scholarly journals Injured Self: Autobiographical Memory, Self-Concept, and Mental Health Risk in Breast Cancer Survivors

2020 ◽  
Vol 11 ◽  
Author(s):  
Valeria Sebri ◽  
Stefano Triberti ◽  
Gabriella Pravettoni
2015 ◽  
Author(s):  
◽  
Jennifer M. Hulett

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Background: Breast cancer survivors rely on religious and spiritual beliefs to cope with breast cancer survivorship. Previous data have shown that religious and spiritual beliefs were associated with health outcomes. However, a gap in the literature has been a lack of objective evidence linking psychosocial variables with physiological outcomes. Purpose: The purpose of this study was to examine relationships between and among religious and spiritual variables, subjective health outcomes, and neuroendocrine-mediated cortisol activity in breast cancer survivors. Design: This was an exploratory, feasibility, and cross-sectional studyMethod: Subjective measures were: religious/spiritual variables (Brief Multi-dimensional Measures of Religiousness/Spirituality), subjective health (SF-36v2 Health Outcomes), and personality traits (NEO-FFI-3 Personality Inventory). Objective measures included salivary cortisol, blood pressure, pulse, respirations, and body mass index. The sample consisted of female breast cancer survivors (n=41). Results: Positive spiritual beliefs and forgiveness were related to better mental health. Positive congregational support was related to better physical and mental health. Positive spiritual experiences were associated with healthier cortisol activity patterns. Conscientiousness was associated with less healthy cortisol patterns. Subjective health perceptions were not associated with cortisol activity. Conclusion: Data supported a psychoneuroimmunological model of health in which spiritual variables were related to subjective health outcomes. Positive spiritual beliefs and conscientiousness were associated with neuroendocrine-mediated cortisol activity; although, more empirical support is required.


2019 ◽  
pp. 135910531986089
Author(s):  
Benjamin JI Schellenberg ◽  
Catherine M Sabiston ◽  
Robert J Vallerand ◽  
Patrick Gaudreau

We examined the prospective relationship between harmonious passion and post-treatment health outcomes among female breast cancer survivors. Participants reported passion toward a favorite activity, physical pain symptoms, and mental health after their final breast cancer treatment (Time 1, N = 188). Twelve months later (Time 2, N = 148), participants reported their physical pain symptoms and mental health. Harmonious passion at Time 1 predicted fewer physical pain symptoms and higher levels of mental health at Time 2. These results show that breast cancer survivors benefit from being harmoniously passionate toward a meaningful activity following treatment.


2020 ◽  
Vol 38 (6) ◽  
pp. 670-686
Author(s):  
Nancy A. Borstelmann ◽  
Shoshana Rosenberg ◽  
Shari Gelber ◽  
Yue Zheng ◽  
Meghan Meyer ◽  
...  

2019 ◽  
Vol 15 (9) ◽  
pp. e777-e786 ◽  
Author(s):  
Raj Desai ◽  
Fabian Camacho ◽  
Xi Tan ◽  
Virginia LeBaron ◽  
Leslie Blackhall ◽  
...  

PURPOSE: Prolonged opioid use is common and associated with lower survival rates in breast cancer survivors. We explored whether opioid use in elderly breast cancer survivors using adjuvant endocrine therapy (AET) regimens was affected by the prevalence of mental health comorbidity and, in turn, how this affected survival in this population. METHODS: This retrospective study analyzed 2006 to 2012 SEER-Medicare data sets and followed patients for at least 2 years from the index date, defined as the first date they filled an AET prescription. The study included adult women with incident, primary, hormone receptor–positive, stage I to III breast cancer. They were also first-time AET users and fee-for-service Medicare enrollees continuously enrolled in Medicare Parts A, B, and D. We measured whether patients with a clinical diagnosis of a mental health comorbid condition used opioids after the initiation of AET and their survival at the end of the study period. RESULTS: A total of 10,452 breast cancer survivors who began AET treatments were identified, among whom the most commonly diagnosed mental health comorbidities were depression (n = 554) and anxiety (n = 246). Using a propensity score risk adjustment model, we found that opioid use was significantly higher in women with a mental health comorbidity (odds ratio,1.33; 95% CI, 1.06 to 1.68). In addition, mental health comorbidity was associated with a significantly increased hazard of mortality in this population (hazard ratio, 1.49; 95% CI, 1.02 to 2.18). CONCLUSION: The presence of mental health comorbidity in breast cancer survivors significantly increases the risk of opioid use and mortality, which highlights the need for better management of comorbid mental health conditions.


2021 ◽  
Vol 10 ◽  
pp. 216495612098414
Author(s):  
Shruti R Patel ◽  
Jacqueline Zayas ◽  
Jose R Medina-Inojosa ◽  
Charles Loprinzi ◽  
Elizabeth J Cathcart-Rake ◽  
...  

Purpose Integrative therapies such as yoga are potential treatments for many psychological and physical symptoms that occur during and/or after treatment for cancer. The purpose of the current study was to evaluate the patient-perceived benefit of yoga for symptoms commonly experienced by breast cancer survivors. Methods 1,049 breast cancer survivors who had self-reported use of yoga on a follow up survey, in an ongoing prospective Mayo Clinic Breast Disease Registry (MCBDR), received an additional mailed yoga-focused survey asking about the impact of yoga on a variety of symptoms. Differences between pre- and post- scores were assessed using Wilcoxon Signed Rank Test. Results 802/1,049 (76%) of women who were approached to participate, consented and returned the survey. 507/802 (63%) reported use of yoga during and/or after their cancer diagnosis. The vast majority of respondents (89.4%) reported some symptomatic benefit from yoga. The most common symptoms that prompted the use of yoga were breast/chest wall pain, lymphedema, and anxiety. Only 9% of patients reported that they had been referred to yoga by a medical professional. While the greatest symptom improvement was reported with breast/chest wall pain and anxiety, significant improvement was also perceived in joint pain, muscle pain, fatigue, headache, quality of life, hot flashes, nausea/vomiting, depression, insomnia, lymphedema, and peripheral neuropathy, (all p-values <0.004). Conclusion Data supporting the use of yoga for symptom management after cancer are limited and typically focus on mental health. In this study, users of yoga often reported physical benefits as well as mental health benefits. Further prospective studies investigating the efficacy of yoga in survivorship are warranted.


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