scholarly journals The role of cognitive emotion regulation strategies in health related quality of life of breast cancer patients

2020 ◽  
Vol 77 (10) ◽  
pp. 1032-1040
Author(s):  
Aleksandra Kovac ◽  
Snezana Tovilovic ◽  
Vojislava Bugarski-Ignjatovic ◽  
Svetlana Popovic-Petrovic ◽  
Milanka Tatic
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

Background/Aim. Breast cancer is often accompanied by patients? unpleasant emotional states, which can significantly affect both the undergoing treatment and the quality of life of patients. The aim of this study was to examine the mediating role of cognitive emotion regulation strategies in relation between emotional distress and various aspects of patients? quality of life, which would further indicate different psychotherapeutic interventions in psycho-oncological practice. Methods. The sample consisted of 97 breast cancer patients. Emotional distress was measured by the Depression Anxiety Stress Scale (DASS-21), cognitive emotion regulation strategies were measured using the Cognitive emotion Regulation Questionnaire (CERQ-36), while various aspects of health related quality of life were assessed using the Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire. Multiple simultaneous mediations between variables were established using the process macro INDIRECT for SPSS. Results. Positive refocusing had positive effects both on physical [a = -0.83, b = 0.50, ab = - 0.42, standard error (SE) = 0.14; 95% confidence interval (CI) = 0.17 ? 0.83] and emotional well-being (a = -0.83, b = 0.29, ab = 0.24, SE = 0.13; 95% CI = -0.01 ? 0.58) of the patients. Rumination negatively affected emotional wellbeing (a = -0.75, b = -0.33, ab = -0.25, SE = 0.16; 95% CI = -0.71 ? -0.01) of the patients. Catastrophizing had a negative impact on social (a = 0.96, b = 0.12, ab = -0.12, SE = 0.13; 95% CI = -0.33 ? -0.13) and functional well-being of the patients (a = 0.96, b = -0.16, ab = -0.15, SE = 0.09; 95% CI = -0.32 ? -0.01). Conclusion. Positive refocusing, rumination and catastrophizing are significant cognitive coping strategies through which the intensity of emotional distress significantly changes, and this can be subsequently reflected in different aspects of patients? health related quality of life. The above mentioned implies potential benefits of implementation of cognitive-behavioral trainings and interventions directed towards acquiring adaptive cognitive emotion regulation strategies, in order to improve the quality of life of breast cancer patients.

Forgiveness and health-related quality of life in older people: Adaptive cognitive emotion regulation strategies as mediators

2016 ◽  
Vol 21 (12) ◽  
pp. 2944-2954 ◽  
Author(s):  
Lourdes Rey ◽  
Natalio Extremera
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Coping Process ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

This study examined whether adaptive cognitive emotion regulation strategies mediate the relationship between forgiveness and health-related quality of life in a sample of 350 Spanish people aged 55 years and older. Positive refocusing and positive reappraisal strategies partially mediated the relation between forgiveness and mental health. Thus, focusing on planning partially mediated the relation between forgiveness and physical health. Our findings contribute to an emerging understanding of the underlying coping process between forgiveness and health outcomes and might provide preliminary insight for potential intervention for increasing quality of life via the promotion of forgiveness and adaptive coping in the elderly.

scholarly journals The impact of lymphedema on health-related quality of life up to 10 years after breast cancer treatment

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mads G. Jørgensen ◽  
Navid M. Toyserkani ◽  
Frederik G. Hansen ◽  
Anette Bygum ◽  
Jens A. Sørensen
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

AbstractThe impact of breast cancer-related lymphedema (BCRL) on long-term quality of life is unknown. The aim of this study was to investigate the impact of BCRL on health-related quality of life (HRQoL) up to 10 years after breast cancer treatment. This regional population-based study enrolled patients treated for breast cancer with axillary lymph node dissection between January 1st 2007 and December 31th 2017. Follow up and assessments of the included patients were conducted between January 2019 and May 2020. The study outcome was HRQoL, evaluated with the Lymphedema Functioning, Disability and Health Questionnaire, the Disabilities of the Arm, Shoulder and Hand Questionnaire and the Short Form (36) Health Survey Questionnaire. Multivariate linear logistic regression models adjusted for confounders provided mean score differences (MDs) with 95% confidence intervals in each HRQoL scale and item. This study enrolled 244 patients with BCRL and 823 patients without BCRL. Patients with BCRL had significantly poorer HRQoL than patients without BCRL in 16 out of 18 HRQoL subscales, for example, in physical function (MDs 27, 95%CI: 24; 30), mental health (MDs 24, 95%CI: 21; 27) and social role functioning (MDs 20, 95%CI: 17; 23). Age, BMI, BCRL severity, hand and dominant arm affection had only minor impact on HRQoL (MDs < 5), suggesting a high degree of inter-individual variation in coping with lymphedema. This study showed that BCRL is associated with long-term impairments in HRQoL, especially affecting the physical and psychosocial domains. Surprisingly, BCRL diagnosis rather than clinical severity drove the largest impairments in HRQoL.

scholarly journals Self-reported symptoms of arm lymphedema and health-related quality of life among female breast cancer survivors

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kayo Togawa ◽  
Huiyan Ma ◽  
Ashley Wilder Smith ◽  
Marian L. Neuhouser ◽  
Stephanie M. George ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Health ◽  
Analysis Of Covariance ◽  
Health Related Quality ◽  
Burning Pain ◽  
Related Quality ◽  
Health Related ◽  
Arm Lymphedema

AbstractWe examined cross-sectional associations between arm lymphedema symptoms and health-related quality of life (HRQoL) in the Health, Eating, Activity and Lifestyle (HEAL) Study. 499 women diagnosed with localized or regional breast cancer at ages 35–64 years completed a survey, on average 40 months after diagnosis, querying presence of lymphedema, nine lymphedema-related symptoms, e.g., tension, burning pain, mobility loss, and warmth/redness, and HRQoL. Analysis of covariance models were used to assess HRQoL scores in relation to presence of lymphedema and lymphedema-related symptoms. Lymphedema was self-reported by 137 women, of whom 98 were experiencing lymphedema at the time of the assessment. The most common symptoms were heaviness (52%), numbness (47%), and tightness (45%). Perceived physical health was worse for women reporting past or current lymphedema than those reporting no lymphedema (P-value < 0.0001). No difference was observed for perceived mental health (P-value = 0.31). Perceived physical health, stress, and lymphedema-specific HRQoL scores worsened as number of symptoms increased (P-values ≤ 0.01). Women reporting tension in the arm had lower physical health (P-value = 0.01), and those experiencing burning pain, tension, heaviness, or warmth/redness in the arm had lower lymphedema-specific HRQoL (P-values < 0.05). Treatment targeting specific lymphedema-related symptoms in addition to size/volume reduction may improve some aspects of HRQoL among affected women.

Health-Related Quality of Life Among Patients With HR+/HER2– Early Breast Cancer

2021 ◽  
Author(s):  
Carmen Criscitiello ◽  
Dean Spurden ◽  
James Piercy ◽  
Alex Rider ◽  
Rhys Williams ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Early Breast Cancer ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related
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