Health problems among breast cancer survivors after completing conventional treatments: A cross‐sectional study

Chumdaeng, Sureeporn; Soivong, Pratum; Sethabouppha, Hunsa; Chontawan, Ratanawadee

doi:10.1111/nhs.12678

Cited by 13 publications

(18 citation statements)

References 20 publications

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“…We identified several demographic and clinical factors associated with patients' FCR, including age, comorbidity and monthly income. In accordance with previous studies, 28 age was significantly and negatively related to FCR. Comorbidities might be related to persistent apprehension, uncertainty and distress, which might eventually amplify FCR.…”

Section: Discussionsupporting

confidence: 93%

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Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis

Wang

et al. 2020

Psycho-Oncology

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Objective Fear of cancer recurrence (FCR) is a common psychosocial sequela among cancer survivors, but data on patients with multiple myeloma are scarce. This study calculated the prevalence of FCR and identified family and social factors that predict FCR in the study population. Methods We recruited 127 myeloma patients and their partners to participate in a cross‐sectional survey from a regional tertiary cancer centre in China. The questionnaires included items on demographic characteristics and from the fear of disease progression simplified scale, family hardiness index and Social Support Scale. Univariate and multivariate regression was used to identify predictors of FCR. Results Of the participants, 56.4% patients reported high‐level FCR, which was similar to the partner‐reported proportion. The partners' FCR was positively associated with the patients' FCR, while family hardiness and social support were statistically significant, negative predictors. Conclusions Interventions to mitigate partners' FCR and improve family hardiness and social support may help with the psychological adjustment and well‐being of myeloma patients.

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Section: Discussionsupporting

confidence: 93%

“…In accordance with previous studies, 28 age was significantly and negatively related to FCR. Comorbidities might be related to persistent apprehension, uncertainty and distress, which might eventually amplify FCR.…”

Section: Discussionsupporting

confidence: 93%

Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis

Wang

et al. 2020

Psycho-Oncology

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“…In our sample of breast cancer survivors, 3 symptoms were reported at moderate to severe levels by greater than 15% of our sample: fatigue (22.8%), sleep disturbance (24.8%), and trouble remembering (17.2%). The 3 target symptoms identified in our sample are consistently reported among the top symptoms experienced by breast cancer survivors in other samples 19,30–34 . Fatigue has been reported by breast cancer survivors in other studies 30–36 .…”

Section: Discussionsupporting

confidence: 74%

“…19,[30][31][32][33][34] Changes in cognitive functioning, including trouble remembering, are commonly reported by survivors of breast cancer as well. [30][31][32][33][34] Our work contributes to the growing body of evidence demonstrating not only the prevalence, but also the severity of these symptoms in breast cancer survivors. Symptoms may be synergistic, with an increase in one symptom influencing another symptom and may be related to various demographic or clinical predictors.…”

Section: Discussionmentioning

confidence: 99%

Identification of Breast Cancer Survivors With High Symptom Burden

et al. 2021

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Breast cancer survivorship Cancer-related symptoms Cognitive impairment Fatigue Latent Profile Analysis Quality of Life Sleep disturbanceBackground: While women diagnosed with breast cancer have increased survival when compared with other cancers, survivorship may include residual symptom burden from treatment and continuing endocrine therapies. Objective: The objective of this study was to identify subgroups of breast cancer survivors experiencing similar symptom severity. Methods: Participants were 498 women with breast cancer, not on active treatment. Symptom severity was self-reported using the MD Anderson Symptom Inventory. Target symptoms were included in a latent profile analysis. Factors related to subgroup membership and differences in quality of life (QOL) and functioning were explored using logistic regression. Results: Mean age was 60.11 (SD, 11.32) years, 86.1% were white, and 79.1% were receiving endocrine therapy. Target symptoms included fatigue (reported at ≥5 by 22.8% of women), sleep disturbance (24.8%), and trouble remembering (17.2%). Two subgroups were identified: low symptom severity (77.0% of women) and high (23.0%). Older women (odds ratio [OR], 0.971; 95% confidence interval [CI], 0.952-0.989) and employed women (OR, 0.621; 95% CI, 0404-0.956) were less likely to be in the high subgroup; women with poorer performance status (OR, 1.653; 95% CI, 1.188-2.299) were more likely to be in the high subgroup. Women in the high subgroup reported lower QOL ( P = .000) and greater interference with functioning ( P = .000). Conclusions: Two subgroups of women with distinct symptom severity were identified. Implications for Practice: Identification of

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“…Within the correlates tabulated in Table 3, younger age was associated with FCR, HA, and worry, but not uncertainty. The finding that younger cancer patients are more likely to experience FCR, HA, and worry is supported in the literature (Janz et al, 2011;Jones et al, 2014;Mirosevic et al, 2019;Chumdaeng et al, 2020), and the reasons may be related to their responsibilities at this time in their life. For instance, younger cancer survivors are more likely to have dependent children and thus their FCR might relate to the future care of their children if their cancer should recur (Maheu, 2009).…”

Section: Overlapping Attributesmentioning

confidence: 58%

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

et al. 2021

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Objective: Fear of Cancer Recurrence (FCR), Health Anxiety (HA), worry, and uncertainty in illness are psychological concerns commonly faced by cancer patients. In survivorship research, these similar, yet different constructs are frequently used interchangeably and multiple instruments are used in to measure them. The lack of clear and consistent conceptualization and measurement can lead to diverse or contradictory interpretations. The purpose of this scoping review was to review, compare, and analyze the current conceptualization and measurements used for FCR, HA, worry, and uncertainty in the breast cancer survivorship literature to improve research and practice.Inclusion Criteria: We considered quantitative, qualitative, and mixed methods studies of breast cancer survivors that examined FCR, HA, worry, or uncertainty in illness as a main topic and included a definition or assessment of the constructs.Methods and Analysis: The six-staged framework was used to guide the scoping review process. Searches of PubMed, CINAHL, and PsycINFO databases were conducted. The principle-based qualitative analysis and simultaneous content analysis procedures were employed to synthesize and map the findings.Findings: After duplicate removal, the search revealed 3,299 articles, of which 82 studies met the inclusion criteria. Several critical attributes overlapped the four constructs, for example, all were triggered by internal somatic and external cues. However, several unique attributes were found (e.g., a sense of loss of security in the body is observed only among survivors experiencing FCR). Overall, findings showed that FCR and uncertainty in illness are more likely to be triggered by cancer-specific factors, while worry and HA have more trait-like in terms of characteristics, theoretical features, and correlates. We found that the measures used to assess each construct were on par with their intended constructs. Eighteen approaches were used to measure FCR, 15 for HA, 8 for worry, and 4 for uncertainty.Conclusion: While consensus on the conceptualization and measurement of the four constructs has not yet been reached, this scoping review identifies key similarities and differences to aid in their selection and measurement. Considering the observed overlap between the four studied constructs, further research delineating the unique attributes for each construct is warranted.

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Health problems among breast cancer survivors after completing conventional treatments: A cross‐sectional study

Cited by 13 publications

References 20 publications

Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis

Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis

Identification of Breast Cancer Survivors With High Symptom Burden

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

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