Psychological and Physical Adjustment to Breast Cancer Over 4 Years: Identifying Distinct Trajectories of Change.

Helgeson, Vicki S.; Snyder, Pamela R.; Seltman, Howard

doi:10.1037/0278-6133.23.1.3

Cited by 408 publications

(476 citation statements)

References 58 publications

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“…In bivariate tests, they also reported less frequent distress about their family's future and less fatigue. These effects of partner status are conceptually consistent with other evidence that social resources predict better psychological well-being over time (Ganz et al, 2002;Helgeson et al, 2004).…”

Section: Long-term Cancer Survivorssupporting

confidence: 87%

“…At the bivariate level, trait optimism related to better long-term well-being on nine of the 12 QLACS scales, and eight of these held up in multivariate tests. It seems very clear that personality is an important contributor to long-term differences in QOL Helgeson et al, 2004), and it would be foolhardy to disregard its contribution.…”

Section: Long-term Cancer Survivorsmentioning

confidence: 99%

“…One study (Helgeson et al, 2004) assessed breast cancer patients repeatedly during the 4.5 years after surgery, separated the cohort statistically into groups with differing emotional trajectories, then compared them on variables collected at baseline. The most distressed group had lower social support and personal resources initially (two aggregated indices) than the least distressed group.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

et al. 2005

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SUMMARYQuality of life (QOL) has many aspects, both in the short-term and in the long-term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long-term breast cancer survivors. Early-stage breast cancer patients (N ¼ 163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5-13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow-up. Being partnered at diagnosis predicted many psychosocial benefits at follow-up. Hispanic women reported greater distress and social avoidance at follow-up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow-up, but not other aspects of QOL. Thus, different aspects of QOL at long-term follow-up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long-term QOL. This divergence among aspects of QOL should receive closer attention in future work.

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Section: Long-term Cancer Survivorssupporting

confidence: 87%

Section: Long-term Cancer Survivorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

et al. 2005

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“…As in other cancers [34], levels of anxiety/ depression tended to decrease as time since diagnosis increased. A cancer diagnosis is a traumatic event, and coming to terms with it requires a significant shift in perspective, which could explain these findings.…”

Section: Discussionmentioning

confidence: 69%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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Objective: Ovarian cancer is often diagnosed at an advanced stage, and consequently high levels of distress are often experienced. It is necessary to understand the factors associated with psychological distress in order to guide interventions to target those factors. The purpose of this systematic review was therefore to identify correlates of psychological distress in ovarian cancer.Methods: Included studies had to be quantitative and empirical, with standardized measures of psychological distress (anxiety or depression), and to present results for ovarian cancer patients specifically. Standard systematic search methods were used. Information about design, ovarian cancer sample size, disease stage, time since diagnosis, measures of distress used and findings was extracted from each study. The studies were quality assessed using experimenterdefined criteria as good, average and poor quality. Strength of the evidence (strong, some, inconclusive) was based on the quality and consistency of findings.Results: Eighteen studies meeting the inclusion criteria were identified. There was strong evidence for a relationship between younger age, being diagnosed with more advanced disease, more physical symptoms and shorter time since diagnosis with increased levels of anxiety and/ or depression. Additional factors (e.g. immune) tested in a few studies also emerged as correlates of distress.Conclusions: Demographic, disease and quality of life factors correlated with distress. However, too few studies assessed possible psychological and immunological correlates, which could be potentially modified and should be assessed in future studies.

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“…Previous research has identified several distinct trajectories in physical and psychological functioning from four years after initial diagnosis [53]. Increasing age was associated with lower functioning and deterioration over time.…”

Section: Discussionmentioning

confidence: 89%

Individual differences in well-being in older breast cancer survivors

Perkins

Small

Balducci

et al. 2007

Critical Reviews in Oncology/Hematology

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Older women who survive breast cancer may differ significantly in their long-term well-being. Using a risk and protective factors model, we studied predictors of well-being in 127 women age 70 and above with a history of at least one year's survival of breast cancer. Mean post-cancer survivorship was 5.1 years. Using life satisfaction, depression and general health perceptions as outcome variables, we assessed whether demographic variables, cancer-related variables, health status and psychosocial resources predicted variability in well-being using correlational and hierarchical regression analyses. Higher age predicted increased depression but was not associated with life satisfaction or general health perceptions. Cancer-related variables, including duration of survival, and type of cancer treatment, were not significantly associated with survivors' well-being. Poorer health status was associated with poorer well-being in all three dependent variables. After controlling for demographics, cancer-related variables, and health status, higher levels of psychosocial resources including optimism, mastery, spirituality and social support predicted better outcome in all three dependent variables. While many older women survive breast cancer without severe sequelae, there is considerable variability in their well-being after survivorship. Successful intervention with older breast cancer survivors might include greater attention not only to cancer-specific concerns, but also attention to geriatric syndromes and functional impairment, and enhancement of protective psychosocial resources.

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Psychological and Physical Adjustment to Breast Cancer Over 4 Years: Identifying Distinct Trajectories of Change.

Cited by 408 publications

References 58 publications

Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

Psychological distress and its correlates in ovarian cancer: a systematic review

Individual differences in well-being in older breast cancer survivors

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