Illness perceptions of Chinese women with breast cancer and relationships with socio‐demographic and clinical characteristics

Ma, Chunhua; Yan, Jun; Wu, Yan; Huang, Wanbing

doi:10.1111/ijn.12677

Cited by 17 publications

(10 citation statements)

References 33 publications

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“…First, we could not include all the variables related to illness perception mentioned in previous studies. Considering that the study participants were cancer patients, we sought to minimize the fatigue from completing the questionnaires.6 Some other variables which could be included in future studies of illness perception are previous illness history, experience of breast cancer in the past (including serving as a caregiver for a family member or an important other with breast cancer), cultural aspects,36 disease knowledge,38 social socioeconomic status,35 and general life stress.34 Additionally, to explore the differences of disease experience by age, examining women’s sense of control or role functioning would be helpful. Second, the descriptive power of the models, which examined the factors influencing negative, positive, and total illness perception, was small.…”

Section: Limitationsmentioning

confidence: 99%

“…Studies have demonstrated how illness perception largely determines the sense of well-being in cancer patients, and breast cancer patients are no exception to this 1,6,7. The concept of illness perception has its foundation rooted in the self-regulation model by Leventhal and colleagues 8,9.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, this model emphasized that the coping mechanisms depend on patients’ illness perception, which has a critical impact on their adherence to treatment and sense of well-being, both positive and negative 11,12. Previous studies have reported that breast cancer patients’ poor interpretation of their diagnosis, prognosis, and fear of progression is associated with poor physical (e.g., fatigue, pain) and poor mental health (e.g., helplessness, anxiety, depression),1,6 low medical compliance,12 and future sense of well-being prediction.7 Besides, illness perception in breast cancer patients has been a significant variable in determining the causes of psychological distress, coping strategies, and treatment outcomes 6,13. The perceived social support, locus of control, and self-efficacy have been frequently cited as correlated factors to illness perception 14,15.…”

Section: Introductionmentioning

confidence: 99%

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<p>Illness perception and sense of well-being in breast cancer patients</p>

Lee¹,

Baek²,

Jeon³

2019

PPA

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PurposeThe objective of the study was to explore breast cancer patients’ illness perception, its relationship to perceived sense of well-being, and the role of perceived social support.MethodsWomen with diagnosed breast cancer were recruited from the two university hospitals in South Korea between January and April 2018. The questionnaires included the Illness Perception Questionnaire-Revised (IPQ-R) and the Functional Assessment of Cancer Therapy for Breast cancer (FACT-B). A total of 321 participants’ data was analyzed using descriptive analyses, multiple regression, and structural equation modeling.ResultsNegative illness perception was greater in participants currently receiving chemotherapy (p=0.044) or had received chemotherapy in the past (p=0.006). Positive illness perception was lower in older participants (p=0.001) or those who had received chemotherapy (p=0.018). Negative illness perception had a direct effect on a low sense of well-being (p<0.001). Perceived social support had a significant mediation effect on the relationship between negative/positive illness perception and sense of well-being (p<0.001).ConclusionSignificant relationships between illness perception and sense of well-being were observed in breast cancer patients. Strengthening patients’ perceived social support would be helpful in improving their sense of well-being.

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Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Illness perception and sense of well-being in breast cancer patients</p>

Lee¹,

Baek²,

Jeon³

2019

PPA

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“…Research has demonstrated that the illness perceptions of women with breast cancer differ according to the patient’s demographic and clinical factors. Better-educated women recognized more symptoms and younger women had more confidence in their ability to control the illness [ 19 ]. Patients who were not working perceived more-severe consequences, less treatment control, and stronger emotional impacts [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Trends in Illness Perception and Depression during Adjuvant Breast Cancer Endocrine Therapy: A Prospective Observational Study

2021

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This study aimed to identify the changes in the illness perceptions and depression of women with breast cancer, undergoing AET, at three time points (i.e., before initiating AET, 3 months follow-up, and 12 months follow-up). We investigated the interaction effects of their demographic and clinical characteristics on illness perception changes over time. Furthermore, factors including the patient’s characteristics and illness perceptions associated with depressive symptoms 1 year after starting AET were explored. Illness perception and depressive symptoms were assessed with the brief illness perception questionnaire and the Center for Epidemiologic Studies Depression Scale, in a prospective study of 150 women. The changes in illness perceptions and depression between the three time points were analyzed using repeated measures ANOVA. The factors associated with depressive symptoms were identified using regression analysis. Illness perception improved overall over the 12 months. However, more patients perceived their illness as chronic, experienced more symptoms, and developed negative beliefs that treatment could not control their disease. Patients’ depressive symptoms decreased significantly. Depression at the baseline, cancer stage, and the perception of personal control were highly associated with depression after 12 months. These findings suggest that healthcare providers should offer appropriate interventions to patients, for managing symptoms, having a positive belief that treatment can control their disease, and preventing long-term depressive symptoms.

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“…As age increases, the perception related to the concern that the illness will last for a longer time increase and the perception about the controllability of illness personally and with treatment decrease. Other studies show that the personal controls of young patients were higher (25,30). Young patients with BC have more worries regarding how they cope with their concerns about sexual dysfunction, their children, fertilization and body image (25).…”

Section: Discussionmentioning

confidence: 92%

Evaluation of Illness Perception of Women with Breast Cancer in Turkey

Karabulutlu

Avcı

Gürsoy

et al. 2019

Eur J Breast Health

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Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it remains as a most frightening disease for women despite the important developments in its treatment. Moreover, BC is perceived as a disease that threatens both life and womanhood, includes physical, psychological, sexual and working-life problems, has recovery and exacerbation periods, and causes short-and long-period adjustment disorders (1, 2). According to the 2018 report of the International Agency for Research on Cancer, BC is ranked as the second most frequent cancer (11.6%) in the world. (3) According to the 2015 data of Ministry of Health in Turkey, BC is ranked first among the first 10 types of cancer seen in women and its incidence is 52.5 in one hundred thousand (4). While the incidence of breast cancer is increasing in both our country and the world, knowing what breast cancer means for patients may be beneficial for reducing the mortality and morbidity of the disease. Illness is subjective; each person experiences it differently. Therefore, individual responses to illness are also different (5). The responses attributed to illness, beliefs about its course and duration, its perceived consequences, and special beliefs about it all affect the treatment and controllability of disease (6). How the experience of cancer is defined and perceived plays a crucial role in adjusting both to the disease and its treatment (7). Therefore, attention has been increasingly directed on the meaning attributed by patients to their cancer. Studies show that how the patients with BC perceive their illness is an important factor that determines adjustment to disease, the general distress level, psychosocial distress experienced by patients, and coping with stress (1, 8-10).

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Illness perceptions of Chinese women with breast cancer and relationships with socio‐demographic and clinical characteristics

Abstract: These findings suggest that illness perceptions should be regarded as a whole to guide the coping process of Chinese women with breast cancer and provide new clinical information to support care for this group.

Cited by 17 publications

References 33 publications

<p>Illness perception and sense of well-being in breast cancer patients</p>

<p>Illness perception and sense of well-being in breast cancer patients</p>

Longitudinal Trends in Illness Perception and Depression during Adjuvant Breast Cancer Endocrine Therapy: A Prospective Observational Study

Evaluation of Illness Perception of Women with Breast Cancer in Turkey

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