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Brunault P, Champagne AL, Huguet G, Suzanne I, Senon JL, Body G, Rusch E, Magnin G, Voyer M, Réveillère C, Camus V. Major depressive disorder, personality disorders, and coping strategies are independent risk factors for lower quality of life in non-metastatic breast cancer patients. Psychooncology 2015; 25:513-20. [PMID: 26356037 DOI: 10.1002/pon.3947] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 07/31/2015] [Accepted: 07/31/2015] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Our aim was to identify risk factors for lower quality of life (QOL) in non-metastatic breast cancer patients. METHODS Our study included 120 patients from the University Hospital Centers of Tours and Poitiers. This cross-sectional study was conducted 7 months after patients' breast cancer diagnosis and assessed QOL (Quality of Life Questionnaire Core 30 = QLQ-C30), socio-demographic characteristics, coping strategies (Brief-COPE), physiological and biological variables (e.g., initial tumor severity and types of treatment received), the existence of major depressive disorder (Mini International Neuropsychiatric Interview), and pain severity (Questionnaire de Douleur Saint Antoine). We assessed personality disorders 3 months after diagnosis (Vragenlijst voor Kenmerken van de Persoonlijkheid questionnaire). We used multiple linear regression models to determine which factors were associated with physical, emotional, and global QOL. RESULTS Lower physical QOL was associated with major depressive disorder, younger age, a more severe initial tumor stage, and the use of the behavioral disengagement coping. Lower emotional QOL was associated with major depressive disorder, the existence of a personality disorder, a more severe pain level, higher use of self-blame, and lower use of acceptance coping strategies. Lower global QOL was associated with major depressive disorder, the existence of a personality disorder, a more severe pain level, higher use of self-blame, lower use of positive reframing coping strategies, and an absence of hormone therapy. CONCLUSIONS Lower QOL scores were more strongly associated with variables related to the individual's premorbid psychological characteristics and the manner in which this individual copes with the cancer (e.g., depression, personality, and coping) than to cancer-related variables (e.g., treatment types and cancer severity). Copyright © 2015 John Wiley & Sons, Ltd.
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Affiliation(s)
- Paul Brunault
- Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France.,Équipe de Liaison et de Soins en Addictologie, CHRU de Tours, Tours, France.,Département de Psychologie, EA 2114 Psychologie des Âges de la Vie, Université François Rabelais de Tours, Tours, France
| | | | - Grégoire Huguet
- Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France
| | - Isabelle Suzanne
- Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France
| | - Jean-Louis Senon
- Centre Hospitalier Henri-Laborit, Service de Psychiatrie, Poitiers, France
| | - Gilles Body
- Service de Gynécologie Obstétrique, CHRU de Tours, Tours, France
| | - Emmanuel Rusch
- Service d'Information Médicale, Épidémiologie et Économie de la Santé, CHRU de Tours, Tours, France
| | - Guillaume Magnin
- Service de Gynécologie Obstétrique, CHU de Poitiers, Poitiers, France
| | - Mélanie Voyer
- Centre Hospitalier Henri-Laborit, Service de Psychiatrie, Poitiers, France
| | - Christian Réveillère
- Département de Psychologie, EA 2114 Psychologie des Âges de la Vie, Université François Rabelais de Tours, Tours, France
| | - Vincent Camus
- Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France.,UMR INSERM U930 'Imagerie et Cerveau', Tours, France.,Université François Rabelais de Tours, Tours, France
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