Anxiety trajectories: An observational study of women undergoing chemotherapy for breast or gynecological cancer

Suskin, Johanna A.; Paul, Steven M.; Stuckey, Ashley; Conley, Yvette P.; Hammer, Marilyn J.; Miaskowski, Christine; Dunn, Laura B.

doi:10.1016/j.ejon.2022.102227

Cited by 7 publications

(7 citation statements)

References 53 publications

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“…This finding is also consistent with the theory of resource conservation, which supports the notion that a lack of resources affects individuals’ mental health 46. Patients with lung cancer undergoing chemotherapy lack health resources 47 48. Therefore, they experience strong psychological shock and difficulty in mobilising internal psychological resources.…”

Section: Discussionsupporting

confidence: 87%

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

Liu,

Zhang,

Liu

et al. 2024

BMJ Open

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ObjectivesThis study aimed to determine the potential profiles of self-psychological adjustment in patients with lung cancer undergoing chemotherapy, including sense of coherence (SOC) and positive cognitive emotion regulation (PCER). The relationship between these profiles with post-traumatic growth (PTG) and the relevant factors of self-psychological adjustment in different profiles was analysed.DesignCross-sectional study.SettingPatients with lung cancer undergoing chemotherapy in China.ParticipantsA total of 330 patients with lung cancer undergoing chemotherapy were recruited out of which 321 completed the questionnaires effectively.MethodsLatent profile analysis was used to identify self-psychological adjustment classes based on the two subscales of the Sense of Coherence Scale and Cognitive Emotion Regulation Questionnaire. One-way analysis of variance and multinomial logistic regression were performed to examine the subgroup association with characteristics and PTG.ResultsThree latent profiles of self-psychological adjustment were identified: low level (54.5%), high SOC-low PCER (15.6%) and high PCER (29.9%). The results of univariate analysis showed a significant difference in PTG scores among different self-psychological adjustment subgroups (F=11.55, p<0.001). Patients in the high-PCER group were more likely living in urban areas (OR=2.41, 95% CI 1.17 to 4.97, p=0.02), and time since cancer diagnosis was ≥6 months and <1 year (OR=3.54, 95% CI 1.3 to 9.64, p<0.001).ConclusionThis study revealed that most patients with lung cancer undergoing chemotherapy belonged to the low-level group. Three profiles are associated with PTG. There were differences in characteristics between patients treated with chemotherapy for lung cancer in the high-PCER and low-PCER groups. Thus, these profiles provide useful information for developing targeted individualised interventions based on demographic characteristics that would assist PTG in patients with lung cancer undergoing chemotherapy.

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Section: Discussionsupporting

confidence: 87%

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

Liu,

Zhang,

Liu

et al. 2024

BMJ Open

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“…Many survivors indicated some level of avoidant coping as a response to oncofertility stress. For comparison, the mean score of the IES‐R Avoidant subscale was higher than the published mean of breast and gynecologic cancer patients reporting avoidance in response to their cancer diagnosis as the triggering stressor 22 . In a qualitative study, Canzona et al.…”

Section: Discussionmentioning

confidence: 87%

“…For comparison, the mean score of the IES-R Avoidant subscale was higher than the published mean of breast and gynecologic cancer patients reporting avoidance in response to their cancer diagnosis as the triggering stressor. 22 In a qualitative study, Canzona et al found that AYA cancer survivors avoided thinking about fertility and avoided conversations with providers about fertility as a way to manage uncertainty and avoid discomfort. 23 In their conceptual model, emotional experiences impacted coping strategies, including avoidance, and both impacted decision making about fertility preservation before cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

Greater fertility distress and avoidance relate to poorer decision making about family building after cancer among adolescent and young adult female survivors

Benedict,

Stal,

Davis

et al. 2023

Psycho-Oncology

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BackgroundMany adolescent and young adult female (AYA‐F) cancer survivors face decisions about family building using reproductive medicine or adoption to achieve parenthood. This study evaluated associations among reproductive distress, avoidance, and family‐building decision making and identified sociodemographic and clinical characteristics related to high distress and avoidance.MethodsA cross‐sectional survey assessed AYA‐F survivors' oncofertility experiences. Measures included an investigator‐designed Unmet Information Needs scale, Reproductive Concerns After Cancer Scale, Impact of Events Scale—Avoidance subscale, Decision Self‐Efficacy scale, and Decision Conflict Scale. Two linear regression models evaluated correlates of decision self‐efficacy and decisional conflict about family building after cancer. Bivariate analyses evaluated correlates of avoidance using Pearson's correlation, t‐test, and ANOVA.ResultsAYA‐Fs (N = 111) averaged 31‐years‐old (SD = 5.49) and 3 years post‐treatment (range: 1–23 years); 90% were nulliparous. Most common diagnoses were leukemia (24%) and breast cancer (22%). Average decisional conflict was 52.12 (SD = 23.87, range: 0–100); 74% of the sample reported DCS scores within the clinically significant range. Higher levels of reproductive distress (B = −0.23, p = 0.04) and avoidance (B = −0.24, p = 0.02) related to lower decision self‐efficacy. Younger age (B = −0.18, p = 0.03), greater unmet information needs (B = 0.33, p < 0.001), and higher levels of reproductive distress (B = 0.34, p = 0.001) related to worse decisional conflict. Predictors of distress and avoidance were identified.ConclusionsAfter cancer treatment, high fertility distress and avoidant coping were associated with poorer quality decision making about family building after cancer. Fertility counseling post‐treatment should support self‐efficacy and constructive coping skills to counteract high distress, maladaptive coping, and facilitate values‐based decision making.

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“… Sun et al (2023) observed that nurses commonly encounter challenges in delivering sufficient supportive care to patients with GC and Buckley et al (2018) indicated that they need to keep learning to meet the evolving care requirements of patients with GC. In addition, previous studies have shown that patients with GC often experience emotional distress, including anxiety, depression, and mania, with prevalence rates ranging from 40.6 to 66% ( Aquil et al, 2021 ; Suskin et al, 2022 ; Lee et al, 2023 ). Nurses caring for them are frequently exposed to these negative emotions over the long term, which can lead to psychological stress and adversely affect their mental health ( Edlund et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

The impact of job stress on perceived professional benefits among Chinese nurses caring for patients with gynecological cancer: mediating effects of perceived social support and self-efficacy

Zhang,

Meng,

Zhou

2024

Front. Psychol.

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IntroductionNurses caring for patients with gynecological cancer experience significant job stress, which adversely impacts their mental health. Previous studies have indicated that perceived professional benefits serves as a protective factor for nurses’ mental health, and factors such as job stress, perceived social support and self-efficacy influence their perceived professional benefits. However, the relationships between these factors and the associated mechanisms have remained incompletely understood. This study explored the role of perceived social support and self-efficacy in job stress and perceived professional benefits among nurses caring for patients with gynecological cancer.MethodsDuring June and July 2023, an investigation was conducted in Anhui Province. The Nurse Job Stressors Scale, Perceived Social Support Scale, Nurses’ Perceived Professional Benefits Questionnaire and General Self-Efficacy Scale were administered to 311 nurses caring for patients with gynecological cancer. A chained-mediated effect model was constructed and validated.ResultsJob stress negatively affected nurses’ perceived professional benefits. Perceived social support was a mediator in job stress and nurses’ perceived professional benefits, with a mediating effect value of −0.093. Additionally, perceived social support and self-efficacy functioned as sequential mediators in this relationship, with a mediating effect value of −0.032.ConclusionThis study unveils the influencing mechanisms of job stress on perceived professional benefits of nurses caring for patients with gynecological cancer. It is essential for nursing managers to alleviate nurses’ job stress, provide sufficient and effective social support and improve their self-efficacy, ultimately enhancing their perceived professional benefits.

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Anxiety trajectories: An observational study of women undergoing chemotherapy for breast or gynecological cancer

Cited by 7 publications

References 53 publications

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

Greater fertility distress and avoidance relate to poorer decision making about family building after cancer among adolescent and young adult female survivors

The impact of job stress on perceived professional benefits among Chinese nurses caring for patients with gynecological cancer: mediating effects of perceived social support and self-efficacy

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