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Kim U, Lee JY. Impact of post-treatment symptoms on supportive care needs among breast cancer survivors in South Korea. Asia Pac J Oncol Nurs 2023; 10:100295. [PMID: 37780397 PMCID: PMC10541476 DOI: 10.1016/j.apjon.2023.100295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Accepted: 08/15/2023] [Indexed: 10/03/2023] Open
Abstract
Objective The aim of this study is to investigate the factors influencing the supportive care needs of survivors of breast cancer who have completed major treatment. Methods A total of 121 survivors of breast cancer from an online community in South Korea participated in this study. The study variables were supportive care needs, physical symptoms, anxiety, and depression. Independent t-tests, one-way Analysis of Variance (ANOVA), Pearson's correlation, and hierarchical regression analyses were performed. Results The highest rankings of supportive care needs of survivors of breast cancer were medical system and information needs, patient care and support needs, psychological needs, sexual needs, and physical and daily life needs. Hierarchical regression analysis revealed that the participants' supportive care needs were explained by physical symptoms (P < 0.001) and anxiety (P < 0.001), accounting for 52.1% of the variance. Conclusions Supportive care needs of survivors of breast cancer have a high level of medical system and information needs, and posttreatment conditions are related to high physical symptoms and anxiety. In the future, it will be necessary to identify supportive care needs and apply interventions to reduce their physical symptoms and anxiety.
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Affiliation(s)
- Unhee Kim
- College of Nursing, The Catholic University of Korea, Seoul, South Korea
| | - Ju-Young Lee
- College of Nursing, The Catholic University of Korea, Seoul, South Korea
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Marco JH, Castejón J, Isern C, Grau L, Pérez Rodríguez S. Longitudinal evolution of meaning in life and its relationship with coping strategies in Spanish patients with a breast cancer diagnosis. Support Care Cancer 2023; 31:424. [PMID: 37358665 DOI: 10.1007/s00520-023-07885-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 06/13/2023] [Indexed: 06/27/2023]
Abstract
BACKGROUND Changes in Meaning in life (MIL) have been shown to be particularly important when people face very stressful events such as receiving a cancer diagnosis and treatment. Active coping strategies have been related to higher levels of MIL in people with a diagnosis of cancer. OBJECTIVE To explore the evolution of MIL in a sample of cancer patients at the time of their diagnosis and three, six, and nine months after surgery, and identify the association between coping strategies three months after diagnosis (T2) and levels of MIL at the different moments in the cancer process (T1-T4). METHODS We assessed MIL at diagnosis and three, six, and nine months after surgery, and coping strategies (fighting spirit, anxious preoccupation, hopelessness, fatalism, and cognitive avoidance) three months after surgery, in 115 women with a diagnosis of Stage I-III breast cancer. RESULTS We found higher levels of MIL nine months after surgery, compared to previous stages. MIL correlated significantly and positively with a fighting spirit and cognitive avoidance, and negatively with hopelessness and anxious preoccupation. CONCLUSIONS Results highlight the importance of coping in relation to meaning-making processes in cancer. Meaning-centred interventions could help patients who are in the process of coping with cancer to make sense of their lives and the experience.
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Affiliation(s)
- Jose H Marco
- Department of Personality, Assessment and Psychological Treatments, Universidad de Valencia, Valencia, Spain
- CIBER Fisiopatología Obesidad y Nutricion (CIBEROBN), Madrid, Spain
| | - Jessica Castejón
- Hospital Clínica Benidorm, Alicante, Spain
- Escuela de doctorado, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain
| | | | - Lola Grau
- Department of Personality, Assessment and Therapeutic Interventions, Universidad Catolica de Valencia, Valencia, Spain
| | - Sandra Pérez Rodríguez
- Department of Personality, Assessment and Psychological Treatments, Universidad de Valencia, Valencia, Spain.
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Zhu F, Liu C, Zhang W, Qiang W, Yin X, Lu Q. The mediating effect of coping styles between self-compassion and body image disturbance in young breast cancer survivors: a cross-sectional study. BMC Nurs 2023; 22:178. [PMID: 37221483 DOI: 10.1186/s12912-023-01342-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 05/17/2023] [Indexed: 05/25/2023] Open
Abstract
BACKGROUND Young breast cancer survivors with body image disturbance have poor quality of life. Self-compassion and different coping styles can influence their body image. The purpose of the study was to investigate the relationship between self-compassion, coping styles, and body image disturbance, and examined the mediation role of coping styles between self-compassion and body image disturbance among young breast cancer survivors in China. METHODS In the cross-sectional study, a total of 310 young women with breast cancer were assessed on self-compassion, coping styles, and body image disturbance by self-reported questionnaires in China. Spearman's correlation was used to test the links between variables and to verify the indirect effects between variables by constructing a structural equation model. RESULTS There were correlations between self-compassion, different coping styles, and body image disturbance. Confrontation, avoidance, and acceptance-resignation coping had significant mediation effects on the association between self-compassion and body image disturbance. The mediation effects of confrontation coping were greater than avoidance, and acceptance-resignation coping. CONCLUSIONS In this study, different coping styles acted as mediators between self-compassion and body image disturbance, providing support for further understanding the mechanism between self-compassion and body image disturbance, and developing comprehensive interventions for body image disturbance. Oncology nurses should pay attention to the breast cancer survivors' self-compassion and coping styles and encourage them to adopt adaptive coping strategies, which can reduce body image disturbance.
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Affiliation(s)
- Fei Zhu
- School of Nursing, Hebei University, Baoding, Hebei Province, China
| | - Chunlei Liu
- School of Nursing, Hebei University, Baoding, Hebei Province, China
| | - Wan Zhang
- School of Nursing, Hebei University, Baoding, Hebei Province, China
| | - Wanmin Qiang
- Tianjin Medical University Cancer Institute and Hospital, Tianjin, China
| | - Xiaoping Yin
- School of Nursing, Hebei University, Baoding, Hebei Province, China
| | - Qian Lu
- Division of Medical & Surgical Nursing, School of Nursing, Peking University, #38 Xueyuan Road, Haidian District, Beijing, 100191, China.
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Saita E, Acquati C, Molgora S, Vagnini D, Piccolo EM, Valenti F, Stratta G, Grassi MM. Locally advanced breast cancer (LABC) and delayed care: a qualitative analysis of psychosocial factors. PSYCHOL HEALTH MED 2023; 28:408-418. [PMID: 35521977 DOI: 10.1080/13548506.2022.2073379] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The literature has extensively documented how delayed access to health care services in the context of cancer can result from subjective characteristics, dysfunctional coping styles, barriers to care, or procrastination. However, limited research has investigated the psychosocial experience of women diagnosed with Locally Advanced Breast Cancer (LABC). This qualitative study aimed at understanding cognitive, emotional and relational factors associated with delayed access to care and treatment decision-making. In-depth interviews with 14 Italian women were conducted. A thematic analysis of elementary contexts using T-LAB was used to identify the association between emerging clusters and participants' coping styles as measured by the Mini-MAC. Five clusters were identified: 'relationships', 'ineluctability', 'disease', 'surgery', and 'diagnosis'. The 'relationships' cluster was characterized by elevated rates of Fighting Spirit (p < 0.01) while Anxious Preoccupation was associated with 'surgery' (p < 0.01). Findings contribute to explain individual and relational variables related to delay seeking care of LABC patients by illustrating the interplay of personal motivations and social networks' characteristics. Evidence from this work expands current understanding of the interplay of factors contributing to delays in seeking medical attention and may be utilized to inform strategies to timely identify women at greater risk.
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Affiliation(s)
- Emanuela Saita
- Department of Psychology, Università Cattolica Del Sacro Cuore, Milan, Italy
| | - Chiara Acquati
- Graduate College of Social Work, University of Houston, Houston, TX, USA.,Department of Clinical Sciences, College of Medicine, University of Houston, Houston, TX, USA.,Department of Health Disparities Research, The UT MD Anderson Cancer Center, Houston, TX, USA
| | - Sara Molgora
- Department of Psychology, Università Cattolica Del Sacro Cuore, Milan, Italy
| | - Denise Vagnini
- Department of Psychology, Università Cattolica Del Sacro Cuore, Milan, Italy
| | | | | | - Gregorio Stratta
- Breast Unit, Humanitas Gavazzeni Clinical Institute, Bergamo, Italy
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Finkelstein LB, Friedman NP, Arch JJ. Anxiety trajectories among cancer survivors during the COVID-19 pandemic. J Psychosoc Oncol 2023; 41:558-583. [PMID: 36655572 PMCID: PMC10354221 DOI: 10.1080/07347332.2022.2154187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
PURPOSE To describe trajectories of general and bodily vigilance anxiety among cancer survivors during COVID-19 and examine associated factors. DESIGN Longitudinal survey study (May-December 2020). SAMPLE Colorado-based cancer survivors (N = 147). METHODS Latent class growth analyses were used to examine trajectories for two types of anxiety (general and body vigilance), and to evaluate associations with fear of cancer recurrence (FCR), loneliness, and emotional approach coping. FINDINGS Anxiety levels remained stable over time. Most participants were best characterized by the mild general anxiety and moderate bodily vigilance anxiety classes. FCR predicted both general and bodily vigilance anxiety class, and loneliness distinguished between mild and moderate bodily vigilance anxiety classes. CONCLUSIONS Current cancer survivors experienced mild general anxiety and moderate body vigilance anxiety during the early pandemic with no detectable improvement over time, and FCR consistently predicted anxiety outcomes. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS These findings provide insight into the anxiety profiles of cancer survivors during COVID-19 and possible therapeutic targets.
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Affiliation(s)
- Lauren B Finkelstein
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA
| | - Naomi P Friedman
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA
| | - Joanna J Arch
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA
- Cancer Prevention and Control, University of Colorado Cancer Center, Aurora, Colorado, USA
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Ho SMY, Cheng CT, Shih SM, Taku K, Tedeschi RG. The Chinese version of Posttraumatic Growth and Depreciation Inventory-Expanded version (PTGDI-X) for cancer survivors. Support Care Cancer 2021; 30:237-249. [PMID: 34258631 DOI: 10.1007/s00520-021-06223-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 04/11/2021] [Indexed: 11/24/2022]
Abstract
Many patients with cancer report positive changes often referred to as posttraumatic growth (PTG). Some of these self-reported PTG may represent maladaptive illusions created by individuals to cope with the illness. A recently established Posttraumatic Growth and Depreciation Inventory - Expanded version (PTGDI-X) includes both PTG and posttraumatic depreciation (PTD) items. This inventory may provide a more balanced picture of the phenomenological world of cancer survivors. We examined the Chinese version of the PTGDI-X's applicability to cancer patients, and how PTG and PTD were related to posttraumatic stress symptoms. Two hundred sixty-five cancer survivors in Taiwan completed the Chinese version of the PTGDI-X, along with the PTSD Checklist for the DSM-5 to measure posttraumatic stress disorder (PTSD) symptoms. Confirmatory factor analysis showed that the factor structure of the PTGDI-X established in a multi-national study fit our data from cancer patients modestly well. The PTD score had a significant and positive correlation with PTSD symptoms, whereas the PTG and PTSD showed a significant curvilinear relationship in the form of an inverted U-shape. This study's results indicate that PTG and PTD are separated constructs with differential relationships with cancer outcomes. The Chinese version of the PTGDI-X is a viable instrument for psycho-oncological research. The PTD scores can provide useful information to guide cognitive interventions to reduce distorted cognitions. In contrast, the PTG scores can provide further information on the phenomenological world of cancer survivors. In this study, clinical implications and future studies were considered.
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Affiliation(s)
- Samuel M Y Ho
- Psychology Laboratory, Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
| | - Chih-Tao Cheng
- Department of Psychiatry, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan.,Department of Psychology and Social Work, National Defense University, Taipei, Taiwan
| | | | - Kanako Taku
- Department of Psychology, Oakland University, Rochester, MI, USA
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