Issues and concerns of young Australian women with breast cancer

Connell, Shirley; Patterson, Carla; Newman, Beth

doi:10.1007/s00520-005-0003-8

Cited by 76 publications

(121 citation statements)

References 29 publications

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“…Previous research demonstrates that young BCS with children report greater fear of cancer recurrence because of the potential consequences a recurrence could have on their families, their ability to parent and their children's well-being [15,50]. Connell et al [4] noted that the most commonly reported major personal concern in relation to fear of cancer progression and recurrence in a group of young BCS with children was the future welfare of their children. This research illustrates not only that fear of cancer recurrence is elevated among young BCS with children, but that these fears are also a source of significant concern and distress.…”

Section: Discussionmentioning

confidence: 99%

Motherhood and Well-Being in Young Breast Cancer Survivors

Wan

Arès

Gareau

et al. 2018

Breast Cancer Manag.

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Practice pointsr 15 elements of well-being were identified in the literature and exploratory factor analysis revealed a four-factor structure of well-being in breast cancer survivors (BCS): recurrence worries, physical health, psychological adjustment and illness intrusiveness. r Analyses revealed that there was a stronger relationship between psychological adjustment and illness intrusiveness for young BCS with children. r Psychological distress (i.e., lack of psychological adjustment), illness intrusiveness and fear of recurrence co-occurred more frequently in young BCS with children than in BCS without children, thus potentially compromising their well-being. r Our findings indicate that young BCS with children are most in need of screening and interventions in these areas, and such initiatives should be incorporated in their medical care and visits.Aim: This exploratory study aimed to examine differences in well-being between young breast cancer survivors (BCS) with and without children. Materials & methods: Participants (n = 816) completed an online survey relating to quality of life, illness intrusiveness, fear of cancer recurrence, stress and social support. Results: Exploratory and confirmatory factor analyses revealed similar models of well-being between both groups, but with a stronger relationship between psychological adjustment and illness intrusiveness for BCS with children (r = -0.779, 95% CI: -0.711, -0.848 vs r = -0.525, 95% CI: -0.423, -0.627). Conclusion: Parenting compromises the overall well-being of young BCS with children and they would therefore benefit from interventions and social and oncological support programs, especially for those caring for minor children. In a recent population-based study of cancer survivors, Weaver et al. [1] examined the prevalence of parental cancer via the United States National Health Interview Survey (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007); they identified 13,385 adults with a history of cancer with one or more minor children under the age of 18. Only adults with minor children who were diagnosed with cancer less than 2 years before the survey were included in the study (n = 1769), but of that subset, approximately 85% of them were diagnosed under the age of 45 [1]. In the USA, the average age of breast cancer diagnosis is 61 years for women; but 11% of all new cases occur in women under the age of 45 [2]. Following these guidelines, we operationalized 'young breast cancer survivors' as individuals with a diagnosis of cancer under the age of 45 and who were currently considered cancer free [2]. A diagnosis of breast cancer at a young age can interfere with the demands of early adulthood and the short-and long-term effects of treatment can be especially problematic for this group [3]. Young breast cancer survivors with children (BCS with children) may, therefore, be a particularly vulnerable group because the stressors that accompany motherhood may compound the difficulties Breast Cancer Manag. (Epub ahead of print)

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Section: Discussionmentioning

confidence: 99%

Motherhood and Well-Being in Young Breast Cancer Survivors

Wan

Arès

Gareau

et al. 2018

Breast Cancer Manag.

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“…[26][27][28] In contrast to another very recently published study, we found no association between age and FCR. 29 Different hypotheses have been proposed to explain the association of having children with psychological well-being. In particular, some authors showed that concerns for the future welfare of the children, responding to children's needs and grief related to potential loss of opportunities to engage in the children's upbringing were reported as major concerns.…”

Section: Discussionmentioning

confidence: 99%

Fear of recurrence and its impact on quality of life in patients with hematological cancers in the course of allogeneic hematopoietic SCT

Sarkar

Scherwath

Schirmer

et al. 2014

Bone Marrow Transplant

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We examined the course and the prevalence of a high fear of cancer recurrence (FCR) in patients undergoing allogeneic PBSC transplantation (hematopoietic SCT (HSCT)) before HSCT (N = 239), 100 days after (n = 150, and 12 months after allogeneic HSCT (n = 102). The Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the EORTC Quality of Life Questionnaire, and the Hospital Anxiety and Depression Scale were used. Pre-HSCT 36% of patients, 100 days after HSCT 24% of patients, and 1 year after HSCT 23% of patients fulfilled the criteria for high FCR (FoP-Q-SF cutoff = 34). Being married (b = 2.76, P = 0.026), female gender (b = 4.45, Po 0.001) and depression (b = 4.44, P o 0.001) were significantly associated with FCR at baseline. One hundred days after HSCT, depression significantly predicted FCR (b = 6.46, Po 0.001). One year following HSCT, female gender (b = 6.61, P = 0.008) and higher depression were (b = 4.88, P = 0.004) significant predictors for FCR. Over the three assessment points, patients with high FCR had a significantly lower quality of life compared to patients with low FCR in physical functioning (P = 0.019), role functioning (P = 0.003), emotional functioning (P o 0.001), cognitive functioning (P = 0.003), social functioning (P o 0.001) and global quality of life (P o 0.001). Our data provide evidence that FCR is a prevalent problem in patients with hematological malignancies and has a significant adverse impact on health-related quality of life.

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“…In the literature too, it is indicated that social support received from the family and friends during the healing process is of great importance for women with breast cancer. It is stated that social support is an important factor that facilitates coping (Connell et al, 2006). In a study evaluating hopelessness levels of women with breast cancer, it was determined that women receiving social support had a lower level of hopelessness (Öztunç et.…”

Section: Discussionmentioning

confidence: 99%