Self-Esteem as a Predictor of Mental Adjustment in Patients with Breast Cancer

This study aimed to explore the relationship between self-esteem and mental adjustment and examine the directional effects in patients with breast cancer using path modeling. This was a cross-sectional, descriptive, and correlational study. A total of 128 patients with breast cancer were selected through convenience sampling at a medical center in northern Taiwan. They completed a basic characteristics questionnaire, the Memorial Symptom Assessment Scale short form, the Rosenberg Self-Esteem Scale, and the mini-Mental Adjustment to Cancer Scale. Descriptive statistics, regression analysis, and path analysis were used to analyze the data. The results showed that higher self-esteem was associated with better mental adjustment (β = 0.9, 95% confidence interval 0.6~1.3, p < 0.001). Age, religious beliefs, employment, cancer stage, and symptom distress were correlated with mental adjustment. Path modeling demonstrated that self-esteem, cancer stage, performance status, and symptom distress directly affected mental adjustment in patients with breast cancer. These findings suggest that health professionals should evaluate self-esteem, performance status, and symptom distress in patients with breast cancer immediately upon admission. This can facilitate early implementation of relevant nursing interventions and, consequently, improve self-esteem and symptom distress and increase mental adjustment in these patients.

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Complementary and Alternative Medicine Use in Breast Cancer Patients at a Medical Center in Taiwan: A Cross-Sectional Study

Integrative Cancer Therapies ◽

10.1177/1534735420983910 ◽

2020 ◽

Vol 19 ◽

pp. 153473542098391

Author(s):

Chieh-Ying Chin ◽

Yung-Hsiang Chen ◽

Shin-Chung Wu ◽

Chien-Ting Liu ◽

Yun-Fang Lee ◽

...

Keyword(s):

Breast Cancer ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Cancer Patients ◽

Medical Center ◽

Cancer Center ◽

Breast Cancer Patients ◽

Cross Sectional ◽

Cam Use ◽

Complementary And Alternative

Background Complementary and alternative medicine (CAM) is becoming more common in medical practice, but little is known about the concurrent use of CAM and conventional treatment. Therefore, the aim was to investigate the types of CAM used and their prevalence in a regional patient cohort with breast cancer (BC). Methods BC patients were interviewed with a structured questionnaire survey on the use of CAM in southern Taiwan at an Integrative Breast Cancer Center (IBCC). The National Centre for Complementary and Integrative Health (NCCIH) classification was used to group responses. Over a period of 8 months, all patients receiving treatment for cancer at the IBCC were approached. Results A total of 106 BC patients completed the survey (response rate: 79.7%). The prevalence of CAM use was 82.4%. Patients who were employed, were receiving radiotherapy and hormone therapy, and had cancer for a longer duration were more likely to use CAM ( P < .05). Multivariate analysis identified employment as an independent predictor of CAM use (OR = 6.92; 95% CI = 1.33-36.15). Dietary supplementation (n = 69, 82.1%) was the type of CAM most frequently used, followed by exercise (n = 48, 57.1%) and traditional Chinese medicine (n = 29, 34.5%). The main reason for using CAM was to ameliorate the side effects of conventional therapies. Almost half (46.4%) of these CAM users did not disclose that they were using it in medical consultations with their physicians. Most chose to use CAM due to recommendations from family and friends. Conclusion A large portion of BC patients at the IBCC undergoing anti-cancer treatment courses used CAM, but less than half discussed it with their physicians. Given the high prevalence of CAM, it would be justifiable to direct further resources toward this service so that cancer patients can benefit from a holistic approach to their treatment.

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Delays in the presentation and diagnosis of women with breast cancer in Yogyakarta, Indonesia: A retrospective observational study

PLoS ONE ◽

10.1371/journal.pone.0262468 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0262468

Author(s):

Susanna Hilda Hutajulu ◽

Yayi Suryo Prabandari ◽

Bagas Suryo Bintoro ◽

Juan Adrian Wiranata ◽

Mentari Widiastuti ◽

...

Keyword(s):

Breast Cancer ◽

Educational Interventions ◽

Disease Stage ◽

Future Research ◽

Multivariable Logistic Regression Analysis ◽

Initial Symptom ◽

Diagnosis Delay ◽

Cancer Stage ◽

Breast Cancer Patients ◽

Cross Sectional

Purpose To investigate factors associated with delays in presentation and diagnosis of women with confirmed breast cancer (BC). Methods A cross-sectional study nested in an ongoing prospective cohort study of breast cancer patients at Dr Sardjito Hospital, Yogyakarta, Indonesia, was employed. Participants (n = 150) from the main study were recruited, with secondary information on demographic, clinical, and tumor variables collected from the study database. A questionnaire was used to gather data on other socioeconomic variables, herbal consumption, number of healthcare visits, knowledge-attitude-practice of BC, and open-ended questions relating to initial presentation. Presentation delay (time between initial symptom and first consultation) was defined as ≥3 months. Diagnosis delay was defined as ≥1 month between presentation and diagnosis confirmation. Impact on disease stage and determinants of both delays were examined. A Kruskal-Wallis test was used to assess the length and distribution of delays by disease stage. A multivariable logistic regression analysis was conducted to explore the association between delays, cancer stage and factors. Results Sixty-five (43.3%) patients had a ≥3-month presentation delay and 97 (64.7%) had a diagnosis confirmation by ≥1 month. Both presentation and diagnosis delays increased the risk of being diagnosed with cancer stage III-IV (odds ratio/OR 2.21, 95% CI 0.97–5.01, p = 0.059 and OR 3.03, 95% CI 1.28–7.19, p = 0.012). Visit to providers ≤3 times was significantly attributed to a reduced diagnosis delay (OR 0.15, 95% CI 0.06–0.37, p <0.001), while having a family history of cancer was significantly associated with increased diagnosis delay (OR 2.28, 95% CI 1.03–5.04, p = 0.042). The most frequent reasons for delaying presentation were lack of awareness of the cause of symptoms (41.5%), low perceived severity (27.7%) and fear of surgery intervention (26.2%). Conclusions Almost half of BC patients in our setting had a delay in presentation and 64.7% experienced a delay in diagnosis. These delays increased the likelihood of presentation with a more advanced stage of disease. Future research is required in Indonesia to explore the feasibility of evidence-based approaches to reducing delays at both levels, including educational interventions to increase awareness of BC symptoms and reducing existing complex and convoluted referral pathways for patients suspected of having cancer.

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Factors associated with depression symptoms in women after breast cancer

Revista de Saúde Pública ◽

10.11606/s1518-8787.2019053000786 ◽

2019 ◽

Vol 53 ◽

pp. 30 ◽

Cited By ~ 2

Author(s):

Leonessa Boing ◽

Gustavo Soares Pereira ◽

Camila Da Cruz Ramos de Araújo ◽

Fabiana Flores Sperandio ◽

Monique Da Silva Gevaerd Loch ◽

...

Keyword(s):

Breast Cancer ◽

Body Image ◽

Prevalence Ratio ◽

Self Esteem ◽

Cross Sectional Study ◽

Depression Symptoms ◽

Anthropometric Measures ◽

Cross Sectional ◽

Factors Associated ◽

Oncology Research

OBJECTIVE: To analyze the factors associated with the presence of depression symptoms in women after breast cancer. METHODS: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florianópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Questionnaire). Descriptive and inferential statistical analysis were performed by chi-square and Fisher’s exact tests to verify association, Mann-Whitney U test to compare the groups and Poisson regression to identify the prevalence ratio of the factors associated with presence of depression symptoms (p < 0.05). RESULTS: We found an association between the presence of depression symptoms and the group of younger women (aged 40–60 years), those who had another disease besides cancer, those who had mastectomy surgery, those who suffered from lymphedema, and those who presented low–medium self-esteem. Less educated women presented more depressive symptoms, as did women with worse body image on the subscales of limitations, transparency, and arm concerns. CONCLUSIONS: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women.

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Family Support and Self-Esteem of Patient with Breast Cancer

10.31219/osf.io/8td4j ◽

2020 ◽

Author(s):

Jek Amidos Pardede ◽

Marthalena Simamora ◽

Galvani Volta Simanjuntak

Keyword(s):

Breast Cancer ◽

Family Support ◽

Cancer Patients ◽

Sampling Technique ◽

Total Sample ◽

Self Esteem ◽

Breast Cancer Patients ◽

Cross Sectional ◽

Sample Number ◽

Spearman Test

Background: Breast cancer brings negative impacts to women, particularly thosewho have undergone chemotherapy, not only physically but also mentally. The negativeimpacts on patients’ mental include a feeling of being failed to play their role as a woman,not having the ability to do anything, low self-esteem, and confidence loss. Thus, familysupport is necessary for anticipating negative self-esteem in breast cancer patients. Familysupport helps patients maintain and increase their self-esteem. Objective: The objectiveof this study is to analyze the relationship between family support and self-esteem inpatients with breast cancer undergoing chemotherapy at Haj Adam Malik Central Hospital.Methods: The study employed analytical correlational design with a cross-sectional approach.The research samples included all breast cancer patients who were undergoingchemotherapy at Haj Adam Malik Central Hospital in Medan City. The sampling selectionof this study used total sampling technique; hence the total sample number was 34.Spearman test was performed in data analysis. Result: The study suggested that 64.7% ofthe respondents received good family support and 66.7% of the respondents had a high levelof self-esteem. Besides, it was also obtained that there was a moderate correlation betweenfamily support and self-esteem of patients with breast cancer (p=0.01< α 0,05 with r =0.432). The results imply that better family support is the higher the level of self-esteemof patients with breast cancer undergoing chemotherapy will be. Therefore, it isrecommended that each of the family members gives support to the patient in the form of care,information, and instrumental support, so that the patient will have better self-esteem andquality of life

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Palliative therapy in adults with cancer: a cross-sectional study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0563 ◽

2018 ◽

Vol 71 (2) ◽

pp. 252-258 ◽

Cited By ~ 1

Author(s):

Angelita Visentin ◽

Maria de Fátima Mantovani ◽

Luciana Puchalski Kalinke ◽

Shirley Boller ◽

Leila Maria Mansano Sarquis

Keyword(s):

Breast Cancer ◽

Nursing Care ◽

Performance Status ◽

Palliative Therapy ◽

Cross Sectional Study ◽

Primary Diagnosis ◽

Adult Patients ◽

Sectional Study ◽

Clinical Context ◽

Cross Sectional

ABSTRACT Objective: To characterize the socioeconomic and clinical profile of adult cancer patients in palliative therapy. Method: Cross-sectional study in an oncology hospital in Paraná, with 124 adult patients who started palliative therapy in the period from Jan. 2 to June 30, 2015. Results: Of the participating population, 60.5% were women, 68.5% white, 48.4% married, 72.6% catholic and with income of one to two minimum wages. Non-smokers, 45.2%, non-alcoholics 75%, and 92% had Performance Status 1 and 2. The predominant primary diagnosis was breast cancer, with previous chemotherapy and radiotherapy. The sites of metastasis were lung/mediastinum/bronchi and lymph nodes. Conclusion: The socioeconomic and clinical context characterized the profile of adult patients in palliative therapy. The demand arising from the increase in cases of advanced cancer requires nursing care at all stages of treatment.

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Factors Associated With Breast Cancer Clinical Trials Participation and Enrollment at a Large Academic Medical Center

Journal of Clinical Oncology ◽

10.1200/jco.2004.03.005 ◽

2004 ◽

Vol 22 (11) ◽

pp. 2046-2052 ◽

Cited By ~ 103

Author(s):

Michael S. Simon ◽

Wei Du ◽

Lawrence Flaherty ◽

Philip A. Philip ◽

Patricia Lorusso ◽

...

Keyword(s):

Breast Cancer ◽

Clinical Trials ◽

Medical Center ◽

Performance Status ◽

Academic Medical Center ◽

Comprehensive Cancer Center ◽

Cancer Center ◽

Poor Performance Status ◽

Cancer Clinical Trials ◽

Factors Associated

Purpose The practice patterns of medical oncologists at a large National Cancer Institute Comprehensive Cancer Center in Detroit, MI were evaluated to better understand factors associated with accrual to breast cancer clinical trials. Patients and Methods From 1996 to 1997, physicians completed surveys on 319 of 344 newly evaluated female breast cancer patients. The 19-item survey included clinical data, whether patients were offered clinical trial (CT) participation and enrollment, and when applicable, reasons why they were not. Multivariate analyses using logistic regression were performed to evaluate predictors of an offer and enrollment. Results The patients were 57% white, 32% black, and 11% other/unknown race. One hundred six (33%) were offered participation and 36 (34%) were enrolled. In multivariate analysis, CTs were less likely offered to older women (mean age, 52 years for those offered v 57 years for those not offered; P = .0005) and black women (21% of blacks offered v 42% of whites; P = .0009). Women with stage 1 disease, poor performance status, and those who were previously diagnosed were also less likely to be offered trials. None of these factors were significant predictors of enrollment. Women were not offered trials because of ineligibility (57%), lack of available trials (41%), and noncompliance (2%). Reasons for failed enrollment included patient refusal (88%) and failed eligibility (12%). Conclusion It is important for cooperative groups to design studies that will accommodate a broader spectrum of patients. Further work is needed to assess ways to improve communication about breast cancer CT participation to all eligible women.

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Effects of Dispositional Resilience and Self-Efficacy on Practice in Advanced Care Planning of Terminally Ill Patients among Taiwanese Nurses: A Study Using Path Modeling

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18031236 ◽

2021 ◽

Vol 18 (3) ◽

pp. 1236

Author(s):

Hsueh-Hsing Pan ◽

Li-Fen Wu ◽

Li-Fang Chang ◽

Yu-Chun Hung ◽

Chin Lin ◽

...

Keyword(s):

Self Efficacy ◽

Medical Center ◽

Terminally Ill ◽

Cluster Sampling ◽

Care Planning ◽

Advanced Care Planning ◽

Path Modeling ◽

Do Not Resuscitate ◽

Cross Sectional ◽

Terminally Ill Patients

This study aimed to expand on previous research elucidating the effects of dispositional resilience and self-efficacy on practice in advanced care planning (ACP) of terminally ill patients among Taiwanese nurses using path modeling. This cross-sectional study was conducted using cluster sampling. Data were collected using demographics, nurses’ knowledge, attitude, and practice of ACP (KAP-ACP) inventory, Dispositional Resilience Scale, and General Self-Efficacy Scale. A total of 266 nurses from a tertiary medical center in northern Taiwan participated in this study in 2019. The results showed that gender and ward were significant K-ACP predictors among nurses. The ACP knowledge, ward, and experience of caring for terminally ill friends or relatives were significant A-ACP predictors, whereas ACP attitudes, dispositional resilience, self-efficacy, ward, and the frequency of caring for terminally ill patients were the key predictors of P-ACP. The path modeling showed that dispositional resilience; self-efficacy; medical, surgical, hematology and oncology wards; previous experience in caring for terminally ill friends or relatives; participating in the do-not-resuscitate signature; and the frequency of caring for terminally ill patients directly influenced ACP practices. We recommend that nurses enhance their dispositional resilience and self-efficacy, which may encourage them to appreciate the value of ACP practice of terminally ill patients and improve the quality of care.

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Hubungan Dukungan Keluarga dengan Self Esteem pada Pasien Kanker Payudara di Poliklinik Bedah Onkologi RSUP Sanglah Denpasar

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v9i2.210 ◽

2020 ◽

Vol 9 (2) ◽

pp. 181

Author(s):

Ni luh Putu Mahayani ◽

Ni Komang Sukraandini ◽

Ni Wayan Suniyadewi

Keyword(s):

Breast Cancer ◽

Family Support ◽

Cancer Patients ◽

Surgical Oncology ◽

Self Esteem ◽

P Value ◽

Breast Cancer Patients ◽

Cross Sectional ◽

Cross Sectional Design ◽

The Relationship

AbstractBreast cancer sufferers have a tendency to experience a decrease of self esteem that make patients shall showing symptoms such as blaming themself for what they experienced. One way to increase self esteem in cancer patients is by increasing family participation through family support. The aim of this study is to determine the relationship between family support and self esteem in breast cancer patients. This study was using cross sectional design. The study was taken place at the Surgical Oncology Polyclinic, found samples of 188 respondents which was selected with a purposive sampling technique.The results showed that the majority of respondents were in the category of moderate self-esteem were 98 respondents (52.1%) and the category of moderate family support were 96 respondents (51.1%). The Rank Spearmen test results shows p value 0,000 (p <ɑ), means there is a relationship between self-esteem and family support in breast cancer patients with r value of 0.566 (positive relationship). It is expected that the family will always support the patient in every process of treatment, whether in the form of physical, psychological or financial support that could increase the patient's self esteem

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The Effect of Uncertainty-Tolerance-based Intervention in Couples on the Mental Adaptation to Disease in Women With Breast Cancer: a Randomized Clinical Trial

10.21203/rs.3.rs-985837/v1 ◽

2021 ◽

Author(s):

Somayyeh noori ◽

Fatemeh moghaddam tabrizi ◽

Rahim Sharafkhani

Keyword(s):

Breast Cancer ◽

Intervention Program ◽

Short Form ◽

Intervention Group ◽

Control Group ◽

Breast Cancer Patients ◽

Mental Adjustment ◽

Fighting Spirit ◽

Registration Number ◽

And Control

Abstract Purpose: The aim of this study was to evaluate the effect of a couple-coping intervention aiming to improve uncertainty tolerance in women diagnosed with breast cancer and their spouses on the patients’ mental adaption to their disease. Methods: The present study was conducted on 90 women with breast cancer referred to educational, medical and research centers in Urmia, IRAN, which 45 patients were randomly assigned to each treatment and control groups. Outcome measures were assessed at baseline and 6 weeks using short form mental adjustment to cancer (Mini-MAC) questionnaire. The intervention was performed in 6 group-based sessions consisting of patients and their spouses. Results: comparing the change from before to after intervention revealed that the effect of the intervention was significant in reducing hopeless-helpless (-5.42 ± 2.42 in intervention group VS -0.13 ± 0.46 in control group, P<0.001) and anxious preoccupation (-6.80 ± 2.87 VS -0.16 ± 0.82, P<0.001). It has also been significant in increasing fatalism (4.89 ± 2.09 VS 0.22 ± 1.24) and fighting spirit (3.58 ± 2.05 VS 0.11 ± 1.61). The effect of intervention on changing avoidance scale was not significant (P = 0.83).Conclusion: Couple-centered intervention program based on increasing uncertainty tolerance can be used to improve the situation in order to increase the patients' adjustment and it has an effective support for breast cancer patients in helping to cope with cancer. Trial registration number: IRCT20150125020778N21.Date of registration: 2020-12-13.

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Evaluation of sexual function and its related factors in women with breast cancer undergoing chemotherapy referred to Iran-Mehr Medical Center in Birjand, 2018

Journal of Birjand University of Medical Sciences ◽

10.32592/jbirjandunivmedsci.2020.27.4.105 ◽

2020 ◽

pp. 366-375

Keyword(s):

Breast Cancer ◽

Sexual Function ◽

Cancer Patients ◽

Medical Center ◽

Cross Sectional Study ◽

Breast Cancer Patients ◽

Related Factors ◽

Cross Sectional ◽

Factors Affecting ◽

Age Of Marriage

Background and Aim: The Breast cancer is very common. These patients develop sexual dysfunction following chemotherapy. The aim of this study was to evaluate the effect of chemotherapy in breast cancer patients on their sexual function. Materials and Methods: This descriptive-analytical cross-sectional study was performed on patients with breast cancer referred to Iran-Mehr Medical Center in winter 2018 undergoing chemotherapy. 119 patients were enrolled in the study under census. The Rosen’s Sexual Function Questionnaire was used to collect data. Data were analyzed by using SPSS (Version 16) and Smirnov-Kolmogorov, Kruskal-Wallis and Mann-Whitney tests at the significant level of (P<0.05). Results: In terms of sexual function, the lowest score was 2.40 and the highest score was 14.90. In the study of sexual function components, patients were in the worst condition in terms of pain, 0.84±0.75 and humidity 0.85±0.73. The mean scores of other components included orgasm 1.13±0.64, irritability 1.05±0.84, satisfaction 1.23±0.30 and sexual desire 1.66±0.66, respectively. The only factor affecting sexual function Location, age of marriage and age of patients. Conclusion: The score of sexual function was less than the minimum; the most disorders were recorded for the components of pain and humidity. Factors affecting sexual function were included: location, years of menopause, type of treatment, age of patients and years of marriage. It is recommended that the sexual status of breast cancer patients be evaluated before and during treatment and that the necessary training be provided to inform patients about this disorder and the necessary treatments to improve sexual function.

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