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The Experiences and Support Needs of Women With Gestational Breast Cancer in Singapore: A Descriptive Qualitative Study. Cancer Nurs 2020; 45:E263-E269. [PMID: 33252405 DOI: 10.1097/ncc.0000000000000912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Gestational breast cancer is diagnosed during pregnancy or within the first postpartum year. There is a lack of studies on the experiences of ethnically diverse Asian women with gestational breast cancer. OBJECTIVE The aim of this study was to explore the experiences of Asian women with gestational breast cancer so necessary support can be rendered. METHODS This qualitative descriptive study used purposive sampling to recruit 7 women with gestational breast cancer who were following up at the breast center of a tertiary women's hospital in Singapore. Semistructured, individual, face-to-face, audio-recorded interviews were used to explore the in-depth experiences of these women. Data were transcribed verbatim and analyzed using thematic analysis. RESULTS Three main themes emerged from the thematic analysis: (1) being a sick woman, (2) juggling between being a mother and a patient, and (3) seeking normalcy. Women had to contend with disruptive changes from gestational breast cancer, both emotionally and physically. They were constantly distressed by their altered body images, and family support was vital to help these women cope with their treatments. Alternative support sources included healthcare professionals and the Internet. CONCLUSION Gestational breast cancer experiences varied based on the women's encounter perceptions and existing support. Their experiences may be improved through further support to mediate their coping efforts. Future quantitative and qualitative research should explore and evaluate the various aspects of the long-term disease and psychosocial effects of gestational breast cancer. IMPLICATIONS FOR PRACTICE Hospitals should include support strategies in antenatal classes and postnatal workshops to lessen disruptions of the motherhood experiences.
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Brazilian version of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS): translation and psychometric properties in adults. Eat Weight Disord 2020; 25:1253-1266. [PMID: 31364031 DOI: 10.1007/s40519-019-00758-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Accepted: 07/20/2019] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVE The present study investigated the psychometric properties of the Brazilian adaptation of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales, a widely used instrument in body image research. METHODS We translated the MBSRQ-AS and determined its psychometric properties among 2 community samples, totaling 387 men and 381 women, and 1 college sample of 104 men and 133 women, aged from 16 to 67 years old (totaling 1005 participants). Near half of the sample (n = 606) was recruited online (SurveyMonkey Database) and the other half was personally recruited from universities, technical schools and libraries. RESULTS The translated version was similar to the original, and the items were easily understood. After the exclusion of the negatively worded questions, the Brazilian version had the same factor structure as the original MBSRQ-AS. Internal consistency ranged from .73 to .90 and test-retest reliability indices ranged from .76 to .92. The measure captured sex and weight status differences. Women reported significantly higher levels of investment in appearance, lower levels of satisfaction with specific parts of the body, higher concerns with being overweight, and classified themselves as heavier than men. Overweight and obese men and women reported lower satisfaction with specific parts of their bodies, higher concerns with being overweight, and classified themselves as heavier than their normal weight counterparts. Convergent validity was demonstrated by the significant correlations between the MBSRQ-AS subscales and investment in appearance, internalization of beauty ideals, disordered eating and self-esteem. CONCLUSIONS In summary, the Brazilian MBSRQ-AS appears to be a good option for researchers in the country. Furthermore, the study provides substantial parameters for comparison with other adaptations of the instrument around the world. LEVEL OF EVIDENCE Level V, descriptive study.
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Carr TL, Groot G, Cochran D, Vancoughnett M, Holtslander L. Exploring Women's Support Needs After Breast Reconstruction Surgery: A Qualitative Study. Cancer Nurs 2020; 42:E1-E9. [PMID: 29734254 PMCID: PMC6392201 DOI: 10.1097/ncc.0000000000000600] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND The procedures for breast reconstruction (BR) after mastectomy frequently initiate a difficult recovery period. A better understanding of women's support needs after surgery would improve patient care. OBJECTIVE The aim of this study was to identify patients' support needs after BR. METHODS In a retrospective study design, 21 participants described their support experiences after BR, including their sources of support and the impact of support on their recovery in a semistructured interview. Transcriptions of the interviews were analyzed using thematic analysis. RESULTS Four support needs were identified and were composed of elements of instrumental, emotional, and informational support. These needs were addressed to varying degrees by healthcare providers, family members, and other women who had BR experience. CONCLUSION Women's experience of BR and their ability to cope are markedly better when their support needs are effectively addressed. Greater attention to their needs for support has the potential to improve patient care. IMPLICATIONS FOR PRACTICE Nurses play a pivotal role in providing information to women who are recovering from BR. Improved access to communication channels between nurses and patients would likely improve patients' support experiences. In addition, nurses can assess the women's specific support needs and partner with families to help them understand how best to support women during recovery.
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Affiliation(s)
- Tracey L Carr
- Author Affiliations: Department of Community Health and Epidemiology (Drs Carr and Groot, Mr Cochran, and Ms Vancoughnett) and College of Nursing (Dr Holtslander), University of Saskatchewan, Saskatoon, Canada
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Does Marital Adjustment Mediate Type C Personality-Depressive Symptoms Relation? A Comparison between Breast Cancer Patients and Cancer-Free Women. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-017-9693-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Catania AM, Sammut Scerri C, Catania GJ. Men's experience of their partners' breast cancer diagnosis, breast surgery and oncological treatment. J Clin Nurs 2019; 28:1899-1910. [PMID: 30667119 DOI: 10.1111/jocn.14800] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 11/22/2018] [Accepted: 01/13/2019] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To investigate the experiences of male partners of female breast cancer patients who had undergone surgery and oncological treatment and who were still raising children. BACKGROUND Research on the psychological effects of breast cancer has focused primarily on the patients undergoing treatment, neglecting the effect of such a condition on their closest family members. This study addresses this gap by focusing on understanding the effects of this disease on male partners of these patients. DESIGN An interpretative phenomenological approach was used. METHODS Eight males whose female partners were diagnosed with primary breast cancer between the ages of 30 and 55 and who had young children still living at home at the time were interviewed by the first author of this article. Interviews were transcribed verbatim and analyzed using an interpretative phenomenological framework, in accordance with the guidelines in the COREQ checklist for qualitative studies. RESULTS Participants emphasized the difficulties they faced in trying to juggle work and family responsibilities while offering support to their partners, a task they felt ill-prepared for. At times, they felt excluded by their partners and worried about the impact of the disease on their children. A common fear was that of recurrence of the disease, and while some discussed the financial difficulties associated with treating the disease, others saw it as enhancing the potential for their personal and couple growth. CONCLUSIONS This study adds to the topic by uncovering the perspectives of male partners of breast cancer patients and the effects of their partner's condition on them and their families. RELEVANCE TO CLINICAL PRACTICE The results of this study can be used to inform policy when providing holistic care. They also highlight the importance of counselling and support interventions for partners of breast cancer patients.
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Freeman R, Edwards R, Baron R, Bruehl S, Cruccu G, Dworkin RH, Haroutounian S. AAPT Diagnostic Criteria for Peripheral Neuropathic Pain: Focal and Segmental Disorders. THE JOURNAL OF PAIN 2018; 20:369-393. [PMID: 30527971 DOI: 10.1016/j.jpain.2018.10.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 09/27/2018] [Accepted: 10/02/2018] [Indexed: 12/19/2022]
Abstract
Peripheral neuropathic pain is among the most prevalent types of neuropathic pain. No comprehensive peripheral neuropathic pain classification system that incorporates contemporary clinical, diagnostic, biological, and psychological information exists. To address this need, this article covers the taxonomy for 4 focal or segmental peripheral neuropathic pain disorders, as part of the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership and the American Pain Society (APS) collaborative to develop a standardized, evidence-based taxonomy initiative: the ACTTION-APS Pain Taxonomy (AAPT). The disorders-postherpetic neuralgia, persistent posttraumatic neuropathic pain, complex regional pain disorder, and trigeminal neuralgia-were selected because of their clinical and clinical research relevance. The multidimensional features of the taxonomy are suitable for clinical trials and can also facilitate hypothesis-driven case-control and cohort epidemiologic studies. PERSPECTIVE: The AAPT peripheral neuropathic pain taxonomy subdivides the peripheral neuropathic pain disorders into those that are generalized and symmetric and those that are focal or segmental and asymmetric. In this article, we cover the focal and segmental disorders: postherpetic neuralgia, persistent posttraumatic neuropathic pain, complex regional pain disorder, and trigeminal neuralgia. The taxonomy is evidence-based and multidimensional, with the following dimensions: 1) core diagnostic criteria; 2) common features; 3) common medical and psychiatric comorbidities; 4) neurobiological, psychosocial, and functional consequences; and 5) putative neurobiological and psychosocial mechanisms, risk factors, and protective factors.
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Affiliation(s)
- Roy Freeman
- Center for Autonomic and Peripheral Nerve Disorders, Beth Israel Deaconess Medical Center, Boston, MA.
| | - Robert Edwards
- Department of Anesthesiology, Brigham & Women's Hospital, Harvard University School of Medicine, Boston, MA
| | - Ralf Baron
- University of Kiel, Division of Neurological Pain Research and Therapy, Department of Neurology, Kiel, Germany
| | - Stephen Bruehl
- Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN
| | - Giorgio Cruccu
- Department Human Neuroscience, Sapienza University, Rome, Italy
| | - Robert H Dworkin
- Department of Anesthesiology and Perioperative Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY
| | - Simon Haroutounian
- Department of Anesthesiology and Washington University Pain Center, Washington University School of Medicine, St Louis, MO
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Giannini M, Loscalzo Y, Beraldi D, Gori A. Psychological Resources, Personality Traits and Buddhism: A Study of Italian Young Adults. JOURNAL OF RELIGION AND HEALTH 2018; 57:2416-2430. [PMID: 29705829 DOI: 10.1007/s10943-018-0618-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
We aimed to examine whether young adults practicing Buddhism have elevated levels of psychological resources and specific personality traits compared to Catholics and Atheists. We recruited 184 participants: Soka Gakkai Buddhists (n = 60); non-practicing Roman Catholic Church believers (n = 62); Atheists (n = 62). We found that the Buddhists have higher optimism than both Catholics and Atheists. They also have higher self-efficacy and self-esteem than Catholics and higher perceived social support than Atheists. Concerning global personality factors, they are more extraverted than the other groups, and they are less tough-minded than Catholics. Differences also emerged relating some primary personality factors. Since we did not find differences between Catholics and Atheists about psychological resources, we speculate that religion alone does not provide an efficacious source of psychological resources; it could be that religious practice is determinant.
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Affiliation(s)
- Marco Giannini
- Department of Health Sciences, School of Psychology, University of Florence, Via di San Salvi 12 - Padiglione 26, 50135, Florence, Italy
| | - Yura Loscalzo
- Department of Health Sciences, School of Psychology, University of Florence, Via di San Salvi 12 - Padiglione 26, 50135, Florence, Italy.
| | | | - Alessio Gori
- Department of Human Sciences, LUMSA University of Rome, Rome, Italy
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Tait RC, Zoberi K, Ferguson M, Levenhagen K, Luebbert RA, Rowland K, Salsich GB, Herndon C. Persistent Post-Mastectomy Pain: Risk Factors and Current Approaches to Treatment. THE JOURNAL OF PAIN 2018; 19:1367-1383. [PMID: 29966772 DOI: 10.1016/j.jpain.2018.06.002] [Citation(s) in RCA: 83] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 05/18/2018] [Accepted: 06/12/2018] [Indexed: 12/31/2022]
Abstract
Persistent Post-Mastectomy Pain (PPMP) is a common condition that can follow surgeries for breast cancer, the most common cancer in women. Because of the frequency of PPMP and its potential severity, it has received increasing research attention. This manuscript reviews the recent research literature, beginning with a brief history and then relevant medical, surgical, demographic, and psychosocial risk factors. Subsequently, social, psychological, and functional sequelae that have been linked to PPMPS are considered, as is research on current pharmacological, psychological, and rehabilitative approaches to treatment. The review concludes with a discussion of directions for future research and treatment that might reduce the incidence and impact of PPMP on breast cancer survivors. PERSPECTIVE: This article describes current research literature involving mechanisms, risks, and treatments related to persistent post-mastectomy pain. Implications of research findings also are discussed for pre- and post-surgical approaches to pain management, current treatments, and promising research directions.
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Affiliation(s)
| | - Kim Zoberi
- Saint Louis University School of Medicine
| | | | | | | | - Kevin Rowland
- Southern Illinois University Edwardsville School of Dentistry
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Al-Zaben FN, Sehlo MG, Koenig HG. A cross-sectional study of anxiety and marital quality among women with breast cancer at a university clinic in western Saudi Arabia. Saudi Med J 2016; 36:1168-75. [PMID: 26446326 PMCID: PMC4621721 DOI: 10.15537/smj.2015.10.12254] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objectives: To examine relationship between the quality of marital relationship and anxiety among women with breast cancer (BC) in the Kingdom of Saudi Arabia (KSA). Methods: This cross-sectional study recruited a consecutive series of 49 married women with BC seen in the Al-Amoudi Breast Cancer Center of Excellence at King Abdulaziz University, Jeddah, KSA in early 2013. Participants completed the Hospital Anxiety and Depression Scale, Spouse Perception Scale, and Quality of Marriage Index forms, and answered questions on demographic and cancer characteristics. Results: Anxiety symptoms indicating “possible” anxiety disorder were present in 10.4% and “probable” anxiety disorder in 14.6% (25% total). No significant relationship was found between the quality of marital relationship and anxiety symptoms (B=-0.04, standard error=0.05, t=-0.81, p=0.42). Anxiety was primarily driven by low education, poor socioeconomic status, and young age. Conclusion: Anxiety symptoms are prevalent among married women with BC seen in a university-based clinic in the KSA. Further research is needed to determine whether a diagnosis of BC adversely affects marital relationship, and whether this is the cause for anxiety in these women.
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Affiliation(s)
- Faten N Al-Zaben
- Department of Psychiatry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail.
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Lavy S, Littman-Ovadia H, Bareli Y. Strengths deployment as a mood-repair mechanism: Evidence from a diary study with a relationship exercise group. JOURNAL OF POSITIVE PSYCHOLOGY 2014. [DOI: 10.1080/17439760.2014.936963] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Robles TF, Slatcher RB, Trombello JM, McGinn MM. Marital quality and health: a meta-analytic review. Psychol Bull 2014; 140:140-187. [PMID: 23527470 PMCID: PMC3872512 DOI: 10.1037/a0031859] [Citation(s) in RCA: 653] [Impact Index Per Article: 65.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
This meta-analysis reviewed 126 published empirical articles over the past 50 years describing associations between marital relationship quality and physical health in more than 72,000 individuals. Health outcomes included clinical endpoints (objective assessments of function, disease severity, and mortality; subjective health assessments) and surrogate endpoints (biological markers that substitute for clinical endpoints, such as blood pressure). Biological mediators included cardiovascular reactivity and hypothalamic-pituitary-adrenal axis activity. Greater marital quality was related to better health, with mean effect sizes from r = .07 to .21, including lower risk of mortality (r = .11) and lower cardiovascular reactivity during marital conflict (r = -.13), but not daily cortisol slopes or cortisol reactivity during conflict. The small effect sizes were similar in magnitude to previously found associations between health behaviors (e.g., diet) and health outcomes. Effect sizes for a small subset of clinical outcomes were susceptible to publication bias. In some studies, effect sizes remained significant after accounting for confounds such as age and socioeconomic status. Studies with a higher proportion of women in the sample demonstrated larger effect sizes, but we found little evidence for gender differences in studies that explicitly tested gender moderation, with the exception of surrogate endpoint studies. Our conclusions are limited by small numbers of studies for specific health outcomes, unexplained heterogeneity, and designs that limit causal inferences. These findings highlight the need to explicitly test affective, health behavior, and biological mechanisms in future research, and focus on moderating factors that may alter the relationship between marital quality and health.
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Affiliation(s)
| | | | | | - Meghan M McGinn
- Mental Illness Research, Education, and Clinical Care, Veterans Affairs Puget Sound Healthcare System
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Ohaeri BM, Ofi AB, Campbell OB. Relationship of knowledge of psychosocial issues about cancer with psychic distress and adjustment among breast cancer clinic attendees in a Nigerian teaching hospital. Psychooncology 2011; 21:419-26. [DOI: 10.1002/pon.1914] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2010] [Revised: 12/15/2010] [Accepted: 12/16/2010] [Indexed: 11/08/2022]
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Bozo O, Gündogdu E, Büyükasik-Colak C. The moderating role of different sources of perceived social support on the dispositional optimism-- posttraumatic growth relationship in postoperative breast cancer patients. J Health Psychol 2010; 14:1009-20. [PMID: 19786527 DOI: 10.1177/1359105309342295] [Citation(s) in RCA: 76] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of this study was to investigate the dispositional optimism-posttraumatic growth (PTG) relationship in postoperative breast cancer patients and to examine if perceived social support moderates this relationship. The study was conducted with 104 women undergoing postoperative chemotherapy treatment or coming to the hospital for their routine controls. Hierarchical multiple regression analyses indicated that breast cancer survivors high on dispositional optimism and perceived social support, are more likely to develop PTG. Among the different sources of social support, only social support perceived from a private person moderated the dispositional optimism-PTG relationship. Strengths, limitations and possible implications of the findings are discussed.
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Affiliation(s)
- Ozlem Bozo
- Department of Psychology, Middle East Technical University, Ankara 06531, Turkey.
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Odigie VI, Tanaka R, Yusufu LMD, Gomna A, Odigie EC, Dawotola DA, Margaritoni M. Psychosocial effects of mastectomy on married African women in Northwestern Nigeria. Psychooncology 2009; 19:893-7. [DOI: 10.1002/pon.1675] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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