact of treatment for breast cancer (BC) on performance of the Memory Island task, both on working memory and on the general index of cognitive performance in relation to coping strategies of BCSs compared to age-matched controls. Results The evidence obtained suggests a reduced performance in visuospatial memory in BCSs. Those who used emotional coping strategies displayed reduced performance in visuospatial learning and immediate memory. Those women who used problem-focused coping strategies performed better in those tasks measuring psychomotor speed, general intelligence, and delayed visuospatial memory. Conclusions It is concluded that further investigation of the relationship between coping strategies and performance on visuospatial tasks may provide useful information on residual levels of neurocognitive deficits and psychosocial adaptation in BCSs.

scholarly journals Symptom burden among older breast cancer survivors: The Thinking and Living With Cancer (TLC) study

Cancer ◽  
2019 ◽  
Vol 126 (6) ◽  
pp. 1183-1192 ◽  
Author(s):  
Jeanne S. Mandelblatt ◽  
Wanting Zhai ◽  
Jaeil Ahn ◽  
Brent J. Small ◽  
Tim A. Ahles ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Symptom Burden ◽  
Living With Cancer

The Symptom Burden in Breast Cancer Survivors

2016 ◽  
Vol 8 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Huilin Cheng ◽  
Janet W. H. Sit ◽  
Winnie K. W. So
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Symptom Burden

scholarly journals Predictors of Physical Activity Among Older Breast Cancer Survivors: Findings From the WHI LILAC Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 299-299
Author(s):  
Michael Pennell ◽  
Michelle Naughton ◽  
Xiaochen Zhang ◽  
Aladdin Shadyab ◽  
Candyce Kroenke ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Social Support ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Symptom Burden ◽  
Normal Weight ◽  
Comorbidity Status ◽  
Multiple Health

Abstract We examined the factors associated with physical activity following cancer treatment among older breast cancer survivors from the WHI LILAC study. The majority of participants (n=3,710, mean age=78.8±5.9) were white (86%), and had in situ/localized breast cancer (79%). Women who received radiation therapy, were underweight/normal weight, had fewer reported cancer-related symptoms, no lymphedema, higher self-rated health, higher physical functioning, no pain, no depressive symptoms, and higher social support had significantly greater participation and duration of physical activity (all p<0.05). Women aged <75 who received radiation had longer duration of total minutes of physical activity (β=19.7, p<0.05), while women aged 75-85 who received radiation had shorter duration of total minutes of physical activity (β=-3.2, p<0.05). These results indicate that multiple health and social factors are associated with physical activity in this cohort. Interventions to facilitate physical activity among this group should consider body weight, symptom burden, comorbidity status, and social support.

CIFeR: A novel Clinician-lead Intervention to address Fear of cancer Recurrence (FCR) in breast cancer survivors.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 12115-12115
Author(s):  
Jia Liu ◽  
Kim Tam Bui ◽  
Anastasia Serafimovska ◽  
Belinda Emma Kiely ◽  
Mun Ngah Hui ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Response Rate ◽  
Early Stage ◽  
Local Treatment ◽  
Unmet Need ◽  
Fear Of Cancer Recurrence ◽  
Breast Cancer Patients ◽  
The Mean

12115 Background: FCR affects 50-70% of cancer survivors. There are no validated oncologist-delivered FCR interventions. This multicentre, single-arm study sought to determine the helpfulness, feasibility and efficacy of an oncologist-delivered FCR intervention. Methods: Women were invited to participate if they had completed local treatment, chemotherapy and/or HER2 targeted therapy for early stage breast cancer and had a FCR score >0 on the 42-item FCR Inventory. The brief intervention, delivered by their medical oncologist at routine follow-up, entailed 1) FCR normalisation; 2) provision of personalised prognostic information; 3) take-home education sheet on recurrence symptoms; and 4) advice on managing worry. Consultations were audio-recorded. FCR, need for help, depression and anxiety were assessed before the intervention (T0), and at one week (T1) and three months (T2) after the intervention. Satisfaction with the intervention was assessed at T1. The primary outcome was participant-rated helpfulness. Secondary outcomes included feasibility (response rate, time taken for intervention) and efficacy. Results: Five oncologists delivered the intervention to 61 women (255 women invited; response rate 24%). The mean age was 57 ± 13 years. The mean time since breast cancer diagnosis was 2.5 ± 1.3 years. Forty-three (72%) were on adjuvant hormonal therapy. Overall, 58 women (95%) found the intervention helpful and 59 (98%) would recommend it to others. FCR severity, and the proportion of women with clinically significant FCR decreased significantly over time. There were no significant changes in unmet need, depression, or anxiety. Forty (66%) of consultations were recorded. Mean consultation length was 22 minutes (range 12-37 minutes) and mean intervention length was 9 minutes (3-20 minutes). The intervention was perceived as useful and feasible by oncologists, all of whom have used components of the intervention to help manage FCR in other breast cancer patients. Conclusions: A brief oncologist-delivered intervention to address FCR is helpful and feasible, and has shown preliminary efficacy in reducing FCR. Plans for an implementation study amongst oncologists in Australia are underway. Clinical trial information: ACTRN12618001615279 . [Table: see text]

Identification of Breast Cancer Survivors With High Symptom Burden

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Meagan S. Whisenant ◽  
Loretta A. Williams ◽  
Tito Mendoza ◽  
Charles Cleeland ◽  
Tsun-Hsuan Chen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Symptom Burden

scholarly journals Ethnicity and persistent symptom burden in breast cancer survivors

2009 ◽  
Vol 3 (4) ◽  
pp. 241-250 ◽  
Author(s):  
Olivia S. Fu ◽  
Katherine D. Crew ◽  
Judith S. Jacobson ◽  
Heather Greenlee ◽  
Gary Yu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Symptom Burden ◽  
Persistent Symptom

Meaning-Centered Group Psychotherapy for Breast Cancer Survivors

2017 ◽  
Author(s):  
Wendy G. Lichtenthal ◽  
Kailey E. Roberts ◽  
Greta Jankauskaite ◽  
Caraline Craig ◽  
Dawn Wiatrek ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Group Psychotherapy ◽  
Breast Cancer Survivors ◽  
Unmet Need ◽  
Advanced Cancer Patients ◽  
Intervention Adaptation ◽  
Empirically Supported ◽  
Existential Issues ◽  
Empirically Supported Interventions

Breast cancer survivors face a number of unique psychosocial challenges following completion of treatment. In particular, having confronted their own mortality, the desire to live meaningful lives is often intensely heightened. However, a significant subset of survivors feel “stuck,” disconnected, and a decreased sense of meaning, identity, and purpose. Although breast cancer survivors have expressed that their greatest unmet need is support for existential issues, there is an absence of empirically supported interventions that focus on enhancing meaning. Meaning-centered group psychotherapy for breast cancer survivors (MCGP-BCS), which has been adapted from meaning-centered group psychotherapy for advanced cancer patients, addresses this need. This chapter describes the rationale for developing MCGP-BCS; presents a description of the intervention adaptation process; and provides an overview of the intervention, including presentation of excerpts from a sample group.

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