Impact of a pre-existing diagnosis of mental illness on stage of breast cancer diagnosis among older women

Bhattacharya, Manami; Parsons, Helen; Call, Kathleen Thiede; Blaes, Anne; McAlpine, Donna

doi:10.1007/s10549-022-06793-z

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…Some felt that their physical health symptoms were explained away as mental health symptoms – women are more likely to be diagnosed with mental illness ( 56 ), and so may be more vulnerable to clinicians falsely attributing their physical health concerns to mental illness. Women with mental illness are more likely to be diagnosed with breast cancer at later stages of the illness, possibly because early symptoms are misrecognised as mental illness ( 57 ). A study by Behzad Karami et al ( 58 ) found that women with disabilities – who are frequently engaged with health services – would benefit from clinicians taking their knowledge and preferences seriously when making treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

Zirnsak,

Elwyn,

McLoughlan

et al. 2024

Front. Public Health

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IntroductionWomen play a significant role in the management of their own healthcare and that of others, however women diagnosed with mental illness and physical health concerns experience significant health inequalities as compared to people living without mental health concerns.MethodsIn this paper, we reflect on the experiences of 20 cis women diagnosed with mental and physical health concerns who agreed to be a part of this research. This qualitative study is part of the larger Healthtalk Australia research project which was not gender specific. Female participants shared many experiences of mental and physical healthcare in interviews with researchers that pointed to the need for a gendered approach to addressing health inequalities. Consequently, we iteratively consolidated transcripts of interviews with participants into thematic categories facilitated by NVIVO 12.ResultsWe identified two broad themes and a set of subthemes: in the doctor’s office – experience of labelling; negotiating medications; and interactions with physical and mental health, and outside the doctor’s office – responses to trauma, financial concerns, and reliance on participant’s internal resources to get healthcare needs met.DiscussionWe conclude that participants in this study undertook significant work to manage their own healthcare needs, despite being challenged by clinicians and systems that failed to see them as whole people with expertise regarding their own health.

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Section: Discussionmentioning

confidence: 99%

“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

Zirnsak,

Elwyn,

McLoughlan

et al. 2024

Front. Public Health

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“…[6][7][8] Coherently, rates of psychological disorders are higher among BC patients when compared with the general population: recent systematic reviews reported that 32.2% of BC patients suffer from depression and 41.9% from anxiety. 9,10 Furthermore, psychological distress is associated with poorer clinical outcomes, such as a higher risk of cancer recurrence, poorer survival, greater allcause and cancer-related mortality and morbidity, [11][12][13][14] poorer QoL, and lower adherence to medication. 13 QoL refers to how patients perceive their own health, considering its physical, mental, and social dimensions.…”

Section: Introductionmentioning

confidence: 99%

Predictive Models of Psychological Distress, Quality of Life, and Adherence to Medication in Breast Cancer Patients: A Scoping Review

Pezzolato,

Spada,

Fragale

et al. 2023

PPA

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Purpose An interplay of clinical and psychosocial variables affects breast cancer patients’ experiences and clinical trajectories. Several studies investigated the role of socio-demographic, clinical, and psychosocial factors in predicting relevant outcomes in breast cancer care, thus developing predictive models. Our aim is to summarize predictive models for specific psychological and behavioral outcomes: psychological distress, quality of life, and medication adherence. Specifically, we aim to map the determinants of the outcomes of interest, offering a thorough overview of these models. Methods Databases (PubMed, Scopus, Embase) have been searched to identify studies meeting the inclusion criteria: a breast cancer patients’ sample, development/validation of a predictive model for selected psychological/behavioral outcomes (ie, psychological distress, quality of life, and medication adherence), and availability of English full-text. Results Twenty-one papers describing predictive models for psychological distress, quality of life, and adherence to medication in breast cancer were included. The models were developed using different statistical approaches. It has been shown that treatment-related factors (eg, side-effects, type of surgery or treatment received), socio-demographic (eg, younger age, lower income, and inactive occupational status), clinical (eg, advanced stage of disease, comorbidities, physical symptoms such as fatigue, insomnia, and pain) and psychological variables (eg, anxiety, depression, body image dissatisfaction) might predict poorer outcomes. Conclusion Predictive models of distress, quality of life, and adherence, although heterogeneous, showed good predictive values, as indicated by the reported performance measures and metrics. Many of the predictors are easily available in patients’ health records, whereas others (eg, coping strategies, perceived social support, illness perceptions) might be introduced in routine assessment practices. The possibility to assess such factors is a relevant resource for clinicians and researchers involved in developing and implementing psychological interventions for breast cancer patients.

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Disparities in cancer care in individuals with severe mental illness: A narrative review

Murphy,

Amin,

Celikkaleli

et al. 2024

Cancer Epidemiology

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Impact of a pre-existing diagnosis of mental illness on stage of breast cancer diagnosis among older women

Cited by 5 publications

References 34 publications

“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

“I have to fight for them to investigate things”: a qualitative exploration of physical and mental healthcare for women diagnosed with mental illness

Predictive Models of Psychological Distress, Quality of Life, and Adherence to Medication in Breast Cancer Patients: A Scoping Review

Disparities in cancer care in individuals with severe mental illness: A narrative review

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