Preditores da qualidade de vida numa amostra de mulheres com cancro da mama

Sousa, Helena; Guerra, Marina Prista; Lencastre, Leonor

doi:10.14417/ap.832

Cited by 5 publications

(4 citation statements)

References 42 publications

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“…In the context of breast cancer, both emotion suppression and lack of emotional awareness have generally been associated with poorer psychosocial outcomes, such as poorer quality of life, more pain and higher levels of psychological distress (e.g., Ávila et al, 2015;Baudic et al, 2016;Iwamitsu et al, 2005;Li et al, 2015;Mantani et al, 2007;Marrazzo et al, 2016;Schlatter & Cameron, 2010;Sousa, Guerra, & Lencastre, 2015;). One explanation for the negative effects of emotion suppression or control is suppression takes place late in the emotion generative and regulatory process.…”

Section: Emotion Regulation and Adaptation To Breast Cancermentioning

confidence: 99%

Attachment and adaptation to breast cancer: The mediating role of avoidant emotion processes

2018

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Attachment insecurity is associated with difficulties in adapting to cancer. Accumulating evidence points to the influence of avoidant emotion processes in this association. This study explored this pathway by examining the association between attachment insecurity and quality of life in women with breast cancer, and by exploring the mediating role of two avoidant emotion processes in this association. Women with breast cancer (N = 155) completed measures of attachment, emotional suppression, emotional awareness and quality of life. Avoidance of attachment was positively associated with emotional suppression (β = .29, p < .01) and lack of emotional awareness (β = .27, p < .01), and negatively associated with quality of life (β = -.22, p < .05). Lack of emotional awareness partially mediated the relationship between attachment avoidance and quality of life (indirect effect β = -.12, p = .008). Attachment anxiety was not associated with any variable. Attachment avoidance may hinder the process of adaptation to breast cancer and difficulties in identifying and describing emotions may be partly responsible for this influence. Access to and ability to benefit from social and medical supports is likely to depend on being able to engage with others and recognise and process emotions effectively. Research and clinical implications are discussed.

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Section: Emotion Regulation and Adaptation To Breast Cancermentioning

confidence: 99%

Attachment and adaptation to breast cancer: The mediating role of avoidant emotion processes

2018

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“…Silva, Barbosa and Pedraza (2015) found that, despite the peculiarities, the patients in common had a great attachment to spirituality, which was achieved with the onset/evolution of the disease and is an important way of coping with cancer. Sousa, Guerra and Lencastre (2015) highlight complementary and concordant data, citing the high average rating of this public on the spirituality scale and that the common use of hope and optimism reduces anxiety, depression and alexithymia, in addition to improving the quality of life.…”

Section: Resultsmentioning

confidence: 94%

The Role of Spirituality in Care for Oncology Patients: A Review Until 2024

Magalhães,

Oliveira,

Lessa

et al. 2024

JHS

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Spirituality, although it is commonly associated with religion, is not restricted to it and must be understood as a universal human dimension, involving subjective values and allowing the individual their own search for meaning and existential reflection. The humanization of medicine, defended by the WHO and recommended by the SUS, must not be an exception in oncology services, where individual aspects, such as spirituality, must be respected and encouraged, whether by adding alternative/complementary practices to therapy, providing comfort and alleviating the emotional commitment, or providing support for bereaved family members. The objective of this study is to identify how spirituality can benefit cancer patient care. The work consists of a bibliographical review. Using the advanced search tool, a search was carried out using the keywords "Spirituality", "Oncology" and "Cancer" in the PubMed, Cochrane Library and Scielo databases. Filters were used only for completeness and freeness of available studies, resulting in 49 articles. After reading the title, abstract and descriptors, 21 studies were excluded, leaving 28 studies for complete reading and analysis. All reviews analyzed highlight benefits arising from spirituality in the care of cancer patients, highlighting points such as improved quality of life, spiritual, emotional and subjective well-being; positive influence on coping with pain; positive changes in post-traumatic growth; increased sense of dignity, will to live and sense of purpose. However, one of the reviews highlights that religious beliefs can have negative influences on the patient. The report and series of cases corroborate the reviews, which verified the importance of recognizing the spiritual dimension in pain control, including in cases refractory to drug treatment, and giving new meaning to the process of death and symbolic pain, with an increase in quality of life. All observational and exploratory studies analyzed found benefits associated with spirituality in the management of cancer patients, although 03 of them found limitations and negative aspects associated with religious beliefs and customs. Spirituality is an important tool for cancer patients and their caregivers/family members, being able to provide them with positive feelings, such as hope and comfort, and alleviating negative aspects, such as grief, expectation and the symbolic pain of the inevitable outcome in some cases. cases, and must therefore be respected and encouraged whenever possible by multidisciplinary teams in oncology services.

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“…Bayram and colleagues (2014) assessed women who were submitted to chemotherapy and concluded as well that women showed moderate levels of QoL. Other studies also determined moderate levels of QoL in women with BC (e.g., Sousa et al, 2015 ). Nevertheless, Zhang and colleagues (2017) found a moderately low level of QoL in Chinese women mainly with less than a year since the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Adjuvant vs. neoadjuvant chemotherapy: quality of life and psychosocial variables in women with breast cancer

Santos¹,

Silva²,

Guimarães³

et al. 2022

Health Psychology Report

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BackgroundA breast cancer diagnosis with all that it entails is a highly stressful moment for women. Chemotherapy is one of the main treatments for this type of cancer, and it also brings several side effects and physical changes that often lead to emotional distress and adjustment difficulties. This study aims to analyse the quality of life and psychosocial variables in women with breast cancer submitted to different chemotherapy procedures.Participants and procedureWe used a convenience sample of 50 women with breast cancer submitted to adjuvant or neoadjuvant chemotherapy. Women were interviewed after obtaining their informed consent. The instruments used were: a sociodemographic and clinical questionnaire, Functional Assessment of Cancer Therapy–Breast, Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being–12-Item, Positive and Negative Affect Schedule, and Brief Resilient Coping Scale.ResultsParticipants demonstrated reasonable levels of all dimensions analysed, except for resilient coping, which was relatively low. Neither treatment significantly improves quality of life or any other psychosocial variable more than the other. Most of the variables were correlated, especially quality of life.ConclusionsThe results show that the choice of treatment according to the most favourable objective criteria (e.g., stage, patients’ char-acteristics) and multidisciplinary work with the integration of a psychologist are vital to achieve good outcomes and the best possible quality of life. Interesting insights were obtained, such as the need for health literacy to make informed decisions and the variation of needs during the cancer course. Future research could use a longitudinal approach and a more repre-sentative sample.

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Preditores da qualidade de vida numa amostra de mulheres com cancro da mama

Cited by 5 publications

References 42 publications

Attachment and adaptation to breast cancer: The mediating role of avoidant emotion processes

Attachment and adaptation to breast cancer: The mediating role of avoidant emotion processes

The Role of Spirituality in Care for Oncology Patients: A Review Until 2024

Adjuvant vs. neoadjuvant chemotherapy: quality of life and psychosocial variables in women with breast cancer

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