Symptom status, body perception, and risk of anxiety and depression in breast cancer patients receiving paclitaxel: a prospective longitudinal study

Abstract

Background Paclitaxel regimen which is widely used in clinical treatment causes many negative physical and psychological consequences on women with breast cancer (BC). This longitudinal study firstly aimed to investigate symptom status, body perception changes, and the risk of anxiety and depression in BC patients receiving during paclitaxel regimen. Materials and methods This descriptive and prospective study was conducted with 84 BC patients receiving paclitaxel regimen. “Chemotherapy Symptom Assessment Scale (C-SAS),” “Body Perception Scale (BPS),” and “Hospital Anxiety and Depression Scale (HADS)” were applied at five time points (T 1 , before the first Paclitaxel infusion; T 2 , at the end of first cycle; T 3 , at the end of fourth cycle; T 4 , at the end of eighth cycle; T 5 , at the end of twelfth cycle). Data was analyzed using descriptive statistics, Cochrane Q, and linear mix model regression analysis. Results The frequency of needling and numbness in hands and feet, pain, and skin or nail changes significantly increased in the subsequent assessment points (T 2 , T 3 , T 4 , and T 5 ) compared to the initial assessment (T 1 ) ( p < 0.05). The mean scores of BPS significantly decreased at T 2 , T 4 , and T 5 compared to T 1 ( F = 8.152, p < 0.001). The mean scores of the anxiety subscale of the HADS scale decreased at the T 3 , T 4 , and T 5 compared to T 1 ( F = 6.865, p < 0.001), and the mean scores of the depression subscale significantly increased at the T 5 compared to T 1 ( F = 3.708, p = 0.006). Conclusions The oncology nurse should comprehensively evaluate the patients who scheduled to receive paclitaxel treatment, and provide counseling to the patients during these specific weeks. Better management of the symptoms that increase with the paclitaxel regimen with repeated interviews under the supervision of the nurse will also prevent the deterioration of body perception. In addition, since the risk of depression increases over time in patients receiving paclitaxel, nurses should periodically screen the risk of depression, and timely consult the patients for the appropriate support.

Clinical Observation of MRI Scanning Combined with Clinical Nursing for Surgical Breast Cancer Patients

“…In the study group, the proportion of postoperative stress, depression, and other negative thoughts was lower than that in the control group (P < 0.05). Before MRI scanning, all cases in this group had obtained the results of ultrasound or X-ray molybdenum target examination, and all cases were confirmed by pathology after MRI scanning [ 13 ].…”

Association between Perceived Control and Quality of Life among Patients with Breast Cancer: Structural Equation Analysis

“…Te cumulative experiences mentioned above contribute to an increased psychological burden among patients, including feelings of anxiety, fear, anger, and other negative emotions. In addition, these experiences also amplify the adverse impact on individual perceived control ability [40]. Consequently, physical symptoms emerge as the primary factors infuencing both the level of perceived control and QoL in cancer patients.…”

Inflammation-related proteins as biomarkers of treatment-related behavioral symptoms: A longitudinal study of breast cancer patients and age-matched controls

“…In considering the above-listed covariates, the models of marker change were adjusted for marker level at baseline and assay lot. Based on prior reports suggesting possible differential impact by chemotherapeutic regimen ( Wood et al, 2006 ; Ceylan and Metin, 2022 ), an exploratory analysis of Aim 1 evaluated whether the model was improved by distinguishing between Chemotherapy using a Taxotere-based regimen and Chemotherapy using other regimens.…”