Quality of life fluctuations before and after breast surgery for estrogen‐positive breast cancer patients living in South‐Central Appalachia: A prospective pilot study

Roberson, Patricia N. E.; Cortez, Gina; Lenger, Katherine A.; Bell, Clayton; Freeman, Teri; Heidel, R. Eric; Lloyd, Jillian

doi:10.1111/tbj.14183

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…Such brief interventions have efficacy for underserved Appalachian populations, 36 especially because there is evidence that patient-caregiver relationship quality and biobehavioral reactivity may covary with this population. 16 Such a "resetting" of the baseline could improve patients' recovery from their surgery and their ability to cope with other treatments related to their cancer care. Moreover, by optimizing patients' psychophysiological reactions, patients may be more likely to comply with their recommended treatments, thus improving disease-free and overall survival outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…That is, brief interventions to increase the marital or family quality may be implemented before treatment that could impact this baseline measurement before treatment begins. Such brief interventions have efficacy for underserved Appalachian populations, 36 especially because there is evidence that patient‐caregiver relationship quality and biobehavioral reactivity may covary with this population 16 . Such a “resetting” of the baseline could improve patients' recovery from their surgery and their ability to cope with other treatments related to their cancer care.…”

Section: Discussionmentioning

confidence: 99%

“…Breast cancer patients frequently experience increased biobehavioral reactivity during breast cancer treatment. 16,17 Recent literature suggests that supportive relationships may buffer against increases in biobehavioral reactivity during treatment. For example, patient biobehavioral reactivity symptoms (e.g., anxiety, depression, fatigue) during treatment fluctuates concurrently with changes in perceived marital and family quality-suggesting a causal link.…”

Section: Patient and Caregiver Relationship Qualitydistress Link Duri...mentioning

confidence: 99%

“…Breast cancer patients frequently experience increased biobehavioral reactivity during breast cancer treatment 16,17 . Recent literature suggests that supportive relationships may buffer against increases in biobehavioral reactivity during treatment.…”

Section: Introductionmentioning

confidence: 99%

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Relationship quality and psychophysiological distress for underserved breast cancer patients and their caregiver before treatment

Roberson

Cortez²,

Freeman

et al. 2022

Psycho-Oncology

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Objective Breast cancer patients and caregivers experience biobehavioral reactivity (e.g., depression, anxiety, pain, fatigue) during breast cancer treatment which predicts cancer recurrence and mortality. High quality patient‐caregiver relationships can mitigate this distress during treatment, but this association is unclear pre‐treatment. Identifying early interventions that target high risk Appalachian patients could impact biobehavioral reactivity. Methods We recruited 55 breast cancer patient‐caregiver dyads to complete a self‐report survey after diagnosis but before treatment. We used a series of Actor‐Partner Interdependence Models to test the hypotheses that both patient and caregiver relationship quality would be linked to their own and their partners' biobehavioral reactivity. Results Caregiver reported marital quality lower caregiver anxiety, patient anxiety, caregiver depression, patient depression, caregiver pain, and caregiver fatigue. Interestingly, patient‐reported marital quality was linked with higher caregiver anxiety, higher patient anxiety, lower patient depression, and lower patient pain. Patients reported family quality was linked to lower patient and caregiver pain. Conclusions This study demonstrates that pre‐treatment marital and family quality levels are directly related to psychophysiological measures in both the caregiver and the patient, though sometimes in unexpected directions. Additionally, our findings potentially reveal an opportunity to intervene at the time of diagnosis to improve relationship quality, impacting patient and caregiver psychophysiological outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Patient and Caregiver Relationship Qualitydistress Link Duri...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relationship quality and psychophysiological distress for underserved breast cancer patients and their caregiver before treatment

Roberson

Cortez²,

Freeman

et al. 2022

Psycho-Oncology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Breast cancer patients commonly experience uctuating anxiety, depression, pain, and fatigue, throughout treatment [10]. Considering psychological symptoms (anxiety and depression), patients commonly reported increased symptoms [11], with as many as 20-30% experiencing clinically signi cant levels [12,13] and many more experience mild symptoms of anxiety [14] or depression [15].…”

Section: Biobehavioral Reactivity Symptoms Among Patients During Brea...mentioning

confidence: 99%

Breast Cancer Patients and Caregiver Inter- and Intrapersonal Effects on Anxiety, Depression, Pain, and Fatigue during the first year of Treatment.

Roberson,

Lenger,

Tasman

et al. 2023

Preprint

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Purpose Breast cancer patients and caregivers experience anxiety, depression, fatigue, and pain symptoms during treatment which can have both interpersonal and intrapersonal effects. The present study sought to determine which times during the first year of breast cancer treatment has the greatest risk of interpersonal influence on patient and caregiver symptoms. Methods Data were collected from 48 estrogen-receptor positive (ER+) stage I-III breast cancer patients and their identified caregivers throughout the first year of primary treatment (e.g., surgery, radiation). Data were collected at clinically relevant time points across the first year of treatment (i.e., baseline [before treatment], 6 weeks, 6 months, and 12 months after the start of treatment). Patients and their caregivers completed self-report measures of psychological and physiological distress symptoms at each time point. All symptom measures were collected using the Patient Reported Outcomes Measurement Information System (PROMIS). Data were analyzed using longitudinal Actor-Partner Interdependence Modeling. Results Results revealed that, intrapersonally for both patients and caregivers, preceding anxiety, depression, fatigue, and pain predicted poorer functioning at subsequent time points, with a few exceptions. Interpersonally, patients' anxiety at 6 weeks predicted greater caregiver anxiety at 6 months postoperative. Additionally, patient fatigue at baseline and 6 months predicted poorer caregiver fatigue at 6 weeks and 12 months, respectively. Conclusion These findings identify that anxiety, depression, fatigue, and pain affect one's own later functioning. Further, anxiety and fatigue are vulnerable to interpersonal “spillover” of symptoms, particularly for caregivers, starting early in treatment. Clinical implications and directions for future research are discussed.

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I am feeling stressed, are you?: Breast cancer patients and caregivers' inter-psychophysiological symptoms during the first year of breast cancer treatment

Roberson

Tasman

Cortez

et al. 2023

Journal of Psychosomatic Research

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Quality of life fluctuations before and after breast surgery for estrogen‐positive breast cancer patients living in South‐Central Appalachia: A prospective pilot study

Cited by 3 publications

References 10 publications

Relationship quality and psychophysiological distress for underserved breast cancer patients and their caregiver before treatment

Relationship quality and psychophysiological distress for underserved breast cancer patients and their caregiver before treatment

Breast Cancer Patients and Caregiver Inter- and Intrapersonal Effects on Anxiety, Depression, Pain, and Fatigue during the first year of Treatment.

I am feeling stressed, are you?: Breast cancer patients and caregivers' inter-psychophysiological symptoms during the first year of breast cancer treatment

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