Dissertations / Theses on the topic 'Breast – Cancer – Psychological aspects'
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Cerna, Zuzana. "Psychological preparedness for breast cancer surgery." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ56522.pdf.
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Mak, Wai-ming Vivian. "Psychological predictors of marital adjustment in breast cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B29726426.
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Poon, Yuet-fai Helena. "The psychological reactions of breast cancer patients with mastectomy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29697475.
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Jarvis, Renee Lauren. "Factors participants value in breast cancer support groups." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3112.
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Amor, Lynne. "What is the intimate experience of couples following the woman's cancer-related breast surgery?" Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/919.
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The purpose of this phenomenological study is to describe and interpret the experience of couples following the woman's surgery for breast cancer, in order to gain an in depth understanding of how this mutilating surgery affects their everyday lives. Breast cancer is the most prevalent form of cancer in Australian women, and in most industrialised nations. Women in Australia have a one in fourteen lifetime risk of developing the disease. Little is known concerning what meanings this surgery brings to the intimacy experienced between partners. It is important to seek knowledge of the phenomenon of intimacy, how the couples understand it, and how breast surgery has affected it, if at all. Literature to date has focused on the psychological and physiological effects of mastectomy on women, with little attention given to the plight of partners. A phenomenological approach was chosen for the study, and a purposive sample of seven couples was selected for the interviews. Primary data was obtained from audio taped interviews and from participant observation. Data analysis followed the protocol outlined by Colaizzi (1978), and seeks to describe, interpret and extrapolate common themes and meanings from the data.
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Neuling, Sandra J. "Psychosocial needs and responses in breast cancer recovery /." Title page, contents and abstract only, 1989. http://web4.library.adelaide.edu.au/theses/09PH/09phn487.pdf.
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Thesis (Ph. D.)--Dept. of Psychology, University of Adelaide, 1991.Typescript (Photocopy). Includes two papers co-authored by the author as appendix D. Includes bibliographical references (leaves 397-425).
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Hackman, Marcia. "Coping strategies of women with breast cancer." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276869.
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An ethnographic study was utilized to identify coping strategies of women with breast cancer. Five women were interviewed; four were interviewed on three separate occasions, and one was interviewed twice. The data were analyzed for specific coping strategies taken by the women to deal with the stresses of breast cancer. These strategies were compared and organized into categories of coping strategies: Actions Taken, Emotional Support, Positive Outcomes, Getting Control, and Keeping a Positive Attitude. These five categories were integrated as new coping incidents appeared in the data. The original five categories were merged into three categories: Getting Control, Compensating, and Emotional Support. From these three categories the theory was written: Women with breast cancer will obtain support, get control over what they can control, and compensate for what they cannot control.
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Bassett-Smith, Joan L. "Women with breast cancer and their living in and through discourses : a feminist postmodern study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ58558.pdf.
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Lesniak, Karen. "Psychological and Sociodemographic Predictors of Psychological Distress in BRCA1 and BRCA2 Genetic Testing Participants within a Community Based Genetic Screening Program." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2565/.
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Mutations in BRCA1 and BRCA2, the first two breast cancer susceptibility genes identified, carry as much as an 85% lifetime risk of developing breast, ovarian or other cancers. Genetic testing for mutations in these two genes has recently become commercially available. There have been varying amounts of psychological distress noted among women with a family history of breast cancer. Distress has been observed to impact psychological functioning, activities of daily living, and the practice of breast cancer surveillance behaviors. Within the genetic screening process, psychological distress has been shown to impact the decision to undergo genetic screening, the comprehension and retention of risk assessment information, as well as affecting the subject following the receipt of the genetic test results. Little work has been done to examine predictors of distress within at risk subjects. This study examines psychological distress among 52 community women presenting for BRCA1 and BRCA2 genetic mutation testing. Predictors of distress included family cancer history, education, age, Ashkenazi ethnicity, and Internality and Powerful Others Health Locus of Control. Vulnerable sub-groups of patients include younger women, women with higher levels of education and women of Ashkenazi ethnicity.
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Price, Melanie Anne. "Psychosocial variables in the development of breast cancer." Phd thesis, Department of Psychological Medicine, 2002. http://hdl.handle.net/2123/7776.
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Swartz, Esti. "Emotional intelligence and locus of control of adult breast cancer patients receiving treatment." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/d1015686.
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Breast cancer is the most prevalent cancer of women in South Africa, with one in twenty-seven women diagnosed with breast cancer in their lifetime. By building on human strengths, ways can be found to cope effectively with adversity. This will contribute to psychological well-being and result in living constructive and meaningful lives. Emotional intelligence and locus of control are two constructs which, according to previous research, may be associated with psychological wellbeing. Limited research has been conducted on these constructs in populations facing adversity. Adaptation to breast cancer treatment is considered to be an extremely difficult process. The research aimed to explore and describe emotional intelligence and locus of control within an adult breast cancer population. A sample of 67 breast cancer patients receiving treatment was approached to complete a biographical questionnaire and two pencil-and-paper questionnaires. Descriptive and inferential statistics were be used to analyze the data. The results of the quantitative analysis indicated a significant negative correlation between emotional intelligence and locus of control which shows that patients with higher levels of emotional intelligence possess more internal locus of control orientations, while patients with lower emotional intelligence possess more external locus of control orientations. The population presented with above average emotional intelligence and an internal locus of control orientation. The study can be regarded as the first step in opening a field of research which could contribute to more effective coping and the overall psychological well-being of individuals facing adversity in South Africa. Furthermore, the findings of the study contributed to understanding the role of emotional intelligence and locus of control in these populations and encouraged further research and the development and implementation of programmes that promote skills development in these areas.
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Mastaglia, Barbara. "Decision regret, decision role discrepancy and adjustment to breast cancer : development of a model." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/320.
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Following a diagnosis of early stage breast cancer women need to make decisions for surgical and adjuvant treatment in a short period of time. They also face a period of adjustment. Little information is available as to how women describe their decision making for breast cancer surgery after some time has elapsed following completion of adjuvant treatment. Moreover, it is not known if women experience decision regret and how decision-making outcomes might later affect their psychosocial adjustment. Therefore, the purpose of the study was to determine the nature and extent of decision regret experienced by women during the first two years following surgery for early stage breast cancer and to describe how this could affect their psychosocial adjustment. A descriptive correlational study was conducted in three phases. The supporting Iiterature guided the conceptual framework for the study .
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Wade, Walsh Margo. "Women Receiving Genetic Counseling for Breast Cancer Risk: Cancer Worry, Psychological Distress, and Risk Recall Accuracy." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2185/.
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This follows an earlier study of the same data set, which, through its findings, presented new questions that are investigated in this study. Both studies used a prospective controlled design, wherein women receiving genetic counseling for breast cancer risk were randomized into two groups. Subjects receiving an audiotaped recording of their genetic consultation (tape group) were compared to subjects who also had a genetic consultation but did not receive an audiotaped recording of it (no-tape group). Participants were drawn from attendees at the genetic clinics of two London hospitals and included 115 women with a family history of breast cancer. Cancer worry and psychological distress were assessed before genetic consultation (baseline), and at one- and six-month follow-ups by post. Objective risk was estimated by the geneticist during the consultation, and subjective risk was assessed at one month follow-up. The goals of the current study were to investigate relationships between cancer worry, psychological distress, and recall of genetic risk for breast cancer in a sample of women receiving genetic counseling for breast cancer risk, and to investigate the role sociodemographic variables on cancer worry, psychological distress, or risk recall for these women. Results for this sample of women with a family history of breast cancer found that there were consistent relationships between cancer worry, psychological distress, objective risk, and subjective risk before and after genetic consultation. This suggests that women=s psychological responses are appropriate to their level of cancer risk. There were no differences found between the tape and no-tape groups for objective or subjective risk, or for nearness of recall accuracy or degree of under-/over-estimation. Provision of an audiotaped recording of the genetic consultation did not appear to enhance recall of risk information. The role of sociodemographic variables on the psychological and risk variables assessed in this study was very minor. Age was mildly correlated with cancer worry, and employment was predictive of cancer worry only at baseline.
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Greene, Saara. "Breast cancer : the social construction of beauty and grieving." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23980.
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Coming to terms with breast loss and its effect on body image, femininity and self-esteem are major issues confronting women who have lost a breast to cancer. Furthermore, messages from the media, cosmetic industry and health care profession perpetuate the 'beauty myth' affecting the self-esteem of breast cancer patients. This emphasis on the aesthetic often takes precedence the grief associated with losing a body part that for many women is strongly linked to their self-concept. Based on interviews with nine breast cancer survivors in Winnipeg, Manitoba and Montreal, Quebec, three issues will be addressed: first how the cultural influences that support and perpetuate the 'beauty myth' affect breast cancer survivors; how, as a result of this issue, the grieving process is hindered and third, the experiences of women treated for breast cancer within the medical system. Implications for social work will also be discussed.
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Schoen, Eva G. "Perceived existential meaning, coping, and quality of life in breast cancer patients : a comparison of two structural models." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1263897.
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Daniels, Danielle-Kirsty. "Exploring the experiences of patients with breast cancer from diagnosis through management." Thesis, University of the Western Cape, 2011. http://hdl.handle.net/11394/3955.
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Magister Artium (Psychology) - MA(Psych)The aim of this study is to explore the role of communication between the physician and women with breast cancer, and to examine women’s coping mechanisms from diagnosis through the management of the illness to its resolution. A qualitative methodology was utilised, with purposive sampling of participants from a public hospital in the Western Cape. A semi-structured interview was used to gather the data, after which a thematic analysis was conducted. The findings reveal the information exchange between physician and patient was clear, direct and understandable. Furthermore, the participants coped by accessing and using support from family and friends, by recourse to spirituality and prayer (bargaining with God, questioning of God), and by developing a positive attitude, with hope for recovery and acceptance. There were also emotional and psychological reactions from women in the sample when they received their diagnoses. This study may provide valuable insights into the experiences of women with stages I to III of breast cancer
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Haldeman, Kristi Beaughan. "Testing of the Sexual Adjustment Questionnaire in a population of women with breast cancer." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276663.
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A descriptive study was conducted with the purpose of refining the Sexual Adjustment Questionnaire (SAQ) and further establishing reliability and validity. Twelve women receiving treatment for breast cancer and 22 women who were at least three months post-treatment for breast cancer voluntarily participated in the research study. Each was administered the Sexual Adjustment Questionnaire. Findings of the study revealed that the SAQ in its entirety was internally consistent. Repatterning of sexual behavior subsequent to having breast cancer did not occur in either group of women. Both the women receiving cancer treatment and those post-treatment experienced a noticeable change in their sexual behavior since having cancer.
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Elliott, Diana. "The impact of genetic counselling for familial breast cancer on women's psychological distress, risk perception and understanding of BRCA testing." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0190.
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[Truncated abstract] Background: A review of the literature indicated there was a need for more long-term randomised controlled studies on the effects of BRCA counselling/testing on high risk women, including improved strategies for risk communication. Reviews have also shown women are confused about the significance of inconclusive or non informative results with a need for more research in this area. Aims: The general aim of this study was to evaluate the impact of breast cancer genetic counselling on psychological distress levels, perception of risk, genetic knowledge and understanding of BRCA testing/test results in a cohort of 207 women from high risk breast cancer families who were referred for genetic counselling in Perth during the period 1997 to 2001. Short- and long-term impact of BRCA genetic counselling/testing was determined in women with and without cancer in a randomised controlled trial as part of which women were randomised to either receive immediate versus delayed genetic counselling. This included family communication patterns before BRCA testing, anticipated outcomes of testing on oneself and family including intentions for result disclosure. Comprehension of index and predictive BRCA testing with possible results was assessed both in the short- and the long-term and understanding of individual or family BRCA test results was evaluated at long-term. The effect of genetic counselling on breast cancer risk perception in unaffected women was evaluated. This study considered a theoretical framework of educational learning theories to provide a basis for risk communication with possible relevance for future research. ... Only 25% of the original study population (52/207) reported BRCA results and women's understanding of results is concerning. Key findings were: 1. The majority of affected women received an inconclusive result. 2. Out of twelve unaffected women who reported results, seven were inconclusive which are not congruent with predictive testing. This implies that these women did not understand their test result. 3. A minority of untested relatives did not know whether a family mutation had or had not been found in their tested family member or what their actual test result was. This implies either a lack of disclosure or that woman did not understand the rationale for and significance of testing for a family mutation. 4. Three relatives did not understand a positive result was a mutation. Conclusion: The implication of this research for breast cancer counselling and testing services is that women who wait for counselling are no worse off in terms of short- or long-term general psychological distress than women who receive the intervention early. There is a suggestion that unaffected women without the disease found counselling more advantageous than affected women. The meaning of BRCA results as reported by women is concerning particularly women's understanding of negative and inconclusive results and further research is needed in this area. Too much information presented at counselling may affect women's comprehension of risk, BRCA testing and future test results and further research is required to evaluate the effects of information overload.
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Boer, Patricia Mulcahy. "The development of resilience : reported by survivors of breast cancer." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/955853.
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This study offers a brief review of the literature on resilience. The review served as a basis for designing a qualitative study to observe how resilience develops in survivors of breast cancer. Survivors are those who lead productive, satisfying and/or inspirational lives, after their treatment has ended. By using qualitative data collection methods and post hoc data analysis, a purposive sampling of 11 women, in the Midwest, resilient survivors of breast cancer were studied. These women were asked to write brief autobiographies, detailing the important factors and contexts that were evidence of the development of resilience in themselves. Tape recorded interviews allowed participants to add to or delete from their autobiographies.The findings showed the eleven participants shared six common characteristics: (1) making a spiritual connection; (2) having meaningful work; (3) engaging in social activism; (4) being a self-directed learner; (5) living a healthy lifestyle; and (6) expressing a wide range of feelings. In addition, the taped interviews revealed the importance of creativity and authentic relationships. A resilience wheel illustrates the definition of resilience, i.e., as a positive attitude about one's body, mind, spirit and emotions, manifested by living a healthy lifestyle; engaging in meaningful work; forming and maintaining authentic relationships; and-expressing a wide range of feelings appropriately. The study demonstrated resilience is more than effective coping. It is observed and characterized by others as a zest for life.Among these participants, resilience/zest for life was found to have developed in their youth, when they identified with a positive role model/s, who modeled resilient attitudes/values. As children they internalized these values, acting on them in small ways, until adulthood when a life event triggered a shift. As adults they, then, claimed these internalized values as "my own philosophy."Although there was not sufficient evidence to discuss resilience as a developmental process in adulthood, the ages of the participants (40-77) imply the process of learning and growing continues throughout the life span.Suggestions for teaching resilience are offered along with recommendations for future research.Department of Educational Leadership
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Cheng, Wing-ming Edward, and 鄭永明. "Emotional well-being in Chinese lung cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B3197157X.
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Zucchero, Renee A. "Marital adjustment of older adult couples with breast cancer, prostate cancer, and couples without cancer." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1117099.
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The purpose of this study was to explore the marital adjustment of older adult couples with breast cancer, prostate cancer, and couples who have experienced neither. Participants were 64 couples in which at least one of the spouses was over 55 years of age, including 19 breast cancer couples, 20 prostate cancer couples, 25 couples who had experienced neither of these cancers. Most participants were young-old, Protestant, Caucasians from a high socioeconomic class. The breast cancer and prostate cancer participants had completed treatment an average of 39.5 months prior to participation. The methodology was a mail survey. Participants completed a demographic questionnaire, the Marital Satisfaction Questionnaire for Older Adults (MSQFOP) (Haynes et al., 1992), Primary Communication Inventory (PCI) (Navran, 1967), Miller Social Intimacy Scale (MSIS) (Miller & Lefcourt, 1982), and the Index of Sexual Satisfaction (ISS) (Hudson et al., 1981).There were no differences in the amount of discordance between the couples groups' level of marital satisfaction, communication, intimacy, and sexual satisfaction. In addition, there were no differences in the level of marital satisfaction, communication, intimacy, and sexual satisfaction between the participant groups. There was a significantly greater correlation between the prostate cancer couples' scores on the ISS than the correlation between the breast cancer couples' scores and the scores of the couples who had not experienced breast cancer or prostate cancer.The level of marital satisfaction, communication, intimacy, and sexual satisfaction reported was similar to that of the normative samples. There was no difference between the marital adjustment of the cancer couples and older couples who had experienced neither type of cancer. These results are good news for breast and prostate cancer survivors, and professionals. Older adults may be better able to incorporate the experience of cancer into their lives or are better prepared for chronic illness through anticipatory socialization. The high degree of agreement between the prostate cancer spouses on the ISS may be related to the sexual dysfunction that frequently accompanies treatment for this cancer. Future research should be qualitative and longitudinal and continue to explore the psychosocial implications of prostate cancer.Center for Gerontology
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Radcliffe-Branch, Deborah S. "The contribution of interactive health communication (IHC) and constructed meaning to psychosocial adjustment among women newly diagnosed with breast cancer /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85956.
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This doctoral dissertation, as part of a large and ongoing CIHR-funded study, used a subset of the total sample to evaluate the contribution of interactive health communication (IHC) as a complement to more traditional means of informational support (Care-as-usual) to optimal adjustment of women newly diagnosed with breast cancer (N = 135). According to the study protocol, participants in the experimental group received an IHC educational intervention for an eight-week period. Measures of psychosocial adjustment and information-related variables were administered in interviews at Time 1 (pre-intervention) within 8 weeks of initial diagnosis, and again 8 weeks post-intervention (Time 2). Psychosocial adjustment variables included: depressive symptoms (CESD), anxiety (STAI-Y), well-being (IWB), and quality of life (SF-36)-mental and physical health components. Information-related variables included: the need for information related to cancer, cancer-specialist, and family or friend's informational support, and overall satisfaction with information. Optimism and Constructed meaning were evaluated at Time 1 and 2, respectively. A GLM MANCOVA model tested overall F-ratios and regression coefficients using difference scores. Predictors in the model were: group (experimental versus control), constructed meaning, and optimism. The overall model (df = 8, 121) was significant for Group, F = 3.66, p < .001, effect size eta2 = .20, Constructed Meaning, F = 3.04, p < .004, effect size eta2 = .17, and Optimism, F = 2.95, p < .005, effect size eta2 = .16. Participants in the dissertation experimental group had significant improvements in QOL-physical health and overall satisfaction with information when compared with the control group. Constructed meaning was significantly associated with beneficial changes in all of the adjustment-related variables. The results of this dissertation clarify the potentially significant roles IHC and constructed meaning pl
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Ives, Angela Denise. "Breast cancer and pregnancy : how does a concurrent or subsequent pregnancy affect breast cancer diagnosis, management and outcomes?" University of Western Australia. School of Surgery, 2010. http://theses.library.uwa.edu.au/adt-WU2010.0038.
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[Truncated abstract] A diagnosis of breast cancer is a life-changing event for any woman. For young women and their families it can be devastating. Women aged less than 45 years make up 20% of new cases of breast cancer diagnosed annually in Australia. With the trend for women to delay pregnancy, young women diagnosed with breast cancer may want at least the option to become pregnant after diagnosis and treatment but little is known about how pregnancy affects breast cancer or how breast cancer affects pregnancy. The aims of this thesis were to investigate how concurrent and subsequent pregnancy affects the development and outcomes of breast cancer and how breast cancer affects a concurrent or subsequent pregnancy. This study describes two groups of women identified from the entire Western Australian population less than 45 years of age when diagnosed with: 1. Gestational breast cancer, defined as breast cancer diagnosed while a woman is pregnant or in the first twelve months after completion of a pregnancy; and 2. Breast cancer who subsequently conceive. This study focused on three main areas; patterns of care and outcomes for women diagnosed with gestational breast cancer and those women diagnosed with breast cancer who subsequently conceived; the imaging and pathological characteristics of gestational breast cancer; and lastly the psychosocial issues associated with gestational breast cancer. ... This result was statistically significant. In an age and staged matched case control study lymph node negativity did not purvey a survival advantage for women diagnosed with gestational breast cancer as it did for the non- gestational breast cancer controls. Women diagnosed with breast cancer who have good prognosis tumours need not necessarily wait two years to become pregnant. In an age matched case control study women diagnosed with gestational breast cancer were more likely to have extensive insitu carcinoma, higher mitotic rates and tumours with medullary like features than their age matched controls. In a Cox's proportional hazards regression model which included pathological characteristics, there was no significant difference in survival for women diagnosed with gestational breast cancer were compared to women diagnosed with non-gestational breast cancers. The psychosocial issues for women diagnosed with gestational breast cancer are similar to other young women diagnosed with breast cancer but the effect on the 9 lives of women dealing with pregnancy and breast cancer simultaneously was much greater. The issues of breast cancer and pregnancy are complex at both a physical and psychological level. Much more research is needed to understand the mechanisms of how pregnancy affects breast cancer and its spread. Women who are pregnant when diagnosed with breast cancer or who consider pregnancy after their diagnosis need unbiased support from those around them. Survival is important but other survivorship issues may be just as important. To translate these findings into clinical practice and offer directions for future research eleven recommendations are proposed.
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Bonitz, Deborah A. "Age, time since diagnosis, communion, and unmitigated communion as predictors of relationship satisfaction and psychological distress in women with early stage breast cancer." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1263894.
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Lam, Wing-tak Wendy, and 藍詠德. "Studies of the process of breast cancer treatment decision making and its impacts on short-term adjustment to breast cancer in Chinesewomen." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B29711320.
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Bailey, A. Kathleen (Ann Kathleen). "Interactional Patterns in Families of Patients with Breast Cancer." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc330997/.
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This study utilized ethnographic methodology to describe the communicative interactional patterns in families with a member who has breast cancer. Three breast cancer patients whose families were between the adolescent and launching of children developmental lifestage (McGoldrick & Carter, 1982) were chosen for the study. Data were collected from a series of three interview sessions over a period of four weeks with a two week time lapse between each of the interview sessions. Interview sessions were conducted in the families' homes by the researcher. All interviews were video and audio tape recorded for the purpose of preserving data for transcribing and coding. Research questions examined individual perception of meaning in regard to the disease, the structure and organization of the family in relation to the illness, and the effects of family communicative interaction on the course and management of the disease. Findings indicated that family members' responses to the diagnosis of "breast cancer were influenced by multi-generational "beliefs. All three families formulated a collective belief which supported the mother's belief about the disease. Each of the three families were mother-centered, and each mother seemed to use a metacommunicative approach to mediating family transactions. Each of the three fathers were reported as having been isolated and withdrawn within the family at various times. However, each father appeared to play a protective role in deflecting tension and stress away from the mother. All three couples appeared to have constructed an egalitarian relationship with an implicit agreement as to who was more skilled to hold the power within a particular context. In all three families, the generational boundaries were clearly defined. Conflict and affect were most generally expressed in an indirect manner through wit and sarcasm. However, because each of these three families were structured to allow for personal autonomous functioning of each individual member, patients were supported in seeking a modality outside of the family system to express more ambivalent feelings.
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Lewis, Florence. "Contribution à une meilleure évaluation et prise en charge de l'anxiété chez des patientes présentant un cancer du sein." Doctoral thesis, Universite Libre de Bruxelles, 2015. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209165.
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L’anxiété est très fréquente chez des patientes présentant un cancer du sein non-métastatique et peut avoir des répercussions importantes sur leur prise en charge médicale ainsi que sur leur bien-être physique et psychologique. S’il existe une littérature abondante sur le sujet, de nombreuses questions subsistent concernant l’évaluation et la prise en charge de l’anxiété durant la radiothérapie et dans la phase de rémission qui suit. Ce travail de thèse a investigué ces questions au travers de deux études empiriques répondant aux objectifs suivants: (a) l’évaluation de l’évolution et des prédicteurs de l’anxiété durant le traitement de radiothérapie et (b) le développement et l’évaluation de l’efficacité de deux interventions psychologiques de groupe sur la régulation de l’anxiété après la radiothérapie.
Les résultats de la première étude (a) montrent que les niveaux d’anxiété les plus élevés sont observés lors de la simulation et de la première séance de radiothérapie et diminuent, ensuite, rapidement jusqu’à la fin du traitement. Bien que les niveaux d’anxiété soient relativement faibles pour de nombreuses patientes et semblent être de nature anticipatoire, certaines patientes présentent des niveaux cliniquement significatifs d’anxiété. De plus, un niveau cliniquement significatif d’anxiété à la première séance de radiothérapie est prédit par des facteurs liés à la communication entre les patientes et l’équipe de radiothérapie. Les résultats de la seconde étude (b) indiquent qu’une intervention de groupe à composantes multiples qui combine le soutien, les techniques cognitivo-comportementales et l’hypnose est plus efficace qu’une intervention de groupe à composante unique basée sur le soutien pour aider les patientes à mieux réguler leur anxiété après la radiothérapie.
Les résultats de ce travail de thèse soulignent l’importance d’évaluer l’anxiété chez les patientes à des moments critiques de leurs parcours médical et d’identifier les patientes qui présentent des niveaux cliniquement significatifs d’anxiété pour leur offrir un soutien adapté. Ces résultats suggèrent également d’améliorer les prises en charge afin de réduire l’anxiété des patientes. Des prises en charge offertes par les équipes de radiothérapie nécessitent une personnalisation de la communication établie avec les patientes et l’utilisation de stratégies proactives d’évaluation, d’information et de soutien. Des prises en charge psychologiques de groupe nécessitent quant à elles de combiner les composantes thérapeutiques les plus optimales. Enfin, ce travail de thèse souligne l’importance de continuer à développer et à améliorer les méthodes d’évaluation et d’intervention.
Doctorat en Sciences Psychologiques et de l'éducation
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Graci, Gina. "Optimism, Health Locus of Control, and Quality of Life of Women with Initial versus Recurrent Breast Cancer." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2803/.
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Health Locus of Control (HLOC) and other predictors of Quality of Life (QL) were examined for women with an initial versus recurrent breast cancer diagnosis. Twenty-eight women with an initial breast cancer (IBC) diagnoses and twenty-eight women with recurrent breast cancer (RBC) diagnoses were recruited from doctors' offices and cancer support groups. Correlational analyses were used to assess the relationships between variables. No significant differences were found between women with IBC and RBC on Psychological QL. Doctor HLOC and Psychological QL were related for women with RBC (r = .481, p = .01) and marginally so for women with IBC (r = .329, p = .09). A positive correlation was also found between Doctor HLOC and Functional QL for both women with IBC (r = .464, p = .01) and women with RBC (r = .390, p = .04). After controlling for stage of cancer, women with RBC reported higher Functional QL than did women with IBC. Advanced (stages III or IV) versus early (stages I or II) cancer stage related to lower Functional QL, controlling for initial versus recurrent diagnosis (r = -.283, p = .01). A marginally significant relationship was also found for cancer stage, regardless of initial versus recurrent diagnosis, with higher Overall QL for women with early stages of breast cancer (r = -.157, p = .09). No significant differences in Optimism or Overall QL were found between women with IBC versus RBC. No differences were found between married and single women. This research begins to explore differences in Quality of Life for women with a new versus a recurrent breast cancer diagnosis.
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Keenan, Lisa A. "Family Environment, Social Support, and Psychological Distress of Women Seeking BRCA1 and BRCA2 Genetic Mutation Testing." Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3240/.
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Shared characteristics and predictors of psychological distress are beginning to be identified in research on women seeking genetic testing for BRCA1 and BRCA2 gene mutations. This study further explored patterns of psychological distress for 51 community women waiting to receive such genetic test results. There was no significant relationship between psychological distress and family cancer history, personal cancer history, social support networks, and family environment. Women in this sample tended to rely more on females and relatives for support than males and friends. Social support satisfaction was not related to gender or number of relatives providing support. Thirty-four of the 36 women classified on the family environment type were from Personal Growth-Oriented families. Comparisons with normal and distressed family means revealed increased cohesion and expressiveness with decreased conflict, indicative of supportive family environments. Limitations and implications are discussed.
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Graci, Gina M. "Optimism, Health Locus of Control, and Quality of Life of Women with Recurrent Breast Cancer." Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc278130/.
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Bernard, Lori Lynn. "Husband's and Daughter's Role Strain During Breast Cancer Hospice Patient Caregiving and Bereavement Adjustment." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2542/.
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Current literature regarding caregiver bereavement adjustment has advanced two competing models explaining adjustment in relation to caregiver interrole conflict: the Relief Model and Complicated Grief Model. This research has primarily focused on the experience of those providing care to dementia patients. This study tests these competing models of bereavement adjustment for husband and daughter caregivers of breast cancer hospice patients. For husbands, greater psychological strain and health strain were predictive of greater difficulty with bereavement adjustment, supporting the Complicated Grief Model of bereavement adjustment. For daughters, strain was not a significant predictor of bereavement adjustment, and thus did not support either bereavement adjustment model. While daughter caregivers experienced more role strain than husband caregivers during patient care, the degree of role strain was predictive of bereavement adjustment for husbands but not for daughters, suggesting that relationship type (husbands versus daughters) between caregiver and patient impacts which factors influence bereavement adjustment.
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Grobbelaar, Frederik Russouw. "Die invloed van 'n mastektomie op die man-vrou verhouding : 'n pastorale ondersoek." Thesis, Stellenbosch : Stellenbosch University, 1993. http://hdl.handle.net/10019.1/19405.
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Thesis (MTh)--Stellenbosch University, 1993ENGLISH ABSTRACT: Seeing that breast cancer is the most common cancer in women and that it has such a high incidence that every woman should be aware of it, time has come for the theology, and especially for pastoral care, to provide some answers on the possible problems that accompany the illness. Treatment of breast cancer almost always include a degree of surgical intervention through which part of or a whole breast, and in extreme cases even the underlying tissue, is being removed. This procedure, to some extent, influences a woman's experience of her physique which in turn has an effect on the intimate space of her marriage. The mastectomy patient may experience that the operation, with all the psychological affects it has, disturbs her inner life rythm and that results in her relationships also being pressurised. The crisis of a mastectomy should be handled as a relationship crisis within a marriage, in which the husband can play an important therapeutic role. The husbands contribution will be greatly effected by: a) His commitment to the relationship and b) The correlation between his male identity, his sexuality and his perceptions of the female physique. Within the crisis of mastectomy, the woman's body-image should not be separated from her faith identity and the quality of her marriage - there exists a dynamic interaction between these three, which means that the handling of the crisis of a mastectomy is directly dependent on the quality if her loving relationship and on the way in which she experiences her faith. The faith factor plays an important role in the handling of the crisis, by creating a distance between the trauma of the loss and the way in which she experiences her identity. Pastoral care can play a vital role in the handling of the crisis of a mastectomy by means of guidance and support, as it proclaims the active presence of God through the marrid body of Jesus Christ. The husband of the mastectomy patient can, in his therapeutic role, be guided to be much more sensitive for the emotional needs of his wife, in regard to aspect of sexuality. This would give her the support she needs and work constructively towards the goal of healing.
AFRIKAANSE OPSOMMING: Aangesien borskanker die algemeenste kanker onder vroue is en dit sulke geweldige afmetings aangeneem het dat elke vrou daarmee moet rekening hou, het dit tyd geword dat die teologie, en met name die pastoraat, ditself ook ten opsigte van die moontlike problematiek wat daarmee saamgaan, moet verantwoord. Die behandeling van borskanker behels in die meerderheid van gevalle 'n mate van chirurgiese ingrepe waardeur 'n deel van of die hele bors, en in ekstreme gevalle ook die onderliggende weefsel, verwyder word. Hierdie prosedure oefen, in 'n mindere of meerdere mate, 'n invloed op die vrou se belewing van haar liggaamlikheid uit wat weer na die intieme band van die huwelik kan deurwerk. Die mastektomiepasiënt kan ervaar dat die operasie, met al die sielkundige effekte wat dit inhou, haar innerlike lewensritme versteur sodat die verhoudinge waarin sy leef ook onder druk geplaas word. Binne die huwelik sou 'n mens dan die krisis van 'n mastektomie as 'n verhoudingskrisis moet hanteer, waarin die eggenoot 'n belangrike terapeutiese funksie kan vervul. Die man se bydrae word egter deurslaggewend bepaal deur: a) Sy verbintenis aan die verhouding en b) Die korrelasie tussen sy manlike identiteit, seksualiteit en die persepsies met betrekking tot die liggaamlikheid van die vrou. Binne die krisis van 'n mastektomie kan die vrou se liggaamsbeeld nie van haar geloofsidentiteit en die kwaliteit van haar huwelik losgemaak word nie - hierdie drie staan in 'n interdinamiese verband en beteken dat die verwerking van die krisis van 'n mastektomie direk van die kwaliteit van die liefdesverhouding en die ervaring van geloof, afhang. In die verwerking van die krisis vervul die geloofsfaktor 'n deurslaggewende rol om afstand tussen die emosionele trauma van die verlies en die ervaring van identiteit te skep. Die pastoraat kan 'n belangrike funksie vervul ten opsigte van begeleiding en ondersteuning in die verwerking van die krisis van 'n mastektomie deurdat dit God se aktiewe betrokkenheid by die situasie, aan die hand van die liggaamlikheid van Jesus Christus, verkondig. As terapeut kan die eggenoot begelei word om, op die gebied van die seksuele, baie sterker op die emosionele behoeftes van die mastektomiepasiënt ingestel te wees, om haar sodoende te ondersteun en in die proses van heling mee te werk.
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Cheung, Ka-hing Peter, and 張家興. "Marital sexual experiences of husbands of women treated for breast cancer: a qualitative study in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37016398.
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Harrison, Katherine. "Putting the stained glass window back together : helpful and unhelpful aspects of psychological therapy with women with breast cancer : a grounded theory analysis." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/putting-the-stained-glass-window-back-together-helpful-and-unhelpful-aspects-of-psychological-therapy-with-women-with-breast-cancer-a-grounded-theory-analysis(d890be65-b264-4c1d-8ea2-cf0e035b44e2).html.
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The purpose of this study was to identify what women with primary breast cancer found helpful and unhelpful in psychological therapy. In-depth qualitative interviews were conducted with eleven women who had been supported post diagnosis, with psychological therapy. The women were, in the main, recruited from the Breast Cancer Voices network, set up by the national charity Breast Cancer Care. Data was analysed using Grounded Theory Analysis (GTA), from a social constructionist perspective. The women identified a range of helpful aspects in therapy: They all discussed their context, being thrown into the breast cancer world and analysis identified three helpful conditions; having the psychological need recognised by others, having easy access to ongoing flexible therapy and valuing the therapist's personal qualities. Three helpful interactions were identified; being enabled to express self safely, being treated as an individual whole woman and accessing the therapist's inner self. In addition, two helpful actions were identified, being helped to empower self and being taught new coping skills. The key theme was being helped to put active self back together again, which was the consequence of the therapy process. Analysis identified two unhelpful conditions, not having easy to access therapy and the therapist's personal qualities being cold and harsh. Two unhelpful interactions were also identified, being unable to express self safely and not being treated as an individual. One unhelpful action was identified, the therapy being too short. The consequence, when therapy was not set up in the right way, was that the women were re-traumatised and remained shattered. Whilst sample size was small, nevertheless the aim of generating rich in-depth data was fulfilled. The findings have theoretical implications: Treating women as whole individuals, helping the women learn individual coping skills from a pluralistic perspective and helping to empower women can be as important as the medical care. The methodological implications are experiencing a therapeutic effect of research participation, valuing the women as active co-researchers, ethically considering participant benefits alongside risks and using GTA from a social constructionist philosophy helped to understand individual experience and at the same time that breast cancer is socially constructed. The practical implications are: Referral pathways to identify women who need psychological support, a safe therapeutic space to express real fears, normalising experience post breast cancer diagnosis and putting in place a flexible therapy contract are all vital to support women with primary breast cancer.
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Feinstein, Carla Fran. "Dying to Know." PDXScholar, 2010. https://pdxscholar.library.pdx.edu/open_access_etds/1318.
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Faruqui, Shahneela. "The impact of treatment decision making factors on treatment outcome satisfaction among Chinese women with breast cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B4637324X.
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Fillion, Jennifer Mary. "Metaphor Use in Interpersonal Communication of Body Perception in the Context of Breast Cancer." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1014.
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Female breast cancer patients are often confused, frustrated, and devastated by changes occurring in their bodies and the treatment process. Many women express frustration and concern with the inability to know what the next phases of their life will bring. Previous research also states that many women struggle to communicate with others about treatment as well as side effects. This research examined how woman are use metaphors to describe their experience with breast cancer, specifically throughout the treatment period related to body image struggles. I qualitatively conducted interviews with women who were either currently in treatment or just finishing. My interview questions related to their uncertainties, as well as the changes occurring to their bodies. After conducting the interviews I transcribed the conversations and coded for specific metaphors. The results were consistent with previous research, in that that the interviewees used at least four major metaphors to describe what they are going through. The four most prominent metaphors were (1) journey, (2) game, (3) struggle/fight, (4) grasping. The findings could benefit patients, nurses, physicians as well as family and friends to reduce stress and help with coping. The findings may also help female patients struggling with identity issues due to lumpectomies or mastectomies. Understanding how patients comprehend the disease can ultimately help others to understand and hopefully reduce some of the concerns of all those involved in such situations.
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Montanari, Natalia. "Estudo comparativo entre o impacto do diagnóstico e a mastectomia em pacientes de diferentes faixas etárias, sob o ponto de vista psicológico." Botucatu, 2019. http://hdl.handle.net/11449/181468.
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Orientador: Batista de Oliveira JúniorResumo: O presente estudo buscou avaliar e comparar o impacto emocional do diagnóstico de câncer de mama e da mastectomia em pacientes de diferentes faixas etárias. Participaram do estudo 58 pacientes, provenientes do Hospital Amaral Carvalho, com diagnóstico de câncer de mama e proposta de mastectomia (simples ou radical). Elas foram convidadas a participarem do estudo e, as que concordaram, responderam individualmente aos instrumentos: 1) Ficha de identificação e caracterização sóciodemográfica; 2) Entrevista semi-estruturada para identificação dos aspectos emocionais; 3) Escala de auto-estima de Rosemberg e; 4) Escala hospitalar de ansiedade e depressão. A amostra foi dividida em três grupos: grupo 1 – de 24 à 49 anos, grupo 2 - de 50 à 64 anos e grupo 3 – de 65 à 85 anos. Todas as discussões dos resultados analíticos foram realizadas no nível de 5% de significância. A análise dos dados demonstrou que não houve associação das respostas aos questionários com a idade e, no caso da ansiedade e depressão, houve predomínio do improvável nos três grupos. Concluiu-se que não houve diferenças significativas entre os três grupos etários, por isso, não foi possível provar que a idade é um fator que predispõe um melhor ou pior enfrentamento do adoecimento e da mastectomia. Entretanto, foi possível observar que as pacientes que apresentaram os menores níveis de aceitação da mastectomia, são as que atribuem às mamas o significado estético e ou sexual .As pacientes do grupo jovem foram as que s... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The present study aimed to evaluate and compare the emotional impact of the diagnosis of breast cancer and mastectomy in patients of different age groups. 58 patients from the Amaral Carvalho Hospital, with breast cancer diagnosis and a mastectomy proposal (simple or radical) participated in the study. They were invited to participate in the study and, those who agreed, answered individually to the instruments: 1) Identification card and sociodemographic characterization; 2) Semi-structured interview to identify the emotional aspects; 3) Rosenberg's self-esteem scale and; 4) Hospital anxiety and depression scale. The sample was divided into three groups: group 1 - from 24 to 49 years, group 2 - from 50 to 64 years and group 3 - from 65 to 85 years. All discussions of the analytical results were performed at the 5% level of significance. Data analysis showed that there was no association of the responses to the questionnaires with age and, in the case of anxiety and depression, there was a predominance of the unlikely in all three groups. It was concluded that there were no significant differences among the three age groups, so it was not possible to prove that age is a factor that predisposes a better or worse coping of the disease and mastectomy. However, it was possible to observe that the patients who presented the lowest levels of acceptance of the mastectomy, are the ones that attribute to the breasts the esthetic and / or sexual meaning. The patients in the young group ... (Complete abstract click electronic access below)
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Vieira, Teresa Cristina da Costa. "Mulheres mastectomizadas: o que muda na dinâmica conjugal?" Universidade Católica de Pernambuco, 2016. http://www.unicap.br/tede//tde_busca/arquivo.php?codArquivo=1155.
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O diagnóstico de câncer de mama desencadeia mudanças no funcionamento não só da mulher assim diagnosticada, mas também em toda a sua família, afetando, inclusive, as relações afetivas e conjugais. As mulheres submetidas à mastectomia podem apresentar
dificuldades durante o retorno às atividades profissionais, aos convívios social e familiar, como também no âmbito do relacionamento sexual. Há um grande impacto na autoestima. A qualidade de vida é acometida e sua avaliação é importante para a
detecção dos aspectos que podem interferir no bem estar dessas mulheres. O estudo proposto teve por objetivo analisar a percepção sobre a comunicação e as emoções presentes na conjugalidade por parte de mulheres mastectomizadas bem como sobre a qualidade de vida pós-cirurgia. A pesquisa, de natureza quantitativa, estudou 50
mulheres mastectomizadas, com idades entre 30 a 55 anos, atendidas na enfermaria de um hospital de referência para o câncer de mama, da cidade do Recife. Foram utilizados como instrumentos de coleta de dados o Questionário genérico de Qualidade de Vida da European Organization for Research and Treatment of Câncer Quality of Life (EORTC) QLQ-C30 versão 3.0; o Questionário para avaliar a dinâmica conjugal, e o Questionário de Qualidade de Vida Supplementary Questionnaire Breast Câncer Module QLQ-BR23 versão 1.0. Para a análise estatística, foram utilizados os Softwares SPSS 13.0 para
Windows e o Excel 2010. Os resultados foram inicialmente avaliados através de uma análise descritiva, baseada na composição de tabelas de frequência ou gráficos, além do cálculo de algumas medidas descritivas (média, desvio padrão, valores mínimo e máximo de série). Para avaliação de significância estatística para as estimativas
realizadas foram utilizados os intervalos de confiança a 95% e o valor de 0,05 para a probabilidade associada aos testes (valor de p). Para verificar a existência de associação entre as variáveis categóricas foram utilizados o: Teste Qui-Quadrado e o Teste Exato de Fisher e, na comparação dos grupos, o Teste de Mann-Whitney (Não Normal). Os
resultados apontam para o companheirismo entre os cônjuges, havendo diálogo constante do casal; a maior parte das mulheres era sexualmente ativa e respondeu que a atividade sexual é satisfatória. Também foi observada a presença de comprometimento da autoimagem e dor na maioria das mulheres interferindo na qualidade de vida. Diante desses resultados, considera-se relevante incentivar a prevenção e o diagnóstico precoce da doença; prover um acompanhamento de uma equipe multidisciplinar de saúde, para
acolher esses casais, com o intuito de favorecer um melhor enfrentamento da doença.
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Turnbull, Deborah Anne. "Psychosocial issues in implementing mammography screening in Australia." Phd thesis, Faculty of Arts, 1992. http://hdl.handle.net/2123/8575.
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Hertel, Hildegart. "Espiritualidade e crise existencial na vivência do câncer." Faculdades EST, 2006. http://tede.est.edu.br/tede/tde_busca/arquivo.php?codArquivo=29.
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O propósito desta dissertação é examinar como mulheres percebem e vivenciam a experiência de serem diagnosticadas com câncer de mama. A pesquisa social de campo envolve um universo de oito mulheres que passaram por esta trajetória sendo uma delas a própria autora, que traça uma auto-análise de sua experiência com este diagnóstico. Um aspecto específico com o qual a pesquisa busca se ocupar é identificar o lugar que a espiritualidade ocupa na história das mulheres entrevistadas. O câncer de mama apresenta um alto índice da doença no Rio Grande do Sul. Conforme a Revista Gaúcha de Enfermagem, o câncer de mama é a maior causa de morte de mulheres entre 30 a 50 anos de idade. De acordo com as estatísticas do Instituto Nacional do Câncer, o câncer de mama é o segundo tipo mais freqüente de câncer do mundo. Assim sendo, o câncer de mama ainda é uma doença que leva à morte, mesmo com o enorme avanço da medicina. Mas, há quem sobreviva o temido e assustador processo da descoberta e tratamento do câncer. Com a doença do câncer vem também a angústia da finitude. O presente trabalho baseia suas reflexões teóricas em Eugen Drewermann e Paul Tillich e como os mesmos descrevem a angústia existencial do ser humano, diferenciando-a do medo real, que tem o seu objeto definido, enquanto que a angústia existencial tem como fonte de sua permanente ameaça o nada. A angústia e a culpa estão relacionadas, estando a culpa ligada ao afastamento de Deus. A aceitação do ser finito, através da coragem do ser, ato de fé por graça divina, substitui, em última análise, a angústia por confiança no Deus da Vida. Os autores, ambos os teólogos, apontam para a interdisciplinaridade. A proposta dessa pesquisa é de atuar em colaboração com outras ciências, de maneira especial com a Psicologia Analítica. Uma pessoa em crise, que trabalha seus processos interiores, poderá ter facilitado sua entrega confiante a Deus. É ainda sucintamente apresentado, conforme Drewermann, como o patológico se manifesta na vida de pessoas que, assim como todas as demais pessoas, carecem da experiência da graça de Deus para sua libertação. A pesquisa finaliza trazendo a abordagem de Erika Schuchardt, formulada no modelo de uma espiral de oito fases, pelas quais passam as pessoas em crise.The purpose of this dissertation is to examine how women perceive and live the experience of receiving a diagnostic of breast cancer. Field research involves a total of eight women who have experienced this situation, one of them being the authors self-reflection on a cancer diagnostic. A specific aspect of the present research is to identify the place that spirituality takes in the life history of the interviewed women. The State of Rio Grande do Sul presents a high rate of breast cancer. According to the agency Revistal Gaúcha de Enfermagem, breast cancer is the death main cause among women between thirty and fifty years old. Statistics of the National Cancer Institute indicates that breast cancer occupies the second place among the different sorts of cancer. Even though medicine has shown great advance in the last decades, breast cancer still continues to be a deadly disease. However, there are people who survive the fearsome and frightening fatal process caused by this disease. With cancer comes along the human finitude anxiety. The present work bases its reflection on how Eugen Drewermann and Paul Tillich describe the human existential anxiety distinguishing it from real fear. According to the authors real fear has its object defined, while existential anguish has as source of its permanent threat, the nothingness. Anguish and guilt are connected, but guilt is associated to the alienation from God. Acceptance of the existence as finite, through the courage of Being, which is an act of faith by divine grace, replaces anguish by trust in the God of Life. The authors above, both theologians, aim at interdisciplinarity. The purpose of this research is to act in collaboration with other sciences, specially with Analytical Psychology. A person in crisis working her/his interior processes might have facilitated the confident surrender to God. It is also briefly presented, according to Drewermann, how pathology evidences itself in the life of a person who, as all other persons, lacks the experience of the grace of God to his/her liberation. Concluding, the research approaches Erika Schuchartds theory formulated in the model for working through crisis in eight spiral phases.
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Lodder, Lidewij Nathanja. "Dealing with the risk for hereditary breast and ovarian cancer a prospective study on psychological consequences of choices on genetic testing, surveillance and prophylactic surgery /." [S.l.] : Rotterdam : [The Author] ; Erasmus University [Host], 2001. http://hdl.handle.net/1765/13815.
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Espallargas, Diana Bomeny. "A mulher e o câncer: a vida após diagnóstico e tratamento oncológico." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-22022016-150104/.
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O câncer de mama é uma das doenças mais temidas pelas mulheres, por não afetar apenas o corpo anatômico, mas também os aspectos psicossociais da paciente. Na atualidade, é considerada uma enfermidade crônica. Existe um grande número de pessoas que convivem com o câncer, seja em tratamento, seja em remissão ou com controle de sintomas. Esse panorama exige da Psicologia uma atuação mais eficiente, específica, interessada em compreender o que leva os pacientes a maiores dificuldades diante das diferentes etapas do tratamento. Considerada a inexistência de uma teoria própria para a Psico-Oncologia, na análise desta pesquisa, é utilizada a proposta teórica de Donald Woods Winnicott, para auxiliar na compreensão e interpretação dos relatos de mulheres que convivem com a doença oncológica. Esta pesquisa propõe-se a investigar as repercussões psicológicas de pacientes em primeira remissão de câncer de mama. O interesse por este estudo surge a partir da prática como psicóloga, na especialidade de Mastologia. Diversas pacientes são encaminhadas para o ambulatório de Psicologia, com impactos psicológicos que perduram além da presença da doença. O estudo é do tipo transversal descritivo, com método misto. A amostra é composta por oito pacientes que realizam tratamento oncológico na Irmandade da Santa Casa de Misericórdia de São Paulo. O procedimento para a coleta de dados consistiu na aplicação de uma ficha sociodemográfica e na realização de uma entrevista semidirigida, na Escala Hospitalar de Ansiedade e Depressão (HAD) e na Escala de Desesperança Beck (BHS). Este trabalho conclui que o término de um período de tratamento não coincide com o fim das preocupações com a doença. E, ainda que pese a relevância da Psico-Oncologia para o bem-estar dos pacientes com câncer, esta pesquisa considera necessária uma fundamentação teórica, que permita contextualizar o indivíduo e promova o conhecimento de sua totalidade, além das repercussões esperadas no adoecimento oncológico. Observa-se a importância da avaliação psicológica para compreender como essa paciente vivencia o câncer de mama, a partir de sua experiência e vida anterior. Este estudo pretende avançar nos temas da Psico-Oncologia e fornecer subsídios para profissionais da área da Saúde que tratam pacientes com câncer de mamaBreast cancer is one of the most feared diseases by women, because it affects not only the body anatomy but also the psychosocial aspects of the patient. At present, it is considered a chronic illness. There are a large number of people living with cancer, either in treatment, either in remission or in symptoms control. This scenario requires from Psychology a more efficient and specific approach, more interested in understanding what leads patients to greater difficulties on the different stages of treatment. Given the lack of a specific theory for Psycho-Oncology, the analysis of this research uses the theoretical proposal of Donald Woods Winnicott to assist in the understanding and interpretation of reports of women living with cancer. This research intends to investigate the psychological repercussions of patients in first remission of breast cancer. The interest behind this study arises from the practice as psychologist in the Mastology specialty. Several patients are sent to the Psychology clinic, with psychological impacts that endure beyond the presence of the disease. This is a cross-sectional descriptive study, with mixed methods approach. The sample consists of eight patients undergoing cancer treatment in Irmandade da Santa Casa de Misericórdia of São Paulo. The procedure for data collection consisted of the application of a socio-demographic form and the conduction of a semi-directed interview, following the Hospital Anxiety and Depression (HAD) Scale and the Beck Hopelessness Scale (BDS). This paper concludes that the end of a treatment period does not coincide with the end of the concerns with the disease. And, despite the relevance of Psycho-Oncology for the well-being of cancer patients, this research considers necessary a theoretical foundation that contextualizes the individual and promotes the understanding of her entirety, in addition to the expected consequences of the oncologic illness. It is noted the importance of a psychological assessment to understand how this patient experiences breast cancer, based on her past experience. This study aims to advance Psycho-Oncology themes and provide valuable input to Health professionals who treat patients with breast cancer
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Porto, Gláucia Pina Guimarães. "Crenças e percepções das mulheres saudáveis sobre câncer de mama: uma revisão sistemática da literatura." Pontifícia Universidade Católica de São Paulo, 2018. https://tede2.pucsp.br/handle/handle/20988.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Understanding breast health from needs and conditions in a socially contextualized way can be a way to develop consistent public policies for the promotion of breast and woman health as a tool for the prevention and early detection of breast cancer through institutions and organizations committed to social development in combating the disease. The overall objective of this study was to conduct a systematic review of the literature regarding the beliefs and perceptions that healthy women have about breast cancer. The research problem arose from the observation of the psychosocioeducational difficulties of women in cases of breast cancer, as well as for preventive care and early detection of the disease, for approximately two years, in a pilot project of health intervention with emphasis on the public roles of women in the fight against breast cancer, through an intervention research with a multidisciplinary character. The method was the systematic review of literature. The initial selection of articles was done through the reading of the title and abstract, and the exclusion of duplicate results was performed by the identification of the main author. As an inclusion criterion for the analysis of the results, the strength of evidence of the selected studies was summarized and the relevance of the most interesting descriptors was considered, aiming at the accomplishment of a qualitative synthesis. From 2,926 studies found, 96.24% were mastectomized women, and 2.90% were eligible studies whose study object considers behaviors of healthy women, their beliefs, perceptions and / or knowledge about prevention and early detection of the disease . The results indicate that the production of knowledge about the problem is scarce, with consequences on the limits of changing beliefs and perceptions about breast cancer. The reassignment of healthy women on breast cancer based on correct information can increase the rate of detection of the disease, which can avoid many deaths, and reduce the expenditure of public funds with treatments for advanced diagnoses. This change in attitude makes it possible for early detection not to be seen as a threat but as the best path to health
Compreender a saúde da mama a partir das necessidades e condições de forma contextualizada socialmente pode ser uma via para o desenvolvimento de políticas públicas consistentes de promoção da saúde das mamas e da mulher, como ferramenta de prevenção e detecção precoce do câncer de mama, por meio de instituições e organizações comprometidas com o desenvolvimento social em combater a doença. O objetivo geral deste estudo foi de realizar uma revisão sistemática da literatura a respeito de crenças e percepções que as mulheres saudáveis possuem sobre câncer de mama. O problema de pesquisa surgiu a partir da observação das dificuldades psicossocioeducacionais de mulheres frente aos casos de câncer de mama e também para realização dos cuidados preventivos e de detecção precoce da doença, durante aproximadamente dois anos, em um projeto piloto de intervenção em saúde, com ênfase nos papéis públicos das mulheres no combate ao câncer de mama, por meio de uma pesquisa-intervenção com caráter multidisciplinar. O método foi o da revisão sistemática de literatura. A seleção inicial dos artigos se deu por meio da leitura do título e resumo, e a exclusão dos resultados duplicados foi realizada pela identificação do autor principal. Como critério de inclusão para análise dos resultados, a força de evidência dos estudos selecionados foi sumarizada e a relevância dos descritores de maior interesse foi considerada, visando a realização de uma síntese qualitativa. Entre os 2.926 estudos encontrados 96,24% tinham como objeto de estudo mulheres mastectomizadas, e 2,90% foram estudos elegíveis cujo objeto de estudo considere comportamentos de mulheres saudáveis, suas crenças, percepções e/ou conhecimentos sobre prevenção e detecção precoce da doença. Os resultados indicam que a produção de conhecimento sobre o problema é escassa, com consequências nos limites quanto à mudança de crenças e percepções sobre câncer de mama. A ressignificação da mulher saudável sobre câncer de mama com base em informações corretas pode aumentar o índice de detecção da doença, o que pode evitar muitas mortes, além de reduzir o gasto de verbas públicas com tratamentos para diagnósticos avançados. Esta mudança de atitude possibilita que a detecção precoce não seja vista mais como ameaça, mas como o melhor caminho para a saúde
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Moody, Lesley Ann. "Psychological aspects of additional procedures following breast reconstruction." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:6642.
Full textAbstract:
Aims: The main objective of this research was to compare psychological distress (anxiety and depression) and body image dissatisfaction (BID) between two groups of women: those who had undergone breast reconstruction following mastectomy for breast cancer (BR) and those who had undergone breast reconstruction and additional procedures (BR-AP). Furthermore, the study aimed to explore the possible reasons why women might undergo additional procedures following breast reconstruction. Method: A cross-sectional retrospective design was employed and data was collected at one time period only. Ninety seven patients were recruited (69.3% of the total patient cohort) who attended prearranged clinic appointments between August 2006 and February 2007 at a regional Breast Care Unit. Results: The prevalence of anxiety and depression was higher in the BR-AP group compared to the BR group. This difference was not significant for anxiety, however it was approaching statistical significance for depression (p = 0.09). The BR-AP group had a significantly higher BID than the BR group (p = 0.045). There was some evidence that undergoing additional procedures predicted depression (p = 0.060) and BID (p = 0.045). Conclusions: Undergoing additional procedures following breast reconstruction may not lead to a positive psychological outcome in terms of anxiety, depression and body image dissatisfaction. In view of the cost that undergoing these procedures presents to the NHS, coupled with the assumption that they offer psychological benefits, further research that prospectively examines psychological aspects of women seeking additional procedures is strongly recommended. Knowledge gained from such research is likely to assist in the pre-operative assessment of these women.
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Stallard, Sheila. "Aspects of doxorubicin resistance in breast cancer." Thesis, University of Aberdeen, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245194.
Full textAbstract:
Less than half of all breast cancer patients respond to the anthracycline agents Epirubicin and Doxorubicin, the most effective agents available. Of those that do respond initially many eventually fail to do so. In this thesis some of the possible reasons for this failure are explored and ways of improving responses are also discussed. Doxorubicin uptake to breast cancers is examined in patients undergoing mastectomy who are given a dose pre-operatively. A range of uptakes is seen, but all tumours contained measurable levels of Doxorubicin. Intra-tumoural distribution is assessed using the auto fluorescent properties of Doxorubicin. There was variability of distribution but no gross penetration barriers were observed. To assess the range of 'inherent' variation in the sensitivity of breast cancers individual tumour cells and cells from distant normal breast were cultured in vitro from fresh specimens. Successful cultures were achieved in thirty four out of seventy three tumour samples (46%). Sixteen out of fifty for normal breast samples grew in vitro (29.6%). Chemosensitivity to Doxorubicin was measured using a short term clonogenic assay. There was a wide range in tumour sensitivities (1 x 10-7M to 6 x 10-9M) and also a marked interpatient variation in cells from normal breast (4 x 10-8M - 7 x 10-9M). In vitro sensitivities are correlated with the expression of the MDR-1 gene and gst π gene and long term clinical follow up was carried out to assess eventual responses to chemotherapy drugs and survival. The ability of a range of resistance modifying agents to overcome resistance to Doxorubicin was measured using the cell line MCF-AdrRes , and Quinidine was found to be the most effective resistance modifier.
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Wishart, Gordon C. "Aspects of multidrug resistance in breast cancer." Thesis, University of Edinburgh, 1992. http://hdl.handle.net/1842/20307.
Full textAbstract:
The use of chemotherapy in the treatment of breast cancer is compounded by the development of clinical drug resistance in a large number of cases. One mechanism of resistance, multidrug (MDR), is associated with expression of a 170kDa transmembrane protein called P-glycoprotein (P-gp) which acts as an energy-dependent drug efflux pump. Although P-gp can be encoded by several MDR genes it is only expression of the mdr-1 gene which is associated with MDR in humans. P-gp has been identified in several human tissues and tumours but previous studies have failed to provide clear evidence of its presence in human breast cancer. Detection of P-gp, by immunohistochemistry using specific monoclonal antibodies, allowed confirmation of P-gp expression at low levels in the majority of 29 untreated, primary breast cancers suggesting a population of resistant cells was present even before exposure to cytotoxic drugs. Furthermore this expression was detected in stromal cells, as well as malignant cells, and this stromal cell immunostaining has been confirmed as mdr-1 expression by competitive inhibition using a specific blocking peptide. Examination of paired samples of normal breast and tumour from the same patient revealed P-gp expression only in ductal epithelial cells, but not stromal cells, of normal breast. Finally those patients whose tumours had the highest P-gp expression in malignant cells appeared to have a worse prognosis in terms of disease-free survival.
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Steggles, Naomi. "Psychological aspects of genetic testing for cancer." Thesis, University College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271020.
Full text
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Chiu, Yuk-tim, and 趙玉甜. "Sirtuin 6 expression in breast cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48541254.
Full textAbstract:
Sirtuins (Silent Information Regulator Two (SIR2) protein) are NAD-dependent protein deacetylases, originally discovered in yeast. Sirtuins play a critical role in the regulation of different cellular processes involving aging, chromatin silencing and cellular differentiation.
SIRT6 is a member of Sirtuins and plays a role in regulation of DNA repair and suppression of genomic instability. Many studies have shown SIRT6 to be associated with diseases of aging, including cancer. The finding by our collaborator that SIRT6 expression was found in chemotherapy-resistant breast cancer cell lines stimulated this study which aims to explore the role of SIRT6 expression as a prognostic marker in breast cancer.
One hundred and eighteen breast cancer samples in tissue microarray blocks were examined for SIRT6 expression by immunohistochemistry. As SIRT6 expression is predominantly located in the nucleus but with a small fraction in cytoplasm, the calculation of nuclear or cytoplasmic localization scores were divided by total localization scores to increase accuracy. The nuclear localization scores represent the SIRT6 expression in breast cancer. Statistical analysis was performed using SPSS software.
SIRT6 overexpression in the nucleus was significantly associated with poorer overall survivals (p=0.018) while low cytoplasmic expression of SIRT6 was also associated with poorer overall survivals (p=0.014). There was no relationship between SIRT6 expression and disease-specific survivals. By multivariate analysis, SIRT6 expression was an independent predicator of poorer overall survivals.
These results suggest that SIRT6 overexpression induces apoptosis in cancer cells through deacetylation of transcription factor p65. SIRT6 interacts with and deacetylates p65 to activate nuclear factor kappa B gene linked to cancer. Also high levels of SIRT6 were associated with resistance to paclitaxel and epirubicin inMCF-7 breast cancer cell lines. This provides evidence that Sirt6 is an important prognostic marker and therapeutic target for breast cancer.published_or_final_version
Pathology
Master
Master of Medical Sciences
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Lau, Tsz-kwan, and 劉子筠. "The expression of RIP140 in breast cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193544.
Full textAbstract:
Breast cancer is the most common cancer in females worldwide. RIP140 was one of the first proteins recognized as nuclear receptor transcriptional cofactor which interacts with several nuclear receptors. RIP140 plays a central role in metabolic tissues with multifunctional co-regulation. It is an essential protein required for energy homeostasis and mammary gland development.
RIP140 has been found to be involved in development of breast cancer in response to estrogen. RIP140 is recruited by estrogen receptors in the presence of estrogen. Increasing levels of estrogen and RIP140 stimulate their transcription and regulate proliferation and differentiation of mammary glands. We hypothesize that RIP140 may be over expressed in breast cancer and may be correlated with clinicopathological features and may thus serve as a possible new prognostic marker in breast cancer.
In our study, the correlation between the RIP140 expression and survival was investigated by immunohistochemistry (IHC), and analyzed by Pearson’s chi-square and Kaplan Meier analysis. Cox regression analysis was performed to examine the relationship between clinic-pathological parameters and the survival. Total of one hundred and eighteen breast cancer samples were examined for the RIP140 staining localization in breast cancer cells.
Our results showed that the IHC staining of RIP140 was observed in both cytoplasm and nucleus of breast cancer cells. The ER positive staining was significantly correlated with high nuclear expression of RIP140, but not RIP140 cytoplasmic expression. Thus nuclear RIP140 expression was examined for correlation with other clinic-pathological features and patient survival.
The correlation between nuclear RIP140 expression and clinic-pathological features by Pearson’s chi-square test showed that high RIP140 nuclear staining score is associated with ER positive status (p-value=0.041) and tumor stage (p-value=0.008). Kaplan Meier test shown that nuclear RIP140 expression is not significant associated with either overall survival or disease-specific survival. However, a trend of high nuclear RIP140 score was observed with poorer overall and disease-specific survival though not statistically significant.
To conclude, our results suggest RIP140 is not a useful prognostic marker for breast cancer. Further investigation with larger sample size is necessary to improve the statistical significance of the test.published_or_final_version
Pathology
Master
Master of Medical Sciences