Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes.

Andersen, Barbara L.; Anderson, Barrie; DeProsse, Charles

doi:10.1037/0022-006x.57.6.692

Cited by 183 publications

(152 citation statements)

References 26 publications

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“…Here, "survivor" was operationalized as a patient who was at least 6 months post any cancer therapy and diagnosed 2−10 years previously as the clinically relevant interval for the study aims. By at least 2 years, the acute stress of diagnosis has ended (Andersen, Anderson, & deProsse, 1989b), patients have returned to their pre-cancer routines (Guidozzi, 1993;Klee, Thranov, & Machin, 2000a, b), and sexual changes have stabilized (Andersen et al, 1989a). By excluding patients treated longer than 10 years previously, we hoped to decrease the likelihood of added, comorbid conditions common in older adulthood that also disrupt sexuality (Lethbridge-Cejku, Schiller, & Bernadel, 2004).…”

Section: Methodsmentioning

confidence: 99%

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

et al. 2008

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Gynecologic cancer patients are at high risk for emotional distress and sexual dysfunction. The present study tested sexual self schema as an individual difference variable that might be useful in identifying those at risk for unfavorable outcomes. First, we tested schema as a predictor of sexual outcomes,including bodychangestress. Second,we examined schema as a contributor to broader quality of life outcomes, specifically as a moderator of the relationship between sexual satisfaction and psychological statue (depressive symptoms and quality of life). A cross-sectional design was used. Gynecologic cancer survivors (N = 175) 2−10 years post treatment were assessed during routine follow up. In regression analyses controlling for sociodemographic variables, patients' physical symptoms/signs as evaluated by nurses, health status, and extent of partner sexual difficulties, sexual self schema accounted for significant variance in the prediction of current sexual behavior, responsiveness, and satisfaction. Moreover, schema moderated the relationship between sexual satisfaction and psychological outcomes, suggesting that a positive sexual self schema might "buffer" patients from depressive symptoms when their sexual satisfaction is low. Furthermore, the combination of a negative sexual self schema and low sexual satisfaction might heighten survivors' risk for psychological distress, including depressive symptomatology. These data support the consideration of sexual self schema as a predictor of sexual morbidity among gynecologic cancer survivors.

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Section: Methodsmentioning

confidence: 99%

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

et al. 2008

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“…Sexual problems can have an additive, negative effect on physical and psychological health of individuals with cancer and their partners [5]. Aging may exacerbate or ameliorate these problems; cancer survivors can feel uncertain about whether sexual problems are a consequence of cancer or aging [6].…”

Section: Introductionmentioning

confidence: 99%

Sexual morbidity in very long term survivors of vaginal and cervical cancer: A comparison to national norms

Lindau¹,

Gavrilova²,

Anderson³

2007

Gynecologic Oncology

166

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Objectives-To compare sexuality among very long-term survivors of vaginal and cervical cancer to national norms and assess quality of care for sexual problems.Methods-A survey of survivors in a cancer registry (n=221) provided data comparable to the 1992 National Health and Social Life Survey (NHSLS). The NHSLS sample was individually matched on age and race to survivors at a 2:1 ratio. Responses were compared using conditional logistic regression and 2-sample t-tests. Correlates of sexual problems among survivors were analyzed using multivariate logistic regression.

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Section: Biological Pathwaysmentioning

confidence: 99%

“…These data were encouraging as they were the first tests of covariation of emotional distress and one general measure of immune status in cancer patients prior to their treatment. Also, the subscales that the prospective longitudinal study had indicated as relevant for women with cancer (Depression and Confusion; Andersen, Anderson, & deProsse, 1989b) were also relevant for the prediction of WBC counts.More recent data replicated and extended these findings (Roberts, Andersen, & Lubaroff 1994). Subjects were women with cervical (Stage I, n = 27; Stage II, n = 10) or endometrial (Stage I, n = 17; Stage II, n = 4) cancer assessed on two occasions (separated by approximately one week) following their diagnosis and prior to treatment.…”

mentioning

confidence: 99%

A biobehavioral model of cancer stress and disease course.

Andersen¹,

Kiecolt‐Glaser²,

Glaser³

1994

American Psychologist

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Approximately 1 million Americans are diagnosed with cancer each year and must cope with the disease and treatments. Many studies have documented the deteriorations in quality of life that occur. These data suggest that the adjustment process is burdensome and lengthy. There is ample evidence showing that adults experiencing other long-term stressors experience not only high rates of adjustment difficulties (e.g., syndromal depression) but important biologic effects, such as persistent downregulation of elements of the immune system, and adverse health outcomes, such as higher rates of respiratory tract infections. Thus, deteriorations in quality of life with cancer are underscored if they have implications for biological processes, such as the immune system, relating to disease progression and spread. Considering these and other data, a biobehavioral model of adjustment to the stresses of cancer is offered, and mechanisms by which psychological and behavioral responses may influence biological processes and, perhaps, health outcomes are proposed. Finally, strategies for testing the model via experiments testing psychological interventions are offered.Cancer is a major health problem, accounting for 23% of all deaths in the United States. Although death rates from heart diseases, stroke, and other conditions have been decreasing, deaths due to cancer have risen 20% in the past 30 years (American Cancer Society [ACS], 1993). This "big picture" holds for the major sites of disease, including lung, breast, and prostate cancer, for which death rates have shown large increases. The number-one killer, lung cancer, has shown huge increases in age-adjusted death rates in the past 30 years-an increase of 121% for men and 415% for women. The second most common site of cancer for men, prostate, has shown a 12% increase in the death rate. For women, breast cancer accounts for 32% of all new cases. During this decade alone, more than 1.5 million women (1 in 9) will be diagnosed and 30% of these women will die from the disease. Other sobering statistics indicate that since 1980 there has been a 24% increase in breast cancer incidence; despite major clinical studies (including trials of dramatic treatments, e.g., bone marrow transplantation), breast cancer mortality rates have been stable for the past 20 years. In sum, increasing numbers of individuals are being diagnosed, undergo difficult therapies, and somehow cope with 5-year relative survival rates of 53% for White Americans and 38% for Black Americans (ACS, 1993).Although there are notable exceptions (e.g., Bard & Sutherland, 1952;Fox, 1976), research programs conducted by psychologists on the behavioral and psychological aspects of cancer did not begin in earnest until the late 1970s. Yet considerable advances have been made in describing the difficulties cancer patients face and examining the processes of adjustment (see discussions in Andersen, 1989; Cancer, 1991, Vol. 67, No. 3 Supplement) NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manus...

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Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes.

Cited by 183 publications

References 26 publications

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Sexual morbidity in very long term survivors of vaginal and cervical cancer: A comparison to national norms

A biobehavioral model of cancer stress and disease course.

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