Psychosocial Clinical Pathway of Breast Cancer in Portuguese Women: The Distress, Emotional Control, Neuroticism, Social Support, Coping, Quality of Life and Body Image Perception’s Changes over Time

Purpose To prospectively evaluate body image, sexuality, emotional reactions (anxiety, depression), and quality of life in a sample of women having increased risk for breast cancer before and 6 months and 1 year after bilateral prophylactic mastectomy (BPM), and to compare preoperative expectations of the operation with postoperative reactions concerning the impact on six areas of the women's lives. Patients and Methods A total of 90 of 98 consecutive women who underwent BPM during October 1997 to December 2005 were included. Data were collected by self-administered questionnaires (eg, Hospital Anxiety and Depression scale, Swedish Short Term-36 Health Survey, Body Image Scale, Sexual Activity Questionnaire) before the operation (n = 81), and 6 (n = 71) and 12 months (n = 65) after BPM. Results Anxiety decreased over time (P = .0004). No corresponding difference was found for depression. No differences in health-related quality of life over time were found, with one exception. A substantial proportion of the women reported problems with body image 1 year after BPM (eg, self consciousness, 48%; feeling less sexually attractive, 48%; and dissatisfaction with the scars, 44%). Sexual pleasure was rated lower 1-year post-BPM as compared with before operation (P = .005), but no differences over time in habit, discomfort, or activity were found. Conclusion No negative effects on anxiety, depression, and quality of life were found. Anxiety and social activities improved. Negative impact on sexuality and body image was reported.

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Randomized Controlled Trial of Mindfulness-Based Cancer Recovery Versus Supportive Expressive Group Therapy for Distressed Survivors of Breast Cancer (MINDSET)

Journal of Clinical Oncology ◽

10.1200/jco.2012.47.5210 ◽

2013 ◽

Vol 31 (25) ◽

pp. 3119-3126 ◽

Cited By ~ 151

Author(s):

Linda E. Carlson ◽

Richard Doll ◽

Joanne Stephen ◽

Peter Faris ◽

Rie Tamagawa ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Social Support ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Control Group ◽

Randomized Controlled ◽

Stress Symptoms ◽

Over Time

Purpose To compare the efficacy of the following two empirically supported group interventions to help distressed survivors of breast cancer cope: mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET). Patients and Methods This multisite, randomized controlled trial assigned 271 distressed survivors of stage I to III breast cancer to MBCR, SET, or a 1-day stress management control condition. MBCR focused on training in mindfulness meditation and gentle yoga, whereas SET focused on emotional expression and group support. Both intervention groups included 18 hours of professional contact. Measures were collected at baseline and after intervention by assessors blind to study condition. Primary outcome measures were mood and diurnal salivary cortisol slopes. Secondary outcomes were stress symptoms, quality of life, and social support. Results Using linear mixed-effects models, in intent-to-treat analyses, cortisol slopes were maintained over time in both SET (P = .002) and MBCR (P = .011) groups relative to the control group, whose cortisol slopes became flatter. Women in MBCR improved more over time on stress symptoms compared with women in both the SET (P = .009) and control (P = .024) groups. Per-protocol analyses showed greater improvements in the MBCR group in quality of life compared with the control group (P = .005) and in social support compared with the SET group (P = .012). Conclusion In the largest trial to date, MBCR was superior for improving stress levels, quality of life, and social support for distressed survivors of breast cancer. Both SET and MBCR also resulted in more normative diurnal cortisol profiles than the control condition. The clinical implications of this finding require further investigation.

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Measurement of quality of life in women with breast cancer before and after adjuvant chemotherapy: A structural equation modelling

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.e11513 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. e11513-e11513

Author(s):

J. B. Choudhury ◽

G. Beadle ◽

K. Mengersen

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Cancer Patients ◽

Structural Equation ◽

Self Esteem ◽

Equation Modeling ◽

Breast Cancer Patients ◽

Changes Over Time ◽

Over Time

e11513 Background: This study examines breast cancer patients’ individual changes in health related quality of life (HRQOL) measures over time and the relationships between these measures within the framework of Structural equation modeling (SEM). Methods: One hundred and fifty five Australian women with breast cancer were asked to complete the Functional Assessment of Cancer Therapy Breast, Version 4 (FACT-B) pre- and post-chemotherapy as measures of HRQOL. In SEM, growth curve modelling was required for the estimation of individual differences in developmental changes of HRQOL scales over time. A growth mixture model was also used for identifying the cross-group differences in the pattern of changes in a given population over time. Results: Reliability and validity of the FACT-G including the fatigue subscale and breast cancer subscale for evaluating Australian breast cancer patients was determined to be sufficient for research purposes. After adjustment for covariates, two subgroups of women were identified with respect of patterns of response, representing largely increasing and decreasing trends in HRQOL respectively. In the former group, on average 85% of breast cancer women reported changes over time with respect to individual HRQOL measures and 78% reported such changes with respect to combined HRQOL Scores. A small group of women reported changes with respect to HRQOL measures in the decreasing group. The greatest contribution to variation in HRQOL measures was in the breast cancer subscale for both individual and combined scores. Subsequent factor analysis of the breast cancer subscale revealed that with one exception, all items loaded onto three separate factors described as self-esteem, physical and psychological. The latter two improved over time, but self- esteem was largely unchanged. Conclusions: The study presents a technique that allows us to identify potential subgroups of study subjects that experience different trajectories of responses. The results of this study provide greater insight into HRQOL changes over time and can help to plan interventions in a better way, ultimately contributing to improvement in HRQOL of women with breast cancer. No significant financial relationships to disclose.

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Quality-of-life changes over time in breast cancer patients undergoing breast-conserving surgery: a prospective study in Greece

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-016-4098-6 ◽

2016 ◽

Vol 294 (3) ◽

pp. 639-645 ◽

Cited By ~ 1

Author(s):

Panayiotis Eskitzis ◽

Menelaos Zafrakas ◽

Alexios Papanicolaou ◽

Efcharis Panagopoulou ◽

Michael Gkoutzioulis ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Prospective Study ◽

Breast Conserving Surgery ◽

Life Changes ◽

Breast Cancer Patients ◽

A Prospective Study ◽

Changes Over Time ◽

Over Time

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Evaluation of Quality of life, Social Support and Coping Strategies and Illness Adjustment in patients with breast cancer: Across sectional study

10.21203/rs.3.rs-242382/v1 ◽

2021 ◽

Author(s):

Hassan Okati-Aliabad ◽

Alireza Ansari-Moghadam ◽

Mahdi Mohammadi ◽

Fariba Shahraki-Sanavi ◽

Shiva Kargar

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Social Support ◽

Body Image ◽

Coping Strategies ◽

Coping Strategy ◽

Sectional Study ◽

Illness Adjustment ◽

And Coping

Abstract Background: This study aimed to assess the quality of life (QOL), social support and coping strategies, and illness adjustment among breast cancer patients in general and on type of breast surgery.Methods: We conducted a cross-sectional study at the Ali-Ebne-Abitaleb and Khatam-Al-Anbia hospitals in Zahedan, Iran, 2020. We recruited patients with breast cancer who underwent lumpectomy(n=44), mastectomy(n=64), and not any surgery (n=15) by census method. Data collection tools were the breast cancer-specific module (QLQ-BR 23), The adjustment to illness measurement inventory for Iranian women with breast cancer (AIMI- IBC), and the multidimensional scale of perceived social support (MSPSS) questionnaires. We performed statistical analysis by ANOVA, independent sample t-test, Kruskal-Wallis, Mann-Whitney U-test, and multiple linear regression analysis to adjust for covariates.Results: We recruited a total of 120 patients with breast cancer in this survey. 53.3% of patients underwent a mastectomy, 34.2% lumpectomy, and 12.5% of patients had not been surgery. Patients in the functioning scale reported high scores for body image (mean=78.61, SD=26.69) and future perspective (mean=55.27, SD=26.71). Patients on the symptom scale had a high score upset by hair loss (mean= 49.16, SD=38.88). Generally, patients received a high social support level, especially from family members, and used a positive coping strategy to have high illness adjustment more than a negative coping strategy. Also, patients who underwent lumpectomy had a better sexual life and body image and more illness adjustment than the other two groups of patients.Conclusion: Early detection of the disease, support for patients, and educational programs to use appropriate coping strategies can improve breast cancer women's quality of life and disease adaptation.

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Evaluation of Social Support, Quality of Life, and Body Image in Women with Breast Cancer

Breast Care ◽

10.1159/000443493 ◽

2016 ◽

Vol 11 (1) ◽

pp. 28-32 ◽

Cited By ~ 16

Author(s):

Roberta Spatuzzi ◽

Anna Vespa ◽

Primo Lorenzi ◽

Guido Miccinesi ◽

Marcello Ricciuti ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Social Support ◽

Body Image ◽

Breast Reconstruction ◽

Perceived Social Support ◽

The Body ◽

Life Questionnaire ◽

European Organization

Background: This study was aimed at comparing the quality of life, body image, and perceived social support in women with breast cancer surgery. Patients and Methods: Patients receiving breast-conserving surgery (BCS) (n = 72), mastectomy alone (n = 44), and mastectomy with breast reconstruction (n = 41) were evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the EORTC Breast Cancer Module (QLQ-BR23), the Body Image Scale (BIS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: The results indicated that the BCS group had a better body image compared with the other 2 groups and better role functioning compared with the mastectomy-alone group. In the reconstruction group, body image correlated with perceived social support, especially from family and significant others. Conclusion: These results suggest that a positive perception of a supportive social network can help women with breast reconstruction to better cope with the psychological effects of surgery on their body image.

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