Trauma History as a Predictor of Psychologic Symptoms in Women With Breast Cancer

2000 ◽  
Vol 18 (5) ◽  
pp. 1084-1084 ◽  
Author(s):  
Bonnie L. Green ◽  
Janice L. Krupnick ◽  
Julia H. Rowland ◽  
Steven A. Epstein ◽  
Patricia Stockton ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Life Events ◽  
Early Stage ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Early Stage Breast Cancer ◽  
Hierarchical Regression ◽  
Trauma History ◽  
Functional Social Support

PURPOSE: To identify predictors of psychiatric problems in women with early-stage breast cancer. PATIENTS AND METHODS: One hundred sixty women with early-stage breast cancer were recruited from three treatment centers. They filled out self-report questionnaires, including a medical history and demographic survey, the Trauma History Questionnaire, Life Event Questionnaire, Brief Symptom Inventory, Beck Depression Inventory, and Duke-UNC Functional Social Support Questionnaire, and were evaluated using the Structured Clinical Interview for DSM-III-R. RESULTS: Hierarchical regression analyses indicated that four of five variable sets made a significant incremental contribution to outcome prediction, with 35% to 37% of the variance explained. Outcomes were predicted by demographic variables, trauma history variables, precancer psychiatric diagnosis, recent life events, and perceived social support. Cancer treatment variables did not predict outcome. CONCLUSION: The findings highlight the important roles of trauma history and recent life events in adjustment to cancer and have implications for screening and treatment.

Effects of two types of social support and education on adaptation to early-stage breast cancer

2002 ◽  
Vol 25 (6) ◽  
pp. 459-470 ◽  
Author(s):  
Nelda Samarel ◽  
Lorraine Tulman ◽  
Jacqueline Fawcett
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Early Stage ◽  
Early Stage Breast Cancer

scholarly journals Cognitive Function After the Initiation of Adjuvant Endocrine Therapy in Early-Stage Breast Cancer: An Observational Cohort Study

2014 ◽  
Vol 32 (31) ◽  
pp. 3559-3567 ◽  
Author(s):  
Patricia A. Ganz ◽  
Laura Petersen ◽  
Steven A. Castellon ◽  
Julienne E. Bower ◽  
Daniel H.S. Silverman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Endocrine Therapy ◽  
Test Performance ◽  
Early Stage ◽  
Self Report ◽  
Early Stage Breast Cancer ◽  
Linear Regression Models ◽  
Cognitive Complaints ◽  
Observational Cohort

Purpose This report examines cognitive complaints and neuropsychological (NP) testing outcomes in patients with early-stage breast cancer after the initiation of endocrine therapy (ET) to determine whether this therapy plays any role in post-treatment cognitive complaints. Patients and Methods One hundred seventy-three participants from the Mind Body Study (MBS) observational cohort provided data from self-report questionnaires and NP testing obtained at enrollment (T1, before initiation of ET), and 6 months later (T2). Bivariate analyses compared demographic and treatment variables, cognitive complaints, depressive symptoms, quality of life, and NP functioning between those who received ET versus not. Multivariable linear regression models examined predictors of cognitive complaints at T2, including selected demographic variables, depressive symptoms, ET use, and other medical variables, along with NP domains that were identified in bivariate analyses. Results Seventy percent of the 173 MBS participants initiated ET, evenly distributed between tamoxifen or aromatase inhibitors. ET-treated participants reported significantly increased language and communication (LC) cognitive complaints at T2 (P = .003), but no significant differences in NP test performance. Multivariable regression on LC at T2 found higher LC complaints significantly associated with T1 LC score (P < .001), ET at T2 (P = .004), interaction between ET and past hormone therapy (HT) (P < .001), and diminished improvement in NP psychomotor function (P = .05). Depressive symptoms were not significant (P = .10). Conclusion Higher LC complaints are significantly associated with ET 6 months after starting treatment and reflect diminished improvements in some NP tests. Past HT is a significant predictor of higher LC complaints after initiation of ET.

scholarly journals Perceived social support change in patients with early stage breast cancer and controls.

2013 ◽  
Vol 32 (8) ◽  
pp. 886-895 ◽  
Author(s):  
Tess Thompson ◽  
Thomas L. Rodebaugh ◽  
Maria Pérez ◽  
Mario Schootman ◽  
Donna B. Jeffe
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Perceived Social Support ◽  
Early Stage ◽  
Early Stage Breast Cancer

An exploratory study of social support, distress, and life disruption among low-income hispanic women under treatment for early stage breast cancer.

2001 ◽  
Vol 20 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Susan M. Alferi ◽  
Charles S. Carver ◽  
Michael H. Antoni ◽  
Sharlene Weiss ◽  
Ron E. Durán
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Low Income ◽  
Exploratory Study ◽  
Early Stage ◽  
Hispanic Women ◽  
Early Stage Breast Cancer

scholarly journals Social support and its implications in older, early-stage breast cancer patients in CALGB 49907 (Alliance A171301)

2015 ◽  
Vol 25 (4) ◽  
pp. 441-446 ◽  
Author(s):  
Aminah Jatoi ◽  
Hyman Muss ◽  
Jake B. Allred ◽  
Harvey J. Cohen ◽  
Karla Ballman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Early Stage ◽  
Early Stage Breast Cancer ◽  
Breast Cancer Patients

scholarly journals Social support in early-stage breast cancer patients with fatigue

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hege Lilleskare Sørensen ◽  
Tore Kr. Schjølberg ◽  
Milada Cvancarova Småstuen ◽  
Inger Utne
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Early Stage ◽  
Linear Regression Analysis ◽  
Mental Fatigue ◽  
Early Stage Breast Cancer ◽  
Breast Cancer Patients ◽  
Physical Fatigue ◽  
Cancer Related Fatigue

Abstract Background A large number of women with breast cancer suffer from fatigue, and social support is described as having a positive impact on health in stressful life situations. The aim of this study is to evaluate social support in a sample of early-stage breast cancer outpatients with fatigue during treatment, and to evaluate the association between cancer-related fatigue and social support and between social support and demographic and treatment characteristics. Method This cross-sectional study includes 160 outpatients with early-stage breast cancer and cancer-related fatigue. The patients were recruited from clinics at a university-based cancer centre in Norway. The research instruments included The Social Provisions Scale (SPS), which measures ‛attachment’, ‛social integration’, ‛reassurance of worth’, and ‛nurturance’, and a fatigue questionnaire (FQ), which measures total, physical and mental fatigue. Data were analysed using descriptive statistics and linear regression analysis. Results Median total score for SPS was 59 (min/max = 39/64). Significant associations were found between mental fatigue and the provisions ‛reassurance of worth’ (B = − 0.34, 95% CI = [− 0.60; − 0.08]) and ‛nurturance’ (B = 0.20, 95% CI = [0.08; 0.31]). In addition, an association was found between social support and living with someone (B = 6.09, 95% CI = [4.07; 8.11]). No associations were found between physical fatigue and social support or between social support and treatment variables. Conclusions To a large extent, breast cancer patients with fatigue in this study experienced social support from their surroundings. The fact that there were significant associations between mental fatigue and two of the provisions of SPS suggests that social support is more closely related to mental fatigue than to physical fatigue. Findings from this study suggest that living with someone is important for the experience of social support during treatment for breast cancer. Clinicians need to evaluate demographic characteristics in relation to social support in early-stage breast cancer patients with fatigue.

scholarly journals Influence of neighborhood-level factors on social support in early-stage breast cancer patients and controls

2016 ◽  
Vol 156 ◽  
pp. 55-63 ◽  
Author(s):  
Tess Thompson ◽  
Thomas L. Rodebaugh ◽  
Maria Pérez ◽  
James Struthers ◽  
Julianne A. Sefko ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Early Stage ◽  
Early Stage Breast Cancer ◽  
Breast Cancer Patients ◽  
Neighborhood Level

Fertility- and Menopause-Related Information Needs of Younger Women With a Diagnosis of Early Breast Cancer

2005 ◽  
Vol 23 (22) ◽  
pp. 5155-5165 ◽  
Author(s):  
B. Thewes ◽  
B. Meiser ◽  
A. Taylor ◽  
K.A. Phillips ◽  
S. Pendlebury ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Breast Cancer ◽  
Young Women ◽  
Adjuvant Treatment ◽  
Information Needs ◽  
Early Stage ◽  
Self Report ◽  
Early Stage Breast Cancer ◽  
Younger Women ◽  
Related Information

Purpose The use of chemotherapy and endocrine therapies in the treatment of premenopausal women carries with it reproductive and gynecologic implications that young women may find distressing and discordant with plans for childbearing. This multicenter study aimed to investigate fertility- and menopause-related information needs among young women with a diagnosis of early-stage breast cancer. Patients and Methods Two hundred twenty-eight women with a diagnosis of early-stage breast cancer who were aged 40 years or younger at diagnosis and who were 6 to 60 months after diagnosis were entered onto the trial. Participants completed a mailed self-report questionnaire that included a purposely designed fertility- and menopause-related information needs survey and standardized measures of distress, anxiety, quality of life, menopausal symptoms, and information-seeking style. Results Seventy-one percent of participants discussed fertility-related issues with a health professional as part of their breast cancer treatment, and 86% discussed menopause-related issues. Consultation with a fertility or menopause specialist was the most preferred method of obtaining this information. Receiving fertility-related information was rated as being significantly more important than receiving menopause-related information at time of diagnosis (P < .001) and at treatment decision making (P = .058). Receiving menopause-related information was rated as being significantly more important than receiving fertility-related information during adjuvant treatment (P < .05), at completion of adjuvant treatment (P < .001), and during follow-up (P < .001). Common questions, sources of information, and correlates of perceived importance were identified. Conclusion The results of this study suggest that younger women have unmet needs for fertility- and menopause-related information and provide preliminary empirical data to guide the development of better fertility- and menopause-related patient education materials for younger women with a diagnosis of early breast cancer.

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