Women treated for gynaecological cancer during young adulthood – A mixed-methods study of perceived psychological distress and experiences of support from health care following end-of-treatment

Mattsson, Elisabet; Einhorn, K.; Ljungman, Lisa; Sundström‐Poromaa, Inger; Stålberg, Karin; Wikman, Anna

doi:10.1016/j.ygyno.2018.03.055

Cited by 70 publications

(30 citation statements)

References 27 publications

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“…Thewes et al investigated 73 adolescents and young adults (aged 18‐35) and found 45 of them (62%) reported high levels of FCR (CWS total score ≥ 14). This finding is similar to the study of Mattsson which reported 185 out of 286 (61%) of young gynecological cancer survivors experienced FCR, but it is inconsistent with the study of Wang which found that only 7% of the AYAs reported strong worry about recurrence (rated as “strongly agree”). Another study with 292 survivors showed that about half of the participants experienced moderate‐to‐high recurrence fear (2 ≤ FCR mean score < 3), but only 13% of them reported high level of FCR (mean score = 3) .…”

Section: Resultscontrasting

confidence: 61%

“…In those studies where both univariate and multivariate analyses were employed, multivariate results were presented preferentially. In all, six studies investigated determinants related to FCR …”

Section: Resultsmentioning

confidence: 99%

“…Results show that participant's age, gender, education, living situation, occupational status, cancer type, phase of treatment, and cancer stage were not significantly related to recurrence fears . Mattsson et al investigated 337 gynecological cancer survivors and found that age at diagnosis, previous serious life events, and have children or not did not have significant associations with FCR levels. However, multimodal treatment (such as surgery, and/or chemotherapy, and/or radiotherapy) and a history of psychological distress significantly predicted cancer‐related distress, such as FCR.…”

Section: Resultsmentioning

confidence: 99%

“…The publication dates of the studies ranged from 1997 to 2018 (two articles were published 30,31 in the 1990s, three [32][33][34] Sample size varied from 20 to 1395. Three studies concentrated specifically on AYA breast cancer survivors, 32,35,36 one focused on gynecological cancer, 37 one on leukemia, 30 11 articles studied mixed AYA cancer populations, and one did not report cancer type. 38 Eleven studies reported both age at cancer diagnosis and age at survey, two studies only reported age at diagnosis, 26,36 and four only reported age at survey.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Seven articles reported prevalence data on FCR. 25,26,30,32,37,43,44 Thewes et al 26 investigated 73 adolescents and young adults (aged [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] and found 45 of them (62%) reported high levels of FCR (CWS total score ≥ 14). This finding is similar to the study of Mattsson 37 which reported 185 out of 286 (61%) of young gynecological cancer survivors experienced FCR, but it is inconsistent with the study of Wang 44 which found that only 7% of the AYAs reported strong worry about recurrence (rated as "strongly agree").…”

Section: Prevalence Of Fcrmentioning

confidence: 99%

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Fear of cancer recurrence in adolescent and young adult cancer survivors: A systematic review of the literature

Yang

Li²,

Wen

et al. 2019

Psycho-Oncology

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Objective The current systematic review aims to provide an overview of fear of cancer recurrence (FCR) in adolescent and young adult cancer survivors (15‐39 years at cancer diagnosis, AYAs). Methods MEDLINE, PubMed, PsycINFO, and Embase databases were independently searched to identify relevant quantitative articles. PRISMA systematic review procedures were followed with quality assessment. Results Seventeen studies were included in the current review. All were quantitative studies that utilized a cross‐sectional study design. Seven articles reported results of FCR prevalence, six studied determinants related to FCR, and 11 articles provided information about consequences of FCR. Prevalence of FCR ranged from 31% to 85.2% among AYA survivors. Associations between sociodemographic/clinical variables and FCR were inconsistent. Psychological distress and higher treatment intensity were positively associated with higher FCR levels. Lower scores on levels of physical, psychological functioning, and overall health‐related quality of life (QoL) were identified as consequences of increased FCR. Conclusion FCR appears to be a prevalent concern among adolescent and young adult cancer populations. Adequate assessment to determine need for support and intervention is still required. Longitudinal studies in AYAs are warranted to understand the development and potential influence of FCR. Age‐appropriate and flexible psychological care would be more successful potentially with this crucial background information.

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Section: Resultscontrasting

confidence: 61%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Prevalence Of Fcrmentioning

confidence: 99%

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Fear of cancer recurrence in adolescent and young adult cancer survivors: A systematic review of the literature

Yang

Li²,

Wen

et al. 2019

Psycho-Oncology

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Body image among adolescents and young adults diagnosed with cancer: A scoping review

et al. 2021

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Objective Cancer and treatment can produce temporary or permanent body changes, which may affect the body image (BI) of adolescents and young adults diagnosed with cancer (AYAs). This evidence has not been comprehensively summarized. A scoping review was conducted to explore the available evidence on BI among AYAs and identify the definitions, theories, models, frameworks, measures, and methods used to assess BI. Methods Databases MEDLINE, EMBASE, PsycINFO (via Ovid) and CINAHL and Gender Studies (via EBSCO) were searched to identify published studies from 1 January 2000 to 25 November 2019. Inclusion criteria were: qualitative, quantitative, or mixed methodology; at least one BI‐related measure or theme; published in English; and majority of the sample between 13 and 39 years at diagnosis and a mean age at diagnosis between 13 and 39 years. Two authors screened the titles, abstracts, and full‐text articles and data were extracted and summarized. Results The search yielded 11,347 articles and 82 met inclusion criteria. Articles included 45 quantitative, 33 qualitative, and four mixed‐methods studies. The majority of studies used cross‐sectional designs, while BI definitions, theories, models, frameworks, and measures were varied. Studies explored descriptive, psychological, physical, coping, and social factors, with BI being described most often as an outcome rather than a predictor. Conclusions Theory‐based research that employs a holistic BI definition and uses longitudinal or intervention study designs or a qualitative methodology is needed to better understand the BI experience of AYAs and inform the development of strategies and programs to reduce BI concerns and increase positive body experiences.

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Establishing the sensitivity and specificity of the gynaecological cancer distress screen

Seib,

Harbeck,

Anderson

et al. 2024

Psycho-Oncology

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ObjectiveNuanced distress screening tools can help cancer care services manage specific cancer groups' concerns more efficiently. This study examines the sensitivity and specificity of a tool specifically for women with gynaecological cancers (called the Gynaecological Cancer Distress Screen or DT‐Gyn).MethodsThis paper presents cross‐sectional data from individuals recently treated for gynaecological cancer recruited through Australian cancer care services, partner organisations, and support/advocacy services. Receiver operating characteristics analyses were used to evaluate the diagnostic accuracy of the DT‐Gyn against criterion measures for anxiety (GAD‐7), depression (patient health questionnaire), and distress (IES‐R and K10).ResultsOverall, 373 individuals aged 19–91 provided complete data for the study. Using the recognised distress thermometer (DT) cut‐off of 4, 47% of participants were classified as distressed, while a cut‐off of 5 suggested that 40% had clinically relevant distress. The DT‐Gyn showed good discriminant ability across all measures (IES‐R: area under the curve (AUC) = 0.86, 95% CI = 0.82–0.90; GAD‐7: AUC = 0.89, 95% CI = 0.85–0.93; K10: AUC = 0.88, 95% CI = 0.85–0.92; PHQ‐9: AUC = 0.85, 95% CI = 0.81–0.89) and the Youden Index suggested an optimum DT cut‐point of 5.ConclusionsThis study established the psychometric properties of the DT‐Gyn, a tool designed to identify and manage the common sources of distress in women with gynaecological cancers. We suggest a DT cut point ≥5 is optimal in detecting ‘clinically relevant’ distress, anxiety, and depression in this population.

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Women treated for gynaecological cancer during young adulthood – A mixed-methods study of perceived psychological distress and experiences of support from health care following end-of-treatment

Cited by 70 publications

References 27 publications

Fear of cancer recurrence in adolescent and young adult cancer survivors: A systematic review of the literature

Fear of cancer recurrence in adolescent and young adult cancer survivors: A systematic review of the literature

Body image among adolescents and young adults diagnosed with cancer: A scoping review

Establishing the sensitivity and specificity of the gynaecological cancer distress screen

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