Predictive factors for psychological distress related to diagnosis of breast cancer

Iwatani, Tsuguo; Matsuda, Ayako; Katabuchi, Hidetaka; Miura, Daishu; Matsushima, Eisuke

doi:10.1002/pon.3023

Cited by 39 publications

(33 citation statements)

References 43 publications

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“…The sources of distress were fairly consistent with other published studies (Agarwal et al, 2013; Andreu et al, 2012; Harrington, Hansen, Moskowitz, Todd, & Feuerstein, 2010; Iwatani et al, 2013; Liao et al, 2013) in their type and frequency of occurrence. A cluster of symptoms (e.g., fatigue, worry, sleep, nervousness) were identified in 48%–56% of breast cancer survivors in this study.…”

Section: Discussionsupporting

confidence: 90%

“…Distress is highest in the diagnostic phase of the breast cancer trajectory (Agarwal et al, 2013; Head et al, 2012; Knobf et al, 2013) and is also associated with down regulation of immunity (Andersen et al, 1998). Distress is also associated with trait anxiety (Ando et al, 2011; Iwatani, Matsuda, Kawabata, Miura, & Matsushima, 2013) and lack of confidence in support systems (Harding, 2014). …”

Section: Introductionmentioning

confidence: 99%

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Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Lester

Crosthwaite

Stout

et al. 2014

Oncology Nursing Forum

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Purpose/Objectives To identify and compare levels of distress and sources of problems among patients with breast cancer in early survivorship. Design Descriptive, cross-sectional. Setting A National Cancer Institute–designated comprehensive cancer center. Sample 100 breast cancer survivors were selected to represent four time points in the cancer trajectory. Methods Distress was self-reported using the Distress Thermometer and its 38-item problem list. Analysis of variance and chi-square analyses were performed as appropriate. Main Research Variables Distress scores, problem reports, and time groups. Findings Participants scored in range of the cutoff of more than 4 (range = 4.1–5.1) from treatment through three months post-treatment. At six months post-treatment, distress levels were significantly lower. Significant differences were found between groups on the total problem list score (p = 0.007) and emotional (p = 0.01) and physical subscale scores (p = 0.003). Conclusions Comparison of groups at different points in the cancer trajectory found similar elevated levels from diagnosis through three months. Distress remained elevated in early survivorship but significantly decreased at six months post-treatment. Implications for Nursing Interventions to reduce or prevent distress may improve outcomes in early survivorship.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Lester

Crosthwaite

Stout

et al. 2014

Oncology Nursing Forum

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“…Various factors are predictive of emotional distress, including tumor stage, young age, disturbance related to changes in body image, and form of treatment (receiving chemotherapy rather than radiation therapy). Body‐related distress specifically related to hair loss from chemotherapy, mastectomy, and body weight changes following diagnosis and treatment is a well‐documented phenomenon reported by many breast cancer patients …”

Section: Introductionmentioning

confidence: 99%

Psychosocial predictors of distress and depression among South African breast cancer patients

2017

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Distress and depressive symptoms are prevalent among South African breast cancer patients, especially those with higher body change stress and lower perceived support. For breast cancer patients who are distressed or have symptoms of depression, social support, information, psychosocial counseling, and in some cases, referral for medication management and cognitive psychotherapy is indicated. This article calls attention to the need for psychosocial services directed at supporting patients receiving care at breast clinics in South Africa.

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“…It was estimated that approximately 35% of patients with cancer experienced significant distress (Zabora et al, 2001). Prospective study showed that anxiety and depression were prevalent at diagnosis of cancer (Gil et al, 2012;Iwatani et al, 2013). Over 1/3 of patients newly diagnosed with esophageal cancer suffered from significant psychological symptoms, particularly anxiety (Bergguist et al, 2007;Dempster et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

Zhang

Zhao²,

Fang³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative Ⅰ and postoperative Ⅱ), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

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Predictive factors for psychological distress related to diagnosis of breast cancer

Abstract: These results suggest that intensive psychological intervention is necessary for breast cancer patients with large tumors, as well as for women with suspected breast cancer with high HADS scores at pre-consultation.

Cited by 39 publications

References 43 publications

Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Psychosocial predictors of distress and depression among South African breast cancer patients

Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

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