scholarly journals Psychosocial Distress in Breast Cancer Patients

2021 ◽  
Author(s):  
Wenny Savitri ◽  
Amin Haryati
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Psychosocial Distress ◽  
Breast Cancer Patients

Psychosocial distress and the need for supportive counselling in breast cancer patients undergoing radiotherapy

1999 ◽  
Vol 35 ◽  
pp. S280
Author(s):  
S. Maislinger ◽  
G. Schiessling ◽  
E. Steixner ◽  
A. DeVries ◽  
P. Lukas ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Psychosocial Distress ◽  
Breast Cancer Patients ◽  
Supportive Counselling

Patient-reported distress screening outcomes in breast cancer.

2015 ◽  
Vol 33 (28_suppl) ◽  
pp. 79-79
Author(s):  
Bridget Smart ◽  
Laura Vallow ◽  
Laeticia Hollant ◽  
Megan Single ◽  
Katherine Gaines ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Ductal Carcinoma ◽  
Clinical Results ◽  
Psychosocial Distress ◽  
Breast Cancer Patients ◽  
Distress Screening ◽  
Breast Radiotherapy ◽  
Patient Reported ◽  
Patients Experience

79 Background: A significant percentage of cancer patients experience psychosocial distress with the highest prevalence observed in breast cancer patients. The importance of psychosocial distress screening and assessment in women with breast cancer has clearly been established. Patients in our clinic are screened for distress. The results were reviewed in an attempt to better understand the psychosocial distress of breast cancer patients undergoing radiotherapy. Methods: Patients treated curatively for breast cancer prospectively completed the 30 question patient reported distress (PRD) survey that also included a linear analog measure of overall distress. The recorded clinical results of the PRD survey were retrospectively assessed in patients receiving breast radiotherapy from June 1, 2013 to February 2, 2015. Results: Completed PRD questionnaires were available on 179 female patients. 21 (12%) were treated for ductal carcinoma in situ and 91 (51%), 35 (20%), and 32 (18%) were treated for invasive carcinoma Stages I, II, and III. 85 (47%) received chemotherapy. Overall distress ranged from 0 to 10, with a median value of 5. Mean distress scores per category ranged from a low of 1.25 to a high of 2.52. Top concerns in descending order of importance were: “How will I feel during treatment” (2.52), “Fatigue” (2.46), “Sleep difficulties” (2.32), “How will I feel about appearance related to treatment” (2.23), & “Pain that affects daily functioning” (2.19). Least distressing symptoms “Spirituality” (1.25), “Housing during treatment” (1.26), “Control of anger” (1.28), “End of life concerns” (1.32), & “Transportation” (1.34). Conclusions: Distress over tumor related issues ranked low among women’s concerns in comparison to distress related to the side effects of therapy concerning treatment related discomfort, fatigue, and changes in appearance, and anxiety. Pain was a significant concern, although in this group of patients receiving definitive, adjuvant or neoadjuvant therapy, this was likely related to treatment associated discomfort rather than from disease progression. These findings highlight the importance of careful patient education and communication of the expected symptoms and effects of therapy.

Effects of Chemotherapy and Psychosocial Distress on Perceived Cognitive Disturbances in Asian Breast Cancer Patients

2012 ◽  
Vol 46 (12) ◽  
pp. 1645-1655 ◽  
Author(s):  
Yin Ting Cheung ◽  
Maung Shwe ◽  
Wai Keung Chui ◽  
Wen Yee Chay ◽  
Soo Fan Ang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Psychosocial Distress ◽  
Breast Cancer Patients ◽  
Cognitive Disturbances

scholarly journals Association between Type-D Personality and Affective (Anxiety, Depression, Post-traumatic Stress) Symptoms and Maladaptive Coping in Breast Cancer Patients: A Longitudinal Study

2021 ◽  
Vol 17 (1) ◽  
pp. 271-279
Author(s):  
Luigi Grassi ◽  
Rosangela Caruso ◽  
Martino Belvederi Murri ◽  
Richard Fielding ◽  
Wendy Lam ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Psychosocial Distress ◽  
Type D Personality ◽  
Breast Cancer Patients ◽  
Post Traumatic Stress ◽  
Maladaptive Coping ◽  
Type D ◽  
Post Traumatic ◽  
Anxiety Depression

Background: Type-D (distressed) personality has not been prospectively explored for its association with psychosocial distress symptoms in breast cancer patients. Objective: The objective of the study was to test the hypothesis that Type-D personality can be associated with psychosocial distress variables in cancer over a 2-point period (6 month-follow-up). Aims: The aim of the study was to analyze the role of Type-D personality in relation to anxiety, depression, post-traumatic stress symptoms, general distress, and maladaptive coping among cancer patients. Methods: 145 breast cancer patients were assessed within 6 months from diagnosis (T0) and again 6 months later (T1). The Type-D personality Scale, the Hospital Anxiety and Depression Scale, Depression subscale (HAD-D), the Brief Symptom Inventory (BSI-18) Anxiety subscale, the Distress Thermometer (DT), the Post-traumatic Symptoms (PTS) Impact of Event Scale (IES), and the Mini Mental Adjustment to Cancer (Mini-MAC) Anxious Preoccupation and Hopelessness scales were individually administered at T0 and T1. Results: One-quarter of cancer patients met the criteria for Type-D personality, which was stable over the follow-up time. The two main constructs of Type-D personality, namely social inhibition (SI) and negative affectivity (NA), were related to anxiety, depression, PTS, BSI-general distress and maladaptive coping (Mini-MAC anxious preoccupation and hopelessness). In regression analysis, Type-D SI was the most significant factor associated with the above-mentioned psychosocial variables, both at T0 and T1. Conclusion: Likewise other medical disorders (especially cardiology), Type-D personality has been confirmed to be a construct significantly related to psychosocial distress conditions and maladaptive coping that are usually part of assessment and intervention in cancer care. More attention to personality issues is important in oncology.

Effect of chemotherapy and psychosocial distress parameters on perceived cognitive disturbances in Asian breast cancer patients.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9041-9041
Author(s):  
Yin Ting Cheung ◽  
Maung Shwe Ham Guo ◽  
Wai Keung Chui ◽  
Rebecca Alexandra Dent ◽  
Yoon Sim Yap ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Psychosocial Factors ◽  
Hormonal Therapy ◽  
Psychosocial Distress ◽  
Cancer Center ◽  
Breast Cancer Patients ◽  
Cognitive Changes ◽  
Factors Associated ◽  
Cognitive Disturbances

9041 Background: A qualitative study has revealed that Asian breast cancer patients attributed their post-chemotherapy cognitive disturbances to psychosocial distress. To validate this claim, we aim to examine perceived cognitive disturbances, anxiety and quality of life (QoL) in Asian breast cancer patients and to identify clinical and psychosocial factors associated with perceived cognitive disturbances. Methods: A prospective, observational study was held at the largest cancer center in Singapore. Chemotherapy (CT) and non-chemotherapy (non-CT) receiving breast cancer patients completed self- reported questionnaires to assess the following domains: patients’ perceived impact of chemotherapy on cognitive disturbances (FACT-Cog), health-related QoL (EORTC QLQ-C30) and anxiety (Beck Anxiety Inventory). Multiple regression was conducted to delineate factors associated with perceived cognitive impairment. Results: A total of 166 (1:1 CT/non-CT) patients were recruited (age: 54.1±10.2 years; 78.9% Chinese; 53.6% post-menopausal). Most of the CT patients received anthracycline-based chemotherapy (93.1%) and anti-hormonal therapy (69.4%). Comparing to non-CT patients, CT patients experienced more fatigue (QLQ-C30 fatigue scores: 22.2 vs 33.3 points; p=0.005), more significant anxiety (8.6% vs 21.9%; p=0.002), and more cognitive disturbances (FACT-Cog scores: 110 vs 124 points; p<0.0001). Regression model identified chemotherapy, anti-hormonal therapy, emotional functioning and global health status to be strongly associated with cognitive disturbances in Asian breast cancer patients. The interacting effect between anxiety and fatigue, comparing to fatigue alone, was more associated with cognitive disturbances (β=-0.212; p=0.032 vs β=-0.07; p=0.25, respectively). Conclusions: This is the first study to demonstrate that Asian breast cancer patients experiencing both fatigue and anxiety are more predisposed to cognitive disturbances. Post-chemotherapy cognitive changes are observed in our patients, and our results suggest that psychosocial factors are impactful to identify cancer patients who are more susceptible to cognitive disturbances.

Determinants of Psychosocial Distress in Breast Cancer Patients at a Safety Net Hospital

2021 ◽  
Author(s):  
Jessica K. Liu ◽  
Amy H. Kaji ◽  
Katherine G. Roth ◽  
Danielle M. Hari ◽  
James J. Yeh ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Safety Net ◽  
Psychosocial Distress ◽  
Breast Cancer Patients ◽  
Safety Net Hospital
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