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Ban Y, Bai H. Association between perceived stress, loneliness and sleep disorders among breast cancer patients: the moderating roles of resilience. PSYCHOL HEALTH MED 2024:1-13. [PMID: 38634531 DOI: 10.1080/13548506.2024.2344127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 04/10/2024] [Indexed: 04/19/2024]
Abstract
Sleep disorders are prevalent and often neglected among breast cancer patients. This study aimed to identify the association among perceived stress, loneliness, resilience and sleep disorders and to further explore whether resilience could be a moderator in the association between them and sleep disorders. A cross-sectional study was conducted by 492 female breast cancer patients. Patients were asked in response to the questionnaires including the Pittsburgh Sleep Quality Index, Perceived Stress Scale-10, the Three-Item Loneliness Scale and Resilience Scale-14. The association among perceived stress, loneliness, resilience and perceived stress/loneliness × resilience interaction with sleep disorders were examined by hierarchical multiple regression analysis. The interaction was visualized by using simple slope analysis. 36.58% of the female breast cancer patients reported sleep disorders in our study. Perceived stress and loneliness were related to sleep disorders. Resilience could moderate the relationship between them and sleep disorders. When resilience was higher, perceived stress and loneliness had a weaker impact on sleep disorders. Medical staff should systematically evaluate the internal environmental factors related to patients' sleep quality and help patients relieve their emotional distress caused by the disease through positive psychological guidance.
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Affiliation(s)
- Yue Ban
- School of Humanities and Management, Guangdong Medical University, Dongguan, Guangdong Province, China
| | - He Bai
- Breast Surgery, Anshan Cancer Hospital, Anshan, Liaoning Province, China
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Karveli S, Galanis P, Mitropoulou EM, Karademas E, Markopoulos C. The Role of Attachment Styles on Quality of Life and Distress Among Early-Stage Female Breast Cancer Patients: A Systematic Review. J Clin Psychol Med Settings 2023; 30:724-739. [PMID: 36773123 PMCID: PMC10560157 DOI: 10.1007/s10880-023-09940-w] [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] [Accepted: 01/10/2023] [Indexed: 02/12/2023]
Abstract
Cancer patients' quality of life (QoL) and distress are affected by dispositional factors such as attachment anxiety or avoidance. In this review, we aimed to provide a thorough overview of the relationship between attachment dimensions and QoL and distress among early-stage breast cancer patients. Following PRISMA guidelines, we conducted a systematic search using PubMed, PsycINFO, Scopus, Cinahl, Google Scholar, and PMC Europe. We reviewed 8 eligible studies describing 1180 patients. Insecure attachment appeared to be related to poorer QoL and higher distress levels. Avoidant attachment was more frequent and was more often associated with more negative outcomes. Healthcare providers should consider investigating modifiable personality traits in the immediate post diagnosis period to identify patients more vulnerable to mental health problems, deliver personalized care, and reduce emotional burden.
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Affiliation(s)
- Spyridoula Karveli
- School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Str, 11527, Athens, Greece.
| | - Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Evangelos Karademas
- Department of Psychology, Faculty of Social Sciences, University of Crete, Rethymnon, Greece
| | - Christos Markopoulos
- School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Str, 11527, Athens, Greece
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Smit A, Coetzee B, Roomaney R, Swartz L. Understanding the subjective experiences of South African women with recurrent breast cancer: A qualitative study. J Health Psychol 2021; 27:1959-1970. [PMID: 33855880 DOI: 10.1177/13591053211002236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study explored the subjective experiences of 12 South African women diagnosed with recurrent breast cancer. Women were invited to take part in unstructured narrative interviews, and to complete a diary in which they could reflect on their breast cancer experiences. Most responded to their recurrence with an optimistic stance. Religious beliefs and support structures were important coping strategies. Women's perceptions of their changed bodies varied from being of least concern, to becoming the most distressing aspect. The findings highlight the complexity of illness experience and the different ways in which women make sense of a second episode of cancer.
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Affiliation(s)
- Anri Smit
- Stellenbosch University, South Africa
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Favez N, Cairo Notari S. Body image, sexual activity, and side effects of treatments across the first year after surgery in women facing breast cancer: The influence of attachment insecurity. J Psychosoc Oncol 2021; 39:749-764. [PMID: 33660590 DOI: 10.1080/07347332.2021.1890306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objectives: The aim of this study was to assess, across the first year after surgery, the influence of attachment insecurity, that is, avoidant and anxious tendencies, on body image, sexual activity, and side effects of treatments in women diagnosed with breast cancer.Design: A total of 110 women with non-metastatic breast cancer were surveyed 2 weeks (T1), 3 months (T2), and 12 months (T3) after surgery.Methods: Self-reported questionnaires were used to assess attachment tendencies (avoidance and anxiety), medical data (cancer stage, oncological treatment), sociodemographic data (age, socioeconomic level, relational status), and the three outcomes.Results: Generalized linear modeling showed that (1) having more avoidant and anxious attachment tendencies predicted a more negative body image, as did being younger and having undergone a mastectomy; (2) having more avoidant attachment tendencies predicted being sexually inactive, as did having undergone neoadjuvant chemotherapy or adjuvant hormonal therapy, whereas being younger and in a committed relationship predicted being sexually active; and (3) attachment tendencies did not predict the intensity of side effects, whereas a higher cancer stage and being at the beginning of treatment predicted more side effects.Conclusions: Women with avoidant and anxious attachment tendencies may be especially vulnerable to the consequences of oncological treatment, in particular regarding body image and sexual activity.
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Affiliation(s)
- Nicolas Favez
- Faculty of Psychology and Educational Sciences, Department of Psychology, University of Geneva, Switzerland
| | - Sarah Cairo Notari
- Faculty of Psychology and Educational Sciences, Department of Psychology, University of Geneva, Switzerland
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Favez N, Antonini T, Delaloye JF, Notari SC. From breast cancer surgery to survivorship: Insecure attachment tendencies predict negative psychological outcomes. Health Psychol Open 2021; 8:2055102920987463. [PMID: 33598303 PMCID: PMC7863168 DOI: 10.1177/2055102920987463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Little is known about the variables explaining individual variability in the long-term adaptation of breast cancer survivors. Attachment tendencies have, however, been shown to explain negative psychological outcomes in the postsurgical period. The present study aimed to assess the continuing influence of attachment tendencies in the survivorship period. A sample of 28 women were surveyed 2 weeks, 3 months, 12 months, and 5 to 7 years after surgery. Attachment tendencies and psychological outcomes (distress, body image, sexuality) were assessed through questionnaires, and medical and sociodemographic data collected. Results show that insecure attachment tendencies predict negative body image and elevated distress.
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Romeo A, Di Tella M, Ghiggia A, Tesio V, Gasparetto E, Stanizzo MR, Torta R, Castelli L. The Traumatic Experience of Breast Cancer: Which Factors Can Relate to the Post-traumatic Outcomes? Front Psychol 2019; 10:891. [PMID: 31105621 PMCID: PMC6491882 DOI: 10.3389/fpsyg.2019.00891] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 04/03/2019] [Indexed: 11/25/2022] Open
Abstract
Background: Post-traumatic growth (PTG) is considered a positive outcome of struggling with a traumatic event, distinct, and opposite from negative outcomes, i.e., psychological distress. The present study aimed to shed light on the relationship between potentially relating factors (i.e., coping strategies, perceived social support, and attachment style) and both positive and negative psychological outcomes. Methods: A total of 123 breast cancer survivors were recruited, who completed a battery of self-report questionnaires, assessing PTG, psychological distress, coping strategies, perceived social support, and attachment style. Three regression analyses were run to evaluate whether relating factors were significant predictors of the positive and negative psychological outcomes. Results: The regression analyses showed that the "Fatalism" coping strategy and perceived social support were two significant predictors of PTG. Instead, the "Helpless-Hopeless" and "Anxious Preoccupation" coping strategies, as well as an insecure attachment style, were significant predictors of depression, while the "Anxious Preoccupation" coping strategy and an insecure attachment style were significant predictors of anxiety. Conclusions: The present findings showed that the factors underlying a positive or negative outcome are different and specific. While perceived social support and a fatalistic attitude seem to play a key role in the positive outcome, dysfunctional coping strategies, together with an insecure attachment style, appear to be related with negative psychological outcome. Considering these factors in clinical practice would help patients to give meaning to their traumatic experience, enhancing psychological growth.
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Affiliation(s)
| | | | - Ada Ghiggia
- Department of Psychology, University of Turin, Turin, Italy
- Clinical Psychology Unit, Città della Salute e della Scienza Hospital, Turin, Italy
| | | | - Eleonora Gasparetto
- Clinical Psychology Unit, Città della Salute e della Scienza Hospital, Turin, Italy
| | - Maria Rosa Stanizzo
- Clinical Psychology Unit, Città della Salute e della Scienza Hospital, Turin, Italy
| | - Riccardo Torta
- Clinical Psychology Unit, Città della Salute e della Scienza Hospital, Turin, Italy
- Department of Neuroscience, University of Turin, Turin, Italy
| | - Lorys Castelli
- Department of Psychology, University of Turin, Turin, Italy
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Arambasic J, Sherman KA, Elder E. Attachment styles, self‐compassion, and psychological adjustment in long‐term breast cancer survivors. Psychooncology 2019; 28:1134-1141. [PMID: 30892774 DOI: 10.1002/pon.5068] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 03/12/2019] [Accepted: 03/15/2019] [Indexed: 01/08/2023]
Affiliation(s)
- Jelena Arambasic
- Centre for Emotional Health, Department of PsychologyMacquarie University Sydney
| | - Kerry A. Sherman
- Centre for Emotional Health, Department of PsychologyMacquarie University Sydney
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Determinants of satisfaction with cosmetic outcome in breast cancer survivors: A cross-sectional study. PLoS One 2018; 13:e0193099. [PMID: 29466412 PMCID: PMC5821366 DOI: 10.1371/journal.pone.0193099] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 02/05/2018] [Indexed: 11/19/2022] Open
Abstract
Little research has been done into cosmetic outcomes in non-Western breast cancer populations. We aimed to study the prevalence and determinants of dissatisfaction with cosmetic outcome after breast cancer surgery of Asian breast cancer survivors, and its association with patient-reported anxiety, depression, and quality of life. In a hospital-based cross-sectional study, 384 breast cancer survivors of at least 12 months after diagnosis completed questionnaires on satisfaction with cosmetic appearance, quality of life (EORTC-QLQ-C30) and anxiety and depression (HADS). Cumulative logit models were used to examine the adjusted association between dissatisfaction with cosmetic appearance and demographic and clinical characteristics. Kruskal-Wallis test was used to test for associations between dissatisfaction with cosmetic appearance and patient-reported outcomes. Overall, 20% of women reported to be (very) dissatisfied with cosmetic appearance. Survivors of Chinese ethnicity were more likely dissatisfied with cosmetic appearance compared to Malay survivors (22% and 14% respectively, adjusted OR = 2.4, 95%CI: 1.4-3.9). Women with DCIS (adjusted OR = 2.2, 95%CI: 1.3-3.7) or advanced stage disease (adjusted OR = 2.2, 95%CI: 1.2-3.9) had a higher risk of being dissatisfied with their cosmetic appearance. Women treated with mastectomy were at a higher risk of dissatisfaction with cosmetic appearance (adjusted OR = 1.7, 95%CI: 1.1-2.5). Dissatisfaction with cosmetic appearance was associated with increased depression scores. In this South-East Asian population, one in five breast cancer patients were (very) dissatisfied with the cosmetic outcome of treatment. Chinese women, women with larger tumors and women treated with mastectomy were most likely to report dissatisfaction with cosmetic appearance.
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Two is a perfect number: Patient–doctor relationship and patient attachment style in palliative care. J Health Psychol 2017; 24:549-560. [DOI: 10.1177/1359105317721307] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We tested the association between the palliative patient’s attachment style and the patient–doctor relationship, by means of Revised Adult Attachment Scale and a self-designed, patient–doctor relationship questionnaire. The study included 110 (52 M, 58 F) cancer, hospice patients, aged 36–80 years. We observed 54 percent of secure, 18 percent of dismissive, 9 percent of preoccupied, and 19 percent of fearful styles. Securely attached patients developed significantly ( p < .05) better relationships with doctors than insecure patients. There was no difference in the quality of the patient–doctor relationship among dismissive versus preoccupied versus fearful patients. We argue that attachment theory should be applied in palliative care to improve patients’ quality of life and dying.
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Favez N, Cairo Notari S, Antonini T, Charvoz L. Attachment and couple satisfaction as predictors of expressed emotion in women facing breast cancer and their partners in the immediate post-surgery period. Br J Health Psychol 2016; 22:169-185. [DOI: 10.1111/bjhp.12223] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 10/31/2016] [Indexed: 01/27/2023]
Affiliation(s)
- Nicolas Favez
- Faculty of Psychology and Educational Sciences; University of Geneva; Switzerland
| | - Sarah Cairo Notari
- Faculty of Psychology and Educational Sciences; University of Geneva; Switzerland
| | - Tania Antonini
- Faculty of Psychology and Educational Sciences; University of Geneva; Switzerland
| | - Linda Charvoz
- Social Work; University of Applied Sciences and Arts Western Switzerland; Lausanne Switzerland
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Cairo Notari S, Notari L, Favez N, Delaloye JF, Ghisletta P. The protective effect of a satisfying romantic relationship on women's body image after breast cancer: a longitudinal study. Psychooncology 2016; 26:836-842. [DOI: 10.1002/pon.4238] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2015] [Revised: 07/26/2016] [Accepted: 07/26/2016] [Indexed: 12/22/2022]
Affiliation(s)
- Sarah Cairo Notari
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | - Luca Notari
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | - Nicolas Favez
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
| | | | - Paolo Ghisletta
- Faculty of Psychology and Educational Sciences; University of Geneva; Geneva Switzerland
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Miaja Ávila M, De la Rubia JM. Validación del Inventario Breve de Síntomas (BSI-18) en mujeres mexicanas diagnosticadas con cáncer de mamaValidación del Inventario Breve de Síntomas (BSI-18) en mujeres mexicanas diagnosticadas con cáncer de mama. PSICOONCOLOGIA 1970. [DOI: 10.5209/psic.57088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
El distrés es una experiencia emocional desagradable que puede afectar al afrontamiento y curso de una enfermedad oncológica. El Inventario Breve de Síntomas (BSI-18) es usado frecuentemente en pacientes oncológicos para medir distrés. No obstante, su estructura factorial no está bien establecida, y sus propiedades métricas no han sido estudiadas con muestras mexicanas. La presente investigación tiene como objetivos estudiar la distribución, discriminabilidad y homogeneidad de los ítems del BSI-18, estimar la consistencia interna del BSI-18, determinar su estructura factorial y calcular la validez convergente, discriminante y consistencia interna de sus factores. Se recolectó una muestra intencional de 203 mujeres con cáncer de mama en tratamiento oncológico. Todas ellas eran adultas tratadas en la ciudad de Monterrey, México. Todos los ítems del BSI-18 resultaron discriminativos y consistentes. Sus distribuciones mostraron mayor concentración en valores bajos. La consistencia interna de la escala fue alta (α de Cronbach=0,888). El modelo de un factor general de distrés con tres factores jerarquizados (depresión, síntomas simpáticos de ansiedad y síntomas vasovagales de ansiedad) mostró las mejores propiedades de bondad de ajuste. También sus factores tuvieron las mejores propiedades de validez convergente y consistencia interna. Además, este modelo permitió superar los problemas de validez discriminante entre los factores. Se concluye que, en la población estudiada de mujeres diagnosticadas con cáncer, se pueden retener todos los ítems del BSI-18, y la escala resultó consistente y válida desde un modelo jerarquizado de tres factores.
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