Socio-Ecological Environmental Characteristics of Young Chinese Breast Cancer Survivors

Hu, Yun; Xu, Jiehui; Wang, Xiyi; Shi, Yiwen; Chen, Menjie

doi:10.1188/21.onf.481-490

Cited by 7 publications

(2 citation statements)

References 37 publications

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“…Moreover, concerns were expressed regarding the impact on their husbands and other family members, given the traditional gender roles assigned to women within the household. Speci cally, women are typically responsible for marital duties, childbirth, childcare, and housework [22]. A study conducted in China revealed that breast cancer patients often experience anxiety and depression as a result of changes in sexual function and body image [23].…”

Section: The Source Of Distressmentioning

confidence: 99%

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

Gao,

Wang,

Guo

et al. 2024

Preprint

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Purpose: Although there is extensive research on the link between breast cancer diagnosis and psychological distress after diagnosis, there is limited data on the prevalence of psychological distress prior to breast cancer diagnosis. The purpose of this study is to measure the distress levels of patients before breast cancer diagnosis, to identify the categories of distress they have, and to describe the experience of distress of patients before diagnosis. Methods: This study uses a mixed method of survey and qualitative interviews. In the quantitative part, a cross-sectional survey of 118 patients with completed breast biopsies awaiting pathological diagnosis was conducted using the National Comprehensive Cancer Network's (NCCN's) Distress Thermometer(DT) and Problem List (PL), In the qualitative part, 15 patients were invited using convenient and purposive sampling. Data was collected using a semi-structured face-to-face interview and recorded. The transcribed text was analyzed using Colaizzi's phenomenological method. Results: The results reveal that 63.6% of patients reported a higher level of psychological distress (n=75, scoring≥4).Most patients had emotional (98%) or physical (64%) problems. Among these, worry or anxiety (47.4%), fear (33%), finances (21.1%), sadness and depression(18.6%), and grief or loss(15.2%) were the most frequently reported problems. Multivariate logistic regression analysis showed that the factors associated with psychological distress before the diagnosis of breast cancer patients were age, education level and employment. The experience of patients before diagnosis emerged four themes: Very high psychological distress index; Sources of psychological distress; The demand for information; Positive coping. Conclusions: Psychological distress is prevalent prior to breast cancer diagnosis and may merit early intervention. Gaining insight into patients' emotional distress can assist in shaping future evaluations and interventions focused on their psychosocial needs, to enhance their overall well-being.

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Section: The Source Of Distressmentioning

confidence: 99%

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

Gao,

Wang,

Guo

et al. 2024

Preprint

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“…Other cancer-related symptoms, such as psychosocial maladjustment, have also been reported during both cancer treatment and rehabilitation [ 9 ]. A lack of confidence and preparedness to cope with cancer can intensify survivors’ distress, hinder their reintegration into society, reduce their self-efficacy, and cause significant impairment in quality of life [ 10 , 11 ]. Understanding the dynamic demands of young survivors of breast cancer is crucial for providing targeted and culturally sensitive support.…”

Section: Introductionmentioning

confidence: 99%

Effects of the “AI-TA” Mobile App With Intelligent Design on Psychological and Related Symptoms of Young Survivors of Breast Cancer: Randomized Controlled Trial

Jiang,

Xu,

et al. 2024

JMIR Mhealth Uhealth

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Background: Psychological issues are highly prevalent among breast cancer survivors, especially in the first few years after diagnosis. Young breast cancer survivors reportedly have inadequate mental management and subsequently report lower quality of life compared to older survivors. And mobile health has been widely applied and played a crucial role in this population.Objective: This study aimed to evaluate the effectiveness of a mobile application with intelligent design called "AI-TA" on cancer-related psychological health and ongoing symptoms in young breast cancer survivors.Methods: Using the person-centered care framework, a three-month, randomized, controlled, and parallel-group trial was conducted from January 2022 to December 2022. Young breast cancer survivors were recruited from three university-affiliated hospitals. The intervention was composed of a mobile application "AI-TA" with seven modules and two-way online follow-up every two weeks. Participants were randomly assigned to two groups. The primary outcome measures were psychological symptoms measured by the Memorial Symptom Assessment Scale-Short Form (MSAS-SF), the Cancer Behavior Inventory-Brief Version (CBI-B), and the Social Support Rating Scale (SSRS). The secondary outcome is quality of life measured by the Functional Assessment of Cancer Therapy-Breast (FACT-B). Data from both the intention-to-treat and per-protocol groups were analyzed at three time points (baseline, 1-month, and 3-months).Results: A total of 124 participants were randomly allocated to the control group (n=62) and the intervention group (n=62). The overall dropout rate was 7.3%, and 92.7% of the participants completed the intervention. There were significant improvements in all outcome variables over time for both groups. At the three-month intervention, greater decreases in psychological distress were observed in the intervention group compared to the control group (ITT vs. PP vs. control: 0.52 vs. 0.41 vs. 0.93; P<.001) and in psychological frequency (ITT vs. PP vs. control: 0.74 vs. 0.77 vs. 0.95; P<.001). Moreover, these differences between the intervention and the control groups in physical, social/family, and emotional well-being became significant at the three-month follow-up (P<.001). Conclusions:The mobile application "AI-TA" incorporating intelligent design shows promise in reducing cancer-related psychological symptoms among young breast cancer survivors. Clinical Trial: Chinese Clinical Trial Registry ChiCTR2200058823; https://www.chictr.org.cn/listbycreater.aspx

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Affective symptoms and psychological rehabilitation strategies in young breast cancer survivors: a systematic review

Xu,

He,

Chen

et al. 2024

Curr Psychol

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Objective This paper systematically reviews the influencing factors of affective symptoms and psychological rehabilitation strategies of young breast cancer survivors (aged 50 years and under), so as to meet their psychological rehabilitation needs and provide evidence-based basis for medical staff to formulate precise psychological rehabilitation strategies. Methods. The databases PubMed, Embase, Web of Science, and Cochrane Library were searched for research questions from 2012 to 2022. The literature was screened and evaluated, and the content analysis method was used to conduct a descriptive analysis of the results. Results. A total of 20 studies were included, including 11 cross-sectional studies, 7 randomized controlled trials, and 2 cohort studies. The common affective symptoms of young breast cancer survivors are anxiety, depression and fear, and the influencing factors include personal factors, disease factors, family factors and socioeconomic factors. Conclusions. The influencing factors of affective symptoms in young breast cancer survivors are diverse, and the psychological rehabilitation needs have their unique characteristics, which have not been fully studied. There is an urgent need to conduct high-quality research in this field. According to its influencing factors, psychological rehabilitation strategies need to be developed to maintain their family role and social roles.

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Socio-Ecological Environmental Characteristics of Young Chinese Breast Cancer Survivors

Cited by 7 publications

References 37 publications

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

Effects of the “AI-TA” Mobile App With Intelligent Design on Psychological and Related Symptoms of Young Survivors of Breast Cancer: Randomized Controlled Trial

Affective symptoms and psychological rehabilitation strategies in young breast cancer survivors: a systematic review

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