Sources of support and the physical and mental well-being of young women with breast cancer

Bloom, Joan R.; Stewart, Susan L.; Johnston, Monica; Banks, Priscilla J.; Fobair, Patricia

doi:10.1016/s0277-9536(00)00440-8

Cited by 214 publications

(231 citation statements)

References 31 publications

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“…Emotional and practical support from family, friends and health providers is essential to the well-being of BCS [20]. Studies show that young BCS experience a decline in their social support over the course of their illness [12,21], many of whom feel unsupported by their peers.…”

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confidence: 99%

Motherhood and Well-Being in Young Breast Cancer Survivors

Wan

Arès

Gareau

et al. 2018

Breast Cancer Manag.

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Practice pointsr 15 elements of well-being were identified in the literature and exploratory factor analysis revealed a four-factor structure of well-being in breast cancer survivors (BCS): recurrence worries, physical health, psychological adjustment and illness intrusiveness. r Analyses revealed that there was a stronger relationship between psychological adjustment and illness intrusiveness for young BCS with children. r Psychological distress (i.e., lack of psychological adjustment), illness intrusiveness and fear of recurrence co-occurred more frequently in young BCS with children than in BCS without children, thus potentially compromising their well-being. r Our findings indicate that young BCS with children are most in need of screening and interventions in these areas, and such initiatives should be incorporated in their medical care and visits.Aim: This exploratory study aimed to examine differences in well-being between young breast cancer survivors (BCS) with and without children. Materials & methods: Participants (n = 816) completed an online survey relating to quality of life, illness intrusiveness, fear of cancer recurrence, stress and social support. Results: Exploratory and confirmatory factor analyses revealed similar models of well-being between both groups, but with a stronger relationship between psychological adjustment and illness intrusiveness for BCS with children (r = -0.779, 95% CI: -0.711, -0.848 vs r = -0.525, 95% CI: -0.423, -0.627). Conclusion: Parenting compromises the overall well-being of young BCS with children and they would therefore benefit from interventions and social and oncological support programs, especially for those caring for minor children. In a recent population-based study of cancer survivors, Weaver et al. [1] examined the prevalence of parental cancer via the United States National Health Interview Survey (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007); they identified 13,385 adults with a history of cancer with one or more minor children under the age of 18. Only adults with minor children who were diagnosed with cancer less than 2 years before the survey were included in the study (n = 1769), but of that subset, approximately 85% of them were diagnosed under the age of 45 [1]. In the USA, the average age of breast cancer diagnosis is 61 years for women; but 11% of all new cases occur in women under the age of 45 [2]. Following these guidelines, we operationalized 'young breast cancer survivors' as individuals with a diagnosis of cancer under the age of 45 and who were currently considered cancer free [2]. A diagnosis of breast cancer at a young age can interfere with the demands of early adulthood and the short-and long-term effects of treatment can be especially problematic for this group [3]. Young breast cancer survivors with children (BCS with children) may, therefore, be a particularly vulnerable group because the stressors that accompany motherhood may compound the difficulties Breast Cancer Manag. (Epub ahead of print)

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confidence: 99%

Motherhood and Well-Being in Young Breast Cancer Survivors

Wan

Arès

Gareau

et al. 2018

Breast Cancer Manag.

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“…Estes resultados confirmam a importância do suporte social, pelo seu efeito protetor face a situações de stress, bem como a importância de recorrer a estratégias de coping adaptativas, aliás como vários estudos o têm comprovado nas últimas décadas, em diferentes países (Anagnostopoulos et al, 2006;Andrykowski et al, 2000;Bloom, 2000;Bloom et al, 2001;Bolger et al, 1996;Carlsson and Hamrin, 1994;David, Montgomery, & Bovbjerg, 2006;Friedman et al, 2006;Hilakivi-Clarke et al, 1993;Kagawa-Singer & Nguyen 2000;Komproe et al, 1997;Kornblith et al, 2001;Montgomery & Bovbjerg, 2004;Nelles et al, 1991;Ywamitsu et al, 2003;Wong-Kim & Bloom, 2005).…”

Section: Resultados Das Estimativas Do Modelo Estrutural Do Momentounclassified

“…O uso de estratégias de coping consideradas negativas, o controlo emocional, a baixa perceção de suporte social (do companheiro, da família, dos amigos e dos profissionais de saúde), e as alterações ao nível da funcionalidade, da imagem corporal e da sexualidade podem influenciar negativamente a forma da mulher reagir ao processo de doença (Andrykowski, Cordova, McGrath, Sloan, & Kenady, 2000;Bloom, Stewart, Johnston, Bank, & Fobair, 2001;Carreiras & Patrão, 2006;Classen, Koopman, Angell, & Spiegel, 1996;doi:10.5964/pch.v1i1.6 Helms, O 'Hea, & Corso, 2008;Gil, Grassi, Travado, Tomamichel, & Gonzalez, 2005;Grassi, Travado, Moncayo, Sabato, & Rossi, 2004;Kornblith et al, 2001;McKenna, Zevon, Corn, & Round, 1999;Nielsen & Gronbaek, 2006;Patrão & Leal, 2004a, 2004bPatrão, Maroco, & Leal, 2006a, 2006bProtheroe et al, 2006;Silva & Patrão, 2006;Vos, Garssen, Visser, Duivenvoorden, & Haes, 2004;Watson & Greer, 1998;Wong-Kim & Bloom, 2005).…”

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Structural equation modeling: a study of the impact of the breast cancer psychosocial pathway (diagnosis, surgery and treatment)

Patrão¹,

Leal²,

Marôco³

2012

PCH

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Objective: Women diagnosed with breast cancer are confronted with different stressors throughout the illness trajectory, e.g. awaiting diagnosis, having surgery, anticipating the possibility that the cancer has spread and coping with side effects. The aim of this study was to assess the impact of the psychosocial pathway of breast cancer. Methods: A total of 360 women diagnosed with breast cancer were evaluated, on 3 separate occasions, regarding: distress, emotional control, neuroticism, social support, coping, quality of life (QoL) and demographic characteristics. We used structural equation modeling (SEM) to examine the relationships among all the variables.Results: The emotional, cognitive response, and the QoL suffered significant changes concerning diagnosis (time 1), surgery (time 2) and treatments (time 3). Furthermore, results indicate that an adapted emotional response is associated to efficient coping strategy, and satisfaction with the perceived social support and good QoL. This is particularly the case when women are undergoing a psychological intervention. Conclusion: To help breast cancer patients adjust to their situation the clinical psychologist should encourage the patient to adopt more efficient coping strategies. By doing so, patients may indeed experience less psychological distress and a higher quality of life, thereby increasing their overall sense of well-being.

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“…It may even enhance survival (Bloom, Stewart, Johnston, Banks and Fobair, 2001). Specific characteristics of support experienced and valued by cancer patients include emotional support (empathy, validation and assurance), informational support (giving advice and information) and instrumental support (functional assistance with daily tasks) (Helgeson and Cohen, 1996).…”

Section: Introductionmentioning

confidence: 99%

‘Do you mean I’m not whole?’: Exploring the role of support in women’s experiences of mastectomy without reconstruction

2016

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This study explores the role of others in supporting younger women who opt not to reconstruct their breast post-mastectomy. Semi-structured interviews were conducted with six women, diagnosed with breast cancer in their 30s/40s. The women lived in England, had been diagnosed a minimum of 5 years previously and had undergone unilateral mastectomy.An interpretative phenomenological analysis revealed three themes; Assuring the self: "I'll love you whatever", Challenging the self: 'Do you mean I'm not whole?', and Accepting the self: 'I've come out the other side'. The women's experiences of positive support and challenges to their sense of self are discussed.

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Sources of support and the physical and mental well-being of young women with breast cancer

Cited by 214 publications

References 31 publications

Motherhood and Well-Being in Young Breast Cancer Survivors

Motherhood and Well-Being in Young Breast Cancer Survivors

Structural equation modeling: a study of the impact of the breast cancer psychosocial pathway (diagnosis, surgery and treatment)

‘Do you mean I’m not whole?’: Exploring the role of support in women’s experiences of mastectomy without reconstruction

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