Psychiatric comorbidities and quality of life in breast cancer patients undergoing radiation treatment: Risk and protective factors

2021 ◽  
pp. 009121742198914
Author(s):  
In Hee Shim ◽  
Chul Won Choi ◽  
Dong Sik Bae ◽  
Su Hong Ha ◽  
Kyung A Kwon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Psychological Distress ◽  
Protective Factors ◽  
Cancer Patients ◽  
Radiation Treatment ◽  
Risk And Protective Factors ◽  
Breast Cancer Patients ◽  
Psychiatric Comorbidities

Objective The primary goal was to evaluate the prevalence of psychiatric comorbidities and changes in psychological distress levels among breast cancer patients receiving radiotherapy (RT). The secondary goal was to determine risk and protective factors for psychiatric comorbidities of these patients. Methods From June 2018 to November 2019, patients were recruited from the hospital, Department of Psychiatry. Patients completed baseline surveys after seeing their radiation oncologist and prior to the first treatment, which was scheduled to take place within 7 days (visit 1, baseline); visit 2 occurred within 7 days after RT completion, and visit 3 occurred at 6 weeks after RT completion. A total of 99 patients participated in the study at visit 1; 56 patients completed the study through visit 3. Results Although changes in psychiatric comorbidities and overall quality of life were observed in patients with breast cancer prior to, during, and after RT, the differences were not significant among visits. Patients diagnosed with psychiatric comorbidities after RT had exhibited risk factors at previous visits, including preexisting psychiatric comorbidities, functional deterioration, and more severe symptoms related to breast cancer. Based on the results, the psychological characteristics of optimism and resilience can be considered as protective factors for psychiatric comorbidities. Conclusions The results suggest that early detection and follow-up of psychological distress and poor quality of life at the onset of RT are of paramount importance, and that psychosocial interventions to enhance protective factors (optimism and resilience) may be helpful.

scholarly journals Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan

2011 ◽  
Vol 20 (5) ◽  
pp. 497-505 ◽  
Author(s):  
Tatsuo Akechi ◽  
Toru Okuyama ◽  
Chiharu Endo ◽  
Ryuichi Sagawa ◽  
Megumi Uchida ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Psychological Distress ◽  
Cancer Patients ◽  
Breast Cancer Patients ◽  
Perceived Need

scholarly journals The Impact of Socioeconomic Status on the Psychological Distress of Breast Cancer Patients in Kolkata"

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Arunima Datta ◽  
Rimi Sharma
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Socioeconomic Status ◽  
Psychological Distress ◽  
Marital Status ◽  
Cancer Patients ◽  
Family Income ◽  
Psychological Symptoms ◽  
Breast Cancer Patients

Background: Breast cancer patients experience a variety of psychological symptoms such as anxiety, depression that affect their quality of life. The present study probed whether the socioeconomic status had any significance on psychological distress and quality of life of breast cancer patients in India. Method: This was a cross-sectional and observational study, conducted over 111 breast cancer patients in a tertiary cancer hospital, Kolkata. Subjects were eligible to participate and they were of over 23rd years of age and had a histologically confirmed diagnosis of breast cancer had no history of recurrence or metastasis, and had no previous psychological problems. Age, marital status, residence, education, occupation and family income were assesses for patients’ socio economic status. Psychological symptoms and quality of life were assessed by using validated tools. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status, psychological distress and quality of lifeResults: The patient group was categorized into three groups based on their income level as follows:  ≤500=27.9%), 500-1000=51.4% and high income = ≥1000=20.7%. A total of 111 breast cancer patients participated in the study; the mean age of participants was 49.7 (SE=1.31).  After using multivariate logistic regression with fully adjusted models, the patients who were living alone had significantly higher level of depression and poor quality of life compared to those who are employed. Higher education  and family income  both positively associated with quality of life after adjusting for age, marital status and occupation. Conclusion: The findings revealed that the family income have a significant impact on the psychological distress of the cancer patients.

scholarly journals Systematic Review on Effectiveness of Patient/Nurse Navigation on Health Outcomes of Breast Cancer Patients

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 81s-81s
Author(s):  
S. Chillakunnel Hussain Rawther ◽  
M. Shivananda Pai ◽  
D. Fernandes ◽  
J. Chakrabarty ◽  
S. Mathew
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Patient Satisfaction ◽  
Psychological Distress ◽  
Health Outcomes ◽  
Cancer Patients ◽  
Well Being ◽  
Breast Cancer Patients ◽  
Navigation Program

Background: Continued advances in technology and cancer treatment have made cancer care more complex. A wide range of healthcare professionals are involved in the care and there is a potential for poor coordination and miscommunication. Hence there is a need to integrate and coordinate care to enhance quality care and improved health outcomes patient navigation approach was introduced by Dr Harold Freeman at Harlem Hospital Centre, the USA in 1990. Some literature identified nurses as a suitable candidate to assume this role. But there is a need to further explore the effectiveness of patient/nurse navigation program for its effectiveness on health outcomes such as anxiety, psychological distress, mood states, quality of life, symptom distress (nausea, vomiting, sleep disturbances) physical well being, psychological well being, coping, support and patient satisfaction. Aim: To synthesize the best available evidence on the effectiveness of patient/nurse navigation program in the care of women with breast cancer. Methods: This review was conducted according to Cochrane guidelines. An extensive literature search was conducted in PubMed, CINAHL, Proquest, Cochrane Library, IndMed (Indian database of studies) and Shodhganga, a reservoir of Indian theses from January 1990-January 2017 for relevant studies published in the English language. The search criteria were limited to randomized controlled trials with patient or nurse navigation interventions compared with routine/usual care interventions without patient/nurse navigator in women with diagnosis of breast cancer aged 18 years and above, at any stage of illness undergoing any treatment in a hospital setting, including inpatient and outpatient/ambulatory care and studies. Results: Out of 238 studies assessed for eligibility only 6 studies were assessed for methodological quality. Quality assessment was done by using Delphi checklist by two independent reviewers. The risks of bias in RCTs were assessed using Cochrane risk of bias tool. Due to the methodological heterogeneity of the studies, a meta-analysis was not performed. The reviewers categorized the main outcomes as quality of life, patient satisfaction with care, anxiety, psychological distress and physical problems and other outcomes (treatment adherence, barriers to care, diagnostic interval, timely access to care, time to completion of treatment, use of health care resources) and presented it in narrative form. Conclusion: This review provides evidence that navigation programs have some benefit on breast cancer patients' health outcomes. The findings from this review show that there are a limited number of studies reporting health outcomes of breast cancer patients from inpatient settings and especially no studies from Asian countries. This warrants the need for developing navigation programs in developing countries especially in Indian setting where no navigation programs are being reported in cancer care.

scholarly journals Predictors of Quality of Life Among Breast Cancer Patients

2021 ◽  
Vol 19 (1) ◽  
pp. 1-12
Author(s):  
Lauren E. McKinley ◽  
Sabrina Hua ◽  
Julia Stal ◽  
Maya S. D'Eon ◽  
Niloofar Afari ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Psychological Distress ◽  
Cancer Patients ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Breast Cancer Patients ◽  
Cognitive Fusion ◽  
Pilot Intervention

Over 3.1 million women living in the U.S. have been diagnosed with breast cancer. The purpose of the present study was to determine whether stage of cancer, psychological distress, cognitive fusion (fusion of one’s thoughts and emotions), mindfulness, and resilience were related to quality of life among breast cancer patients. Participants were 24 women, aged 41-71, diagnosed with stage 0-3 breast cancer, recruited to participate in a pilot intervention study. All data for this study were collected at the baseline assessment. A multiple linear regression analysis explained 79.1% of the total variance in quality of life, F(5, 14) = 15.400, p < .001, Adjusted R2 = .791. Higher resilience significantly predicted higher quality of life (b = 2.392, p = .002), whereas higher stage of cancer (b = -8.068, p = .030) and higher levels of psychological distress (b = -1.737, p < .001) significantly predicted lower quality of life. Contrary to the hypotheses, higher levels of mindfulness significantly predicted lower quality of life (b = -0.612, p = .022). Cognitive fusion did not significantly predict quality of life (p > .05). More research is needed to determine how various factors predict quality of life among breast cancer patients.

scholarly journals Post Mastectomy Quality of Life in Breast Cancer Patients

2019 ◽  
Vol 17 (1) ◽  
pp. 35-44
Author(s):  
Md Mizanur Rahman
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Psychological Distress ◽  
Cancer Patients ◽  
Sexual Functioning ◽  
Disease Diagnosis ◽  
Breast Cancer Patients ◽  
Life Data ◽  
Eortc Qlq

Background: Quality of life in patients with breast cancer is an important outcome. This paper presents an overview and outcome after surgery in breast cancer patients on the topic ranging from descriptive findings to clinical trials. Methods: This is a bibliographic review of the literature covering publications that appeared in English language in biomedical journals between 1992 and 2013. The search strategy included a combination of key words 'quality of life' and 'breast cancer', 'breast carcinoma' or post mastectomy in Titles. Of these, research articles like randomized controlled trials, reviews, abstracts, editorials, brief commentaries, letters were included. The major findings are summarized and presented under several headings: instruments used, validation studies, measurement issues, surgical treatment, quality of life as predictor of survival, psychological distress, supportive care, symptoms and sexual functioning. Results: Instruments-Several valid instruments were used to measure quality of life in breast cancer patients. The European Organization for Research and Treatment of Cancer Core Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast cancer specific complementary measure (EORTC QLQ-BR23) were listed in this study, as it is a common, highly standard and well developed instruments to measure quality of life in breast cancer patients. Different surgical procedures led to relatively similar results in terms of quality of life assessments, although mastectomy patients compared to conserving surgery patients usually reported a lower body image and sexual functioning. Systemic therapies-almost all studies indicated that breast cancer patients receiving chemotherapy might experience several side-effects and symptoms that negatively affect their quality of life. Adjuvant hormonal therapies also were found to have similar negative impact on quality of life, although in general they were associated with improved survival. Quality of life as predictor of survival-similar to known medical factors, quality of life data in metastatic breast cancer patients were found to be prognostic and predictive of survival time. Psychological distress-anxiety and depression were found to be common among breast cancer patients even years after the disease diagnosis and treatment. Psychological factors also were found to predict subsequent quality of life or even overall survival in breast cancer patients. As recommended, recognition and management of these symptoms is an important issue since such symptoms impair health-related quality of life. Sexual functioning-breast cancer patients especially younger patients suffer from poor sexual functioning that negatively affect quality of life. Conclusion: There was quite an extensive body of the literature on quality of life in breast cancer patients. These papers have made a considerable contribution to improving breast cancer care, although their exact benefit was hard to define. However, quality of life data provided scientific evidence for clinical decision-making and conveyed helpful information concerning breast cancer patients' experiences during the course of the disease diagnosis, treatment, disease-free survival time, and recurrences. Journal of Surgical Sciences (2013) Vol. 17 (1) : 35-44

PSYCHOLOGICAL REHABILITATION AND SCREENING OF EMOTIONAL STRESS IN CANCER PATIENTS

2017 ◽  
Vol 63 (2) ◽  
pp. 316-319 ◽  
Author(s):  
Valentina Chulkova ◽  
Tatyana Semiglazova ◽  
Margarita Vagaytseva ◽  
Andrey Karitskiy ◽  
Yevgeniy Demin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patient ◽  
Cancer Patients ◽  
Emotional Stress ◽  
Self Esteem ◽  
Breast Cancer Patients ◽  
Psychological Study ◽  
Psychological Assistance

Psychological rehabilitation is an integral part of rehabilitation of a cancer patient. Psychological rehabilitation is aimed at a patient adaptation in the situation of the disease and improvement his quality of life. Understanding of an oncological disease is extreme and (or) crisis situation and monitoring dynamics of the psychological statement of a patient allows using differentiated approach in the provision of professional psychological assistance. The modified scale of self-esteem level of distress (IPOS) was used for screening of mental and emotional stress of cancer patients. There were selected groups of cancer patients who were most in need of professional psychological assistance. Results of a psychological study of one of these groups - breast cancer patients - are presented.

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