Journal articles on the topic 'Breast – Cancer – Psychological aspects'
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Pittermann, Anna, and Christine Radtke. "Psychological Aspects of Breast Reconstruction after Breast Cancer." Breast Care 14, no. 5 (2019): 298–301. http://dx.doi.org/10.1159/000503024.
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Even though breast cancer mortality is declining, the diagnosis still poses a huge threat for the affected woman and her close family. Breast cancer surgery, which often includes reconstructive procedures, can help restoring a satisfactory body image. The decision on the type of surgery should always be made together with the patient and should focus on her psychosocial needs. This review describes the psychological aspects of breast cancer for the patient and her social environment and offers ideas for a patient-oriented treatment plan.
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Blumberg, Barbara D. "Psychological aspects of early breast cancer." Patient Education and Counseling 10, no. 3 (December 1987): 310–12. http://dx.doi.org/10.1016/0738-3991(87)90135-2.
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Blumberg, Barbara D. "Psychological aspects of early breast cancer." Patient Education and Counseling 11, no. 2 (April 1988): 161–63. http://dx.doi.org/10.1016/0738-3991(88)90052-3.
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ali Kunhikkandy, Ashkar. "INSIGHT TO PSYCHOLOGICAL ASPECTS OF BREAST CANCER." Breast 59 (October 2021): S60—S61. http://dx.doi.org/10.1016/s0960-9776(21)00575-0.
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Timms, Michael W. H. "Aspects of psychological intervention with breast cancer patients." Irish Journal of Psychological Medicine 7, no. 2 (September 1990): 168–76. http://dx.doi.org/10.1017/s0790966700016815.
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AbstractThe paper makes a chronological review of the literature in the area of psychological intervention with cancer patients, focussing particularly on breast cancer as this is the disease which has attracted most attention from mental health profesionals. Initially, surveys which identify psychological distress in cancer patients are reviewed, as it is felt that these may have contributed the impetus for intervention. In the second half of the paper, interventions are classified and reviewed.
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Magarey, Christopher J. "Aspects of the psychological management of breast cancer." Medical Journal of Australia 148, no. 5 (March 1988): 239–42. http://dx.doi.org/10.5694/j.1326-5377.1988.tb99433.x.
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Kunhikkandy, Ashkar Ali. "Insight to Psychological Aspects of Cancer." BJPsych Open 8, S1 (June 2022): S56—S57. http://dx.doi.org/10.1192/bjo.2022.206.
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AimsThe baseline of this study 1)What is the type of psychiatric disturbances in oncology settings?2)Is there any importance in cancer education?3)How to manage psychiatric disturbances?MethodsAs of lockdown concerning COVID-19, this study is conducted online among 20 cancer patients. This is a cross-sectional study where Each patient has explained the purpose of the study, procedures, and consent was taken from patients then a questionnaire was given, and this was assessed. Among the profile of the study population, 50% were males and 50% were females of the total study population, 60% were married and 40% were unmarried, Participants were aged between 22 and 63 years. The study population also consists of 20% are breast cancer, 25% lung cancer,10% lung cancer, and the rest are other types of cancers. Patient details are collected from the Facebook groups for cancer patients. Assessment has 2 parts, one is based on CES-D Test where each individual was each patient answered 20 question and next part is based on 5 questions regarding Financial Depression, Behavioral changes, Feelings, Education about cancer and Psychiatric support.ResultsIt is found that 60% population are normal, 25% had mild Depression, 10% have moderate Depression followed by 5% with severe depression.Among associations between marital status and various disorders, it was found that psychological disturbances are 2 times fold more in married people while compared to unmarried. There is also an association between treatment modalities are observed, in that anxiety is prevalent with people who had chemotherapy. Based on education and financial status, those who are with less education about cancer and less financially stable have also prominent disturbances.ConclusionThe study was based on other research study related to the spectrum of psychological disturbance based on treatment stage, financial status, awareness of cancer among patients, and role of marital status among individuals Offering mental health services to patients with cancer is becoming an integral part of oncologic treatments because psychological problems harm cancer management. The most common psychiatric disorders in cancer patients are depression, anxiety disorders, and adjustment disorders. Psychiatrists should be involved in the multidisciplinary treatment team that works with cancer patients. Further research is needed to determine the effectiveness of different psychological and psychopharmacological interventions in psycho-oncology and palliative medicine
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Ingram, Michael A. "Psycho-Social Aspects of Breast Cancer." Journal of Applied Rehabilitation Counseling 20, no. 2 (June 1, 1989): 23–27. http://dx.doi.org/10.1891/0047-2220.20.2.23.
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Because of the high Incidence, and the possible resulting vocational disability it is very likely that rehabilitation counselors, particularly those employed in medical settings and the state, federal system, will work with women who have breast cancer and are eligible for services. Cancer of the breast may have significant impact on the emotional and psychological constructs of the individual, as it affects not only the patient, but her family as well and may interfere with, and disrupt the organization of the family, social, financial, education, vocational goals, and indeed the very definition of the family unit. Suggestions are made for some counseling techniques which may be used in dealing with these problems.
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Heimes, Anne-Sophie, Kathrin Stewen, and Annette Hasenburg. "Psychosocial Aspects of Immediate versus Delayed Breast Reconstruction." Breast Care 12, no. 6 (2017): 374–77. http://dx.doi.org/10.1159/000485234.
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Background: Only little is known about the psychosocial aspects of breast cancer patients after mastectomy with immediate versus delayed breast reconstruction. Methods: We systematically screened PubMed using the following key words: mastectomy, immediate vs. delayed reconstruction, psychosocial aspects and quality of life. To highlight different psychological outcomes, studies were categorized into those describing: anxiety, depression, body image and satisfaction with the surgical outcome. We also compared patients after mastectomy alone with those undergoing immediate or delayed reconstruction. Results: Methodologies and psychological outcomes varied among the identified studies, making it difficult to compare results. There are contradictory outcomes concerning the psychosocial aspects of breast cancer patients after mastectomy alone compared with those who underwent an immediate or delayed reconstruction following mastectomy. Some studies show that immediate reconstruction after mastectomy had a positive impact on patients' psychological well-being. In contrast, other studies indicated that in the long-term view the compared patient groups were very similar concerning psychosocial aspects. Conclusion: Analyzing different aspects of psychosocial well-being after breast cancer surgery, there might be an advantage in choosing immediate reconstruction, if oncological safety allows it.
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Carlsson, Marianne, and Elisabeth Hamrin. "Psychological and psychosocial aspects of breast cancer and breast cancer treatment; A literature review." Cancer Nursing 17, no. 5 (October 1994): 418???428. http://dx.doi.org/10.1097/00002820-199410000-00007.
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Kozak, Krzysztof, Rafal Wojcik, Maciej Czerwonka, Slawomir Mandziuk, and Barbara Madej-Czerwonka. "Oncoplastic breast surgery techniques - a new look at surgical treatment of breast cancer." Current Issues in Pharmacy and Medical Sciences 31, no. 3 (September 1, 2018): 131–34. http://dx.doi.org/10.1515/cipms-2018-0025.
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Abstract Breast cancer is the most common cancer among Polish women [1], thus, the problem of surgical treatment of breasts, especially with regard to conserving and/or reconstruction surgery, is extensively discussed. Currently, in Poland, efforts are made to increase the number of oncologic and reconstructive breast centers which offer specialized treatment of this cancer, the so-called ‘Breast Units’ [1]. This paper analyzes methods of reconstructions, discusses the techniques used in particular types of surgeries and additionally informs the reader of the oncological aspects of the procedures. Based on literature, statistical data of breast reconstructions from Poland and the world are presented. Moreover, complications and psychological aspects of mammary gland surgery are dealt with, and the aesthetic effects of breast reconstructions are discussed. To support of our findings, we also present selected clinical cases from the oncological and reconstructive point of view.
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Alves, Bárbara Torquato, Antonio Marlos Duarte de Melo, Sâmia Israele Braz Do Nascimento, José Maria Sousa Neto, Itamar Alves Araújo, Teresa Manuela Oliveira Puentes, and Patrícia Sobral Luna Quidute. "THE PSYCHOLOGICAL IMPACT IN WOMEN AFTER MASTECTOMY WITH AND WITHOUT IMMEDIATE MAMMARY RECONSTRUCTION." Amadeus International Multidisciplinary Journal 2, no. 4 (July 6, 2018): 112–16. http://dx.doi.org/10.14295/aimj.v2i4.37.
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Breast cancer is a very common pathology in the female environment, being the second largest cause of neoplasia in Brazil. Surgical treatment with mastectomy is seen as resolving in most cases, but breast reconstruction is crucial for improving the psychological aspects of the patient, since the removal of the breast without the oncoplastic can trigger emotional, stress and sadness problems. Breast reconstruction may be immediate, when performed in the postoperative period of the mastectomy, or late, when performed at any time postoperatively. The mastectomy, in isolation, can leave the patient with visible scars, aesthetic deformities in the breasts, causing greater psychological problems such as anxiety, depression, panic syndrome, distortion of body self-image, as well as sexual dysfunctions. Thus, there are still gaps in knowledge in the analysis of the psychological impact and, of course, new researches that analyze the psychological factor in mastectomized women with and without immediate breast reconstruction are crucial to better work the moment of vulnerability that these patients are going through. Keywords: Mastectomy; Breast cancer; Oncoplastic; Breast reconstruction; Psychological problems.
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RV, Mohite, and Mohite VR. "Psychological aspects of quality of life of breast cancer survivors." National Journal of Research in Community Medicine 8, no. 1 (March 31, 2019): 36. http://dx.doi.org/10.26727/njrcm.2019.8.1.036-040.
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Hopwood, Penelope. "Hereditary Breast Cancer: Psychological Aspects of Counseling, Surveillance, and Management." Breast Journal 3, s1 (May 1997): 7–14. http://dx.doi.org/10.1111/j.1524-4741.1997.tb00201.x.
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Lynch, Henry T., Jane Lynch, Theresa Conway, and Matthew Severin. "Psychological aspects of monitoring high risk women for breast cancer." Cancer 74, S3 (August 1, 1994): 1184–92. http://dx.doi.org/10.1002/1097-0142(19940801)74:3+<1184::aid-cncr2820741530>3.0.co;2-4.
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Salem, Haya, and Suhad Daher-Nashif. "Psychosocial Aspects of Female Breast Cancer in the Middle East and North Africa." International Journal of Environmental Research and Public Health 17, no. 18 (September 18, 2020): 6802. http://dx.doi.org/10.3390/ijerph17186802.
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Breast cancer, the most common cancer among women in the Middle East and North Africa (MENA) region, is associated with social and psychological implications deriving from women’s socio-cultural contexts. Examining 74 articles published between 2007 and 2019, this literature/narrative review explores the psychosocial aspects of female breast cancer in the MENA region. It highlights socio-cultural barriers to seeking help and socio-political factors influencing women’s experience with the disease. In 17 of 22 Arab countries, common findings emerge which derive from shared cultural values. Findings indicate that women lack knowledge of breast cancer screening (BCS) and breast cancer self-examination (BSE) benefits/techniques due to a lack of physicians’ recommendations, fear, embarrassment, cultural beliefs, and a lack of formal and informal support systems. Women in rural areas or with low socioeconomic status further lack access to health services. Women with breast cancer, report low self-esteem due to gender dynamics and a tendency towards fatalism. Collaboration between mass media, health and education systems, and leading social-religious figures plays a major role in overcoming psychological and cultural barriers, including beliefs surrounding pain, fear, embarrassment, and modesty, particularly for women of lower socioeconomic status and women living in crises and conflict zones.
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Malova, J. "P14 Psychological aspects of the aesthetic surgery and breast cancer diagnostics." European Journal of Cancer Supplements 8, no. 2 (March 2010): 15. http://dx.doi.org/10.1016/s1359-6349(10)70774-6.
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POWELL, DIONNE R. "Social and Psychological Aspects of Breast Cancer in African-American Women." Annals of the New York Academy of Sciences 736, no. 1 Forging a Wom (December 1994): 131–39. http://dx.doi.org/10.1111/j.1749-6632.1994.tb12825.x.
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Sajid, Ujala, Syeda Faiza Batool, Sadaf Ahmed, Nofel Karatela, and Hira Qaisar. "Psychophysiological Well-Being & Quality of Life (QoL) among breast cancer patients after mastectomy." International Journal of Endorsing Health Science Research (IJEHSR) 10, no. 4 (December 1, 2022): 446–54. http://dx.doi.org/10.29052/ijehsr.v10.i4.2022.446-454.
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Breast Cancer is the most common lethal malignancy affecting the quality of female lives globally, eliciting great distress in all aspects of life, i.e., physically, mentally, psychologically, psychophysiologically, etc. This review aims to demonstrate the factors impacting breast cancer patients' psychophysiological well-being and QoL after mastectomy. Human studies focusing on factors demonstrating the after-effect of mastectomy on the psychophysiological well-being and QoL among breast cancer patients were reviewed. The studies reviewed to describe the effects of mastectomy on breast cancer patients and the aftermaths of the treatment on the psychological as well as psychophysiological well-being and their QoL through different means and methods. Moreover, this review highlights the factors affecting the resiliency of breast cancer patients. The literature is briefly reviewed and includes highlights of the psychophysiological well-being and changes in QoL and an exploration of the relationship among the study variables and patients with breast cancer after mastectomy and the way they opt to improve their QoL. Although mastectomy is considered beneficial complementary therapy for women with breast cancer, it still highly affects the individual's mental and physical health. It is observed that to improve the QoL and enhance psychological and physiological well-being, breast cancer patients need to have ways to resilient themselves. The factors that help patients to achieve post-traumatic growth (PTG) and resilience include therapies, lifestyle changes, and support and care.
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Kashirina, E. P., R. N. Komarov, and D. V. Vychuzhanin. "Breast Cancer Surgery, History and Current State: a Literature Review." Creative surgery and oncology 11, no. 3 (October 1, 2021): 220–27. http://dx.doi.org/10.24060/2076-3093-2021-11-3-220-227.
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Breasts symbolise femininity, sexuality and motherhood. The breast size and shape affect the woman’s self-esteem and social activity. Surgical treatment of malignant breast diseases concerns the medical, psychological, social and sexual aspects of life. Surgery for breast cancer dawns back to 1,600 B.C., with a milestone operation of radical mastectomy proposed in 1891–1894 by W. Halsted and W. Meyer and modified by D. Patey and W. Dyson in 1948. Tissue preservation has shaped a trend towards improving the technique. Since the 1990s, the modified J. Madden’s operation has become the treatment standard in breast cancer, irregardless of stage. The improvement of mass first-visit check-up advanced early diagnosis of initial breast tumourisation, which also influenced the choice of surgical tactics. U. Veronesi proposed a variant of organ-preserving surgery in 1970–80s involving three-level axillary lymph node dissection quadrantectomy, followed by radiotherapy. This combination facilitated aesthetic results at no compromise of radicality of the treatment. The need to observe radicality and sustain aesthetics contributed to the integration of plastic surgery into oncological cure and emergence of reconstructive and plastic breast surgery. The field has entered new cycle. Oncoplastic surgery is recognised safe, improves aesthetics and gives a salutary impact on psychological and social adjustment. Manifold surgical options in breast cancer coexist and develop towards maximal tissue preservation.
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Tercyak, Kenneth P., Tiffani A. DeMarco, Bryn D. Mars, and Beth N. Peshkin. "Women's satisfaction with genetic counseling for hereditary breast-ovarian cancer: Psychological aspects." American Journal of Medical Genetics 131A, no. 1 (November 15, 2004): 36–41. http://dx.doi.org/10.1002/ajmg.a.30317.
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Uossif Alfilani, Ali Abdulrazig. "Biopsychosocial Implications Related to the Breast Cancer in Women." International Letters of Social and Humanistic Sciences 63 (November 2015): 110–17. http://dx.doi.org/10.18052/www.scipress.com/ilshs.63.110.
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Breast Cancer is among the most common cancer in women. Breast Cancer’s aggressiveness truly depends on the age of patient, status of lymph node and size of the tumor. Prognosis may the unfavorable if the age of woman is under 35. Breast cancer, usually, is diagnosed when it is in the advance stage. Looking at all the aspects, this paper analyzes and identifies the socio-economic, psychological and biological implications for the breast cancer in women. In order to meet the objective, the paper applies the qualitative approach and reads all the available literature to find the answers. The results of surveying all the available literature depicts that detection of this cancer at earliest stages is in the benefit of the patient. This benefit is not in case of medical/bio reasons only but also for socio-economic and psychological perspectives. This paper further finds that if the cancer diagnosed in the earliest stages, it not only shorten the hospitalized period but also save a handsome amount of treatment, give satisfactory psychological comforts and a very good life prognosis that results into a rapid familial and social reintegration.
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a, Sarroukh, Benbouchaib b, Benhessou c, Ennachit d, and Karroumi e. "THE QUALITY OF LIFE OF BREAST CANCER PATIENTS , EXPERIENCE OF THE MOHAMED 6 CENTER FOR THE TREATMENT OF GYNECOLOGICAL BREAST CANCER." International Journal of Advanced Research 9, no. 07 (July 31, 2021): 682–700. http://dx.doi.org/10.21474/ijar01/13170.
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Introduction: Breast cancer is the most common form of cancer amongst women. It is a serious disease that impacts all aspects of the patients life and goes beyond that to touch the lives of all their loved ones. This work aims to evaluate the impact cancer has on the lives of our patients and their loves ones, namely: their social, economic and psychological well-being. Methodology: We have conducted a cross-functional study at the Mohamed VI Center of Cancer Prevention and Treatment, between May and July of 2017, leveraging 2 sets of questions, including the Arabic Dialect version of the quality of life questionnaire, in its 2 versions: Family and Patient. Results: The average age of the patients sample was 26-43. Amongst the studied aspects, fear was the most negatively impacted spiritual, physical, and social well- being were the least impacted. 50, 9 % of patients were accompanied, 69, 6 % of companions were females. Amongst the companions, psychological well-being was most negatively impacted. Conclusion: The patients and their companions had their quality of life severely negatively impacted, in all aspects. As such, caring for cancer patients must be done in all-inclusive manner, taking into account their life quality and their lives loves ones, who are their main source of support during their ordeal.
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H., Sarroukh, Samhari R., Benbouchaib a, Benhassou b, Ennachit c, and Kerroumi d. "EVALUATION OF THE ECONOMIC IMPACT OF BREAST CANCER: EXPERIENCE OF THE MOHAMED 6 CENTER FOR THE TREATMENT OF GYNECOLOGICAL BREAST CANCER." International Journal of Advanced Research 9, no. 07 (July 31, 2021): 720–29. http://dx.doi.org/10.21474/ijar01/13174.
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Introduction: Breast cancer is the most common form of cancer amongst women. It is a serious disease that impacts all aspects of the patient’s life and goes beyond that to touch the lives of all their loved ones. This work aims to evaluate the impact cancer has on the lives of our patients and their loves ones, namely: their social, economic and psychological well-being. Methodology: We have conducted a cross-functional study at the Mohamed VI Center of Cancer Prevention and Treatment, between May and July of 2017, leveraging 2 sets of questions, including the Arabic Dialect version of the “ quality of life “ questionnaire, in its 2 versions: Family and Patient. Results: The average age of the patients’ sample was 26-43. Amongst the studied aspects, “fear” was the most negatively impacted spiritual, physical, and social well- being were the least impacted. 50, 9 % of patients were accompanied, 69, 6 % of companions were females. Amongst the companions, psychological well-being was most negatively impacted. Conclusion: The patients and their companions had their quality of life severely negatively impacted, in all aspects. As such, caring for cancer patients must be done in all-inclusive manner, taking into account their life quality and their lives loves ‘ones, who are their main source of support during their ordeal.
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Ranieri, Jessica, Dina Di Giacomo, Federica Guerra, Eleonora Cilli, Alessandra Martelli, Valeria Ciciarelli, Alessandra Ventura, and Maria Concetta Fargnoli. "Early Diagnosis of Melanoma and Breast Cancer in Women: Influence of Body Image Perception." International Journal of Environmental Research and Public Health 19, no. 15 (July 28, 2022): 9264. http://dx.doi.org/10.3390/ijerph19159264.
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The diagnosis of melanoma and breast cancer may impact many aspects of life with significant reductions in emotional functioning and quality of life. The aim of the study was to analyze the emotional traits of female patients with oncological in early-stage diagnosis, investigating predictors for psychological distress and analyzing body image perception. An observational study was conducted, A sample of 84 female cancer patients (age range 30–55 years) with melanoma (n = 42) and breast cancer diagnosis (n = 42). The examined emotional variables were psychological distress; depression, stress, and anxiety; metacognitions; and body self-perception. Findings showed higher psychological distress in breast cancer than in melanoma patients (p = 0.00), which was related to lower positive self-perception of body image (p = 0.03). Furthermore, psychological distress was negatively correlated with consequences of clinical treatment on body image, and low well-being affected the social interaction and well-being with own body. There was no significant difference between cancer staging and timing from diagnosis. Prevention and therapeutic psychological protocols might be adapted and tailored to the unmet needs of the patients in medical treatments to promote and enhance the Quality of Life in survivorship.
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Decruyenaere, M., G. Evers-Kiebooms, E. Claes, L. Denayer, M. Welkenhuysen, E. Legius, and K. Demyttenaere. "Psychosocial Aspects of Familial Breast and Ovarian Cancer: Psychological Guidelines for Genetic Testing." Disease Markers 15, no. 1-3 (1999): 152–53. http://dx.doi.org/10.1155/1999/632530.
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Galati, Francesca, Valentina Magri, Paula Andrea Arias-Cadena, Giuliana Moffa, Veronica Rizzo, Marcella Pasculli, Andrea Botticelli, and Federica Pediconi. "Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge." Diagnostics 13, no. 4 (February 7, 2023): 604. http://dx.doi.org/10.3390/diagnostics13040604.
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Pregnancy-associated breast cancer (PABC) is commonly defined as a breast cancer occurring during pregnancy, throughout 1 year postpartum, or during lactation. Despite being a rare circumstance, PABC is one of the most common types of malignancies occurring during pregnancy and lactation, with growing incidence in developed countries, due both to decreasing age at onset of breast cancer and to increasing maternal age. Diagnosis and management of malignancy in the prenatal and postnatal settings are challenging for practitioners, as the structural and functional changes that the breast undergoes may be misleading for both the radiologist and the clinician. Furthermore, safety concerns for the mother and child, as well as psychological aspects in this unique and delicate condition, need to be constantly considered. In this comprehensive review, clinical, diagnostic, and therapeutic aspects of PABC (including surgery, chemotherapy and other systemic treatments, and radiotherapy) are presented and fully discussed, based on medical literature, current international clinical guidelines, and systematic practice.
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Pravettoni, Gabriella, Sara Gandini, Giuseppe Curigliano, Alessandra Gorini, Ketti Mazzocco, J. Gordon McVie, and Elisabetta Munzone. "ALGA: A cancer patient profiling tool to improve physician-patient communication—An analysis in breast cancer patients." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): 9582. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.9582.
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9582 Background: Considerable improvement of communication between physicians and patients (pts) will need to occur as personalised medicine becomes the norm. An accurate profile of the pt’s cognitive and psychological status should help the physician shape his language and his messages to maximise the pt’s understanding of her management options. To this aim a computerized tool (ALGA questionnaire) has been created and validated. Methods: The validation process produced a questionnaire with 4 main factors: Health State Perception, Psychological, Psychosocial and Cognitive aspects. To test its ability to discriminate between healthy people and pts, ALGA has been administered to 50 newly diagnosed primary Breast Cancer (BC) pts prior to their first visit with the oncologist to discuss their adjuvant treatment, and to 50 healthy women (age range:20-60), using an iPad. Results: A multivariate analysis showed a significant difference between BC pts and healthy women relatively to the four aforementioned broad areas: Psychosocial (F(1,56)=13.42, p<.001), Cognitive (F(1,56)=6.53, p<.01), and Psychological Aspect (F(1,56)=2.77, p=.05). ALGA detected pts with higher levels of anxiety and depression. Pts tended to ruminate more than healthy subjects. Finally, pts showed higher level of positive Health State Perception, suggesting a dissociation between cancer illness and general health. Cognitive and Psychological aspects and Health State Perception interacted with participants’ level of education (respectively: F(1,56)=12.23, p<.001; F(1,56)=4.58, p<.05; F(1,56)=7.9, p<.05). Starting from this results a personal profile for each pt was created. Conclusions: The ALGA confirmed ability to discriminate between healthy people and BC pts, and is a good tool to create a personal pt’s profile with which physicians can empower patient with tailored knowledge. Starting from ALGA questionnaire, a smart environment is being implemented as a decision support infrastructure to help communication, interaction and information delivery process from doctor to patient, influencing patient’s quality of life and satisfaction.
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DR, Maqhfirah. "Penerapan Well-Being Therapy Untuk Meningkatkan Psychological Well-Being pada Penderita Kanker Payudara." JUPIIS: JURNAL PENDIDIKAN ILMU-ILMU SOSIAL 8, no. 1 (December 29, 2015): 155. http://dx.doi.org/10.24114/jupiis.v7i2.3122.
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Having breast cancer have a huge impact on quality of life of survivors. One of it is decreased psychological well-being. Psychological well-being is a description of the psychological health of individuals based on the fulfillment of the criteria that individual positive psychological functioning, encompassing self-acceptance, positive relations with others, autonomy, environmental mastery, purpose in life and personal growth. Well-being therapy can apply to increase the level of psychological well-being in breast cancer survivors. Participants this study are two women with post-mastectomy breast cancer, metastases experienced last year, and is undergoing medical treatment such as chemotherapy. Well-being therapy conducted within a month, in five sessions. Results indicate that application of well-being therapy has changed their psychological well-being level to the better. They were more accepting with their health condition and have better relationships with the significant people. This is clout by good motivation, support from their significant people during the therapy of process and using of religious aspects as one way in eudomanic approach to well-being therapy. In addition, the good rapport between researcher and participants is important to supported therapeutic effect.
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Tsiring, D. A., and I. N. Pakhomova. "Coping Behavior of Women with Cancer (Case of Patients with Breast Cancer)." Sibirskiy Psikhologicheskiy Zhurnal, no. 78 (2021): 130–44. http://dx.doi.org/10.17223/17267080/78/8.
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The problem of survival and effectiveness of treatment for cancer is an urgent and socially significant task of modern science. Today, medicine is focused on improving the survival rate of patients with malignant neoplasms, increasing their life expectancy, and maintaining the life quality of this category of patients. Support for cancer patients is a priority in medical and psychological research, in which it is particularly important to identify the prerequisites of the disease, survival factors and psychological resources for adaptation to the disease. Breast cancer is accompanied by strong emotional stress, has a psychotraumatic effect on the patient and affects many aspects of life. The role of coping with the diagnosis, as well as with the stress caused by a long treatment process, is currently insufficiently studied. In this regard, the purpose of this work was to study coping behavior in women with breast cancer for a period of up to six months after diagnosis. It was a longitudinal study that last for three years. This article reflects the results of the first section of our study. We have found that women with breast cancer tend to suppress emotional responses and control their own experiences. When studying the age-related features of coping behavior, we found that 30-to 40-year-old women are more likely to use avoiding, social and confrontational coping than older women. Married women prefer to look for positive aspects in the current difficult life conditions, rather than unmarried. Coping behavior of women who have a job differs from coping behavior of women who have no job. The former are more likely to use such strategies as Confrontational coping, Search for social support, Escape-avoidance, Planning a solution to the problem. In addition, we found that the level of education is associated with the choice of coping strategies. For example, women with higher education tend to plan for resolving difficulties, maintain self-control, seek conditional benefits from the current situation, and are more likely to seek social support than women with secondary vocational education. The study of coping behavior in women with breast cancer as part of a longitudinal study reveals the specifics and dynamics of overcoming difficulties at the initial and subsequent stages of treatment. The identified differences will serve as the basis for creating a program for developing coping behavior and a program for psychological support of patients with cancer, as well as for further empirical study of other psychological factors of survival and disease course in patients with malignant neoplasms.
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Ristevska-Dimitrоvska, Gordana, Izabela Filov, Domnika Rajchanovska, Petar Stefanovski, and Beti Dejanova. "Resilience and Quality of Life in Breast Cancer Patients." Open Access Macedonian Journal of Medical Sciences 3, no. 4 (November 8, 2015): 727–31. http://dx.doi.org/10.3889/oamjms.2015.128.
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BACKGROUND: Many studies have shown that a relationship exists between quality of life (QoL) and resilience in breast cancer patients, but few studies present information on the nature of this relationship of resilience on QoL. Our aim was to examine the relationship between resilience and quality of life in breast cancer patients.METHODS: QoL was measured in 218 consequent breast cancer patients, with EORTC - QLQ Core 30 questionnaire, and EORTC QLQ-BR23. The resilience was measured with Connor Davidson Resilience Scale.RESULTS: The global quality of life was positively correlated with the levels of resilience (R = 0.39 p < 0.001). All functional scales (physical, role, emotional, cognitive and social functioning was in a positive correlation with resilience. The symptoms severity (fatigue, nausea and vomitus, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) was in negative correlation with resilience. Less resilient breast cancer patients reported worse body image and future perspective and suffered from more severe adverse effects of systemic therapy, and arm/breast symptoms. CONCLUSION: Our findings show that psychological resilience affects different aspects of health-related quality of life. More resilient patients have significantly better quality of life in almost all aspects of QoL.
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Yeon, Su Jin, Ji Hee Min, Ji Yong Byeon, Jin Joo Min, Ji In Ryu, Ansuk Jeong, Jee Ye Kim, Seung Il Kim, and Justin Y. Jeon. "Exercise Barriers and Facilitators for Breast Cancer Patients After Surgery: A Qualitative Content Analysis." Exercise Science 30, no. 2 (May 31, 2021): 192–204. http://dx.doi.org/10.15857/ksep.2021.30.2.192.
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PURPOSE: This study aimed to understand the barriers to exercise and facilitators of exercise for up to 4 weeks following breast cancer surgery.METHODS: A descriptive qualitative research method was used in this study. Twelve patients were recruited through purposive sampling immediately after breast cancer surgery.RESULTS: Physical aspects (pain at the surgery site, reduction in the range of motion, and decrease in fitness), environmental aspects (difficulty in movement due to drain, lack of information on exercise), and psychological aspects (concerns about side effects, fear of pain, and fear of injury during exercise) were identified as barriers to exercise. Expectation of positive effects (recovery from surgery, prevention of lymphedema, usefulness for future radiation therapy, prevention of cancer recurrence, and health management) of exercise and social support (hospital education, support from medical staff, and exercise information received via mass media) were identified as facilitators of exercise.CONCLUSIONS: We recognized different barriers to exercise and facilitators of exercise among patients who recently underwent breast cancer surgery. Future exercise intervention studies should consider minimizing such barriers and maximizing the facilitators identified in our study.
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Petropoulou, Zoe, Nikolaos Arkadopoulos, and Nikolaos V. Michalopoulos. "Breast Cancer and COVID-19: Challenges in Surgical Management." Cancers 14, no. 21 (October 31, 2022): 5360. http://dx.doi.org/10.3390/cancers14215360.
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The harsh healthcare reality imposed by the COVID-19 pandemic resulted in wide clinical practice alterations, postponements, and shortages, affecting both patients and caregivers. Breast-cancer management, from diagnosis to treatment and follow up, was a field that did not escape such changes, facing a challenging set of obstacles in order to maintain adequate cancer care services while diminishing viral spread among patients and personnel. In this review article, we discuss the impact of the COVID-19 pandemic on several aspects of breast-cancer management, and the subsequent modifications adopted by clinicians, scientific groups, and governments as a response to the novel conditions. Screening and diagnosis, as well as breast-cancer treatment paths—especially surgical interventions—were the most affected domains, while patients’ psychological burden also emerged as a notable consequence. The aftermath of diagnostic and surgical delays is yet to be assessed, while the treatment alterations and the introduction of new therapeutic schemes might signify the opening of a novel era in breast-cancer management.
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Kidman, Antony D., and Sarah Edelman. "Developments in Psycho-Oncology and Cognitive Behavior Therapy in Cancer." Journal of Cognitive Psychotherapy 11, no. 1 (January 1997): 45–62. http://dx.doi.org/10.1891/0889-8391.11.1.45.
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Psycho-oncology is a relatively new scientific discipline which combines the study of the biological and psychological aspects associated with cancer. Factors which have influenced the development of interest in this field are discussed. One area of investigation in psycho-oncology has focused on identifying a possible relationship between psychosocial factors and the etiology or progress of cancer. To date, the evidence for such a relationship is contradictory, and methodological problems abound. We are seeking to shed some further light on this area by conducting a carefully controlled psychological intervention study with metastatic breast cancer patients (in progress). A description of the trial and treatment program is provided.
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Briggs, Lydia, Joanne Cooper, Karen Cox, and Holly Blake. "Concerns, coping and the electronic Holistic Needs Assessment: experiences of UK breast cancer survivors." Journal of Research in Nursing 25, no. 2 (April 10, 2019): 97–110. http://dx.doi.org/10.1177/1744987119829801.
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Background Physical and psychological concerns associated with a breast cancer diagnosis continue long after treatment. Macmillan Cancer Support developed an electronic Holistic Needs Assessment (eHNA) to help identify these concerns and allow a healthcare professional to address these as part of The Recovery Package. Aims The study aim was to understand the women’s experiences of having breast cancer, and of completing Macmillan’s eHNA as part of their care. Methods A qualitative approach was adopted. Semi-structured interviews were undertaken with 15 women, 12–18 months following surgical treatment for invasive breast cancer. Thematic analysis identified key themes. Results Four main themes were identified in relation to experiences of the eHNA, experiences of breast cancer, coping with breast cancer and the psychological effects of surviving. Perceptions towards the eHNA varied; some women viewed the eHNA as a research tool for hospital use rather than a beneficial aspect of their care. Several participants felt unable to raise their psychological concerns on the eHNA. Conclusions Although experiences differ, psychological issues remain a key factor for women with breast cancer, lasting long after treatment. The eHNA is not currently used to its potential or recognised by women as a tool to support their care. Further research is needed into how the eHNA can be used effectively to capture psychological concerns and determine best approaches to implementation of the tool to support individualised care.
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Şengün İnan, Figen, and Besti Üstün. "Fear of Recurrence in Turkish Breast Cancer Survivors: A Qualitative Study." Journal of Transcultural Nursing 30, no. 2 (April 30, 2018): 146–53. http://dx.doi.org/10.1177/1043659618771142.
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Purpose: Fear of recurrence (FOR) of cancer is a distressing symptom and can negatively affect breast cancer survivors’ quality of life and psychological well-being. The purpose of this qualitative study was to explore Turkish breast cancer survivors’ experiences related to FOR. Design: The data were collected through semistructured interviews, which were conducted with 12 breast cancer survivors. Results: The data were categorized into four themes: the quality of fear, triggers, effects on life, and coping. FOR survivors’ lives in multiple aspects, and the women found it difficult to manage their fear. Implications: Nurses should be aware of FOR in survivors during follow-up care. In addition, it is essential to consider the impact of FOR on life, and survivors should be referred to appropriate resources and support services.
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Cardenal, Violeta, Margarita Ortiz-Tallo, Isabel Martín Frías, and Joaquina Martínez Lozano. "Life Stressors, Emotional Avoidance and Breast Cancer." Spanish Journal of Psychology 11, no. 2 (November 2008): 522–30. http://dx.doi.org/10.1017/s1138741600004522.
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Two groups of women were assessed in psychological aspects considered by some authors of interest for personal well-being. The sample consisted of 118 women, 58 diagnosed with breast cancer and 60 healthy women, of similar ages and personal circumstances. The purpose of the study was: (a) to explore the existence of stressful life events in the women's history and their degree of subjective distress and (b) to determine whether or not there is an emotional avoidance style in the group of women with breast cancer. The following assessment instruments were employed: the “Cuestionario de Formas de Afrontamiento” (CEA), the Five-Factor Inventory NEO-PI-R, and the State-Trait Anger Inventory (STAXI). The results revealed more stressful vital events in the last two years in the group of women with breast cancer and significant differences in the degree of current distress. They also obtained higher scores in current anger, resignation, and neuroticism.
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Lee, Chang Hyun. "Breast Cancer Gene (BRCA1, BRCA2)." Journal of Medicine and Life Science 1, no. 1 (December 1, 2003): 1–23. http://dx.doi.org/10.22730/jmls.2003.1.1.1.
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Most women with breast cancer do not have a familial history of the disease in a first degree relative and hereditary breast cancer caused by a mutant gene passed from parents to their children is rare; only 5-10% of breast cancers are estimated to be attributable to the inheritance of rare highly penetrant, germline mutations of genes, although this proportion is at younger ages of diagnosis. Mutations in BRCA1 and BRCA2 are responsible for most of these inherited breast cancers. Hereditary predisposition to breast cancer is responsible for autosomal-dominant transmission. Children of parents with a BRCA1 or BRCA2 mutation have a 50% chance of inheriting gene mutation. Hereditary breast cancer is characterized by early age at onset than sporadic cases, bilaterality, vertical transmission through both maternal and paternal lines, and familial association with tumors of other organs, particularly the ovary and prostate gland. Of the several hundred mutations in these genes, most lead to a frameshift resulting in missing or nonfunctioning proteins. Most of the BRCA1 an BRCA2 mutations are predicted to produce a truncated protein product, supporting the hypothesis that they are tumor suppressor genes. Progress in determining the function of BRCA1 an BRCA2 suggests that they are involved in two fundamental cellular processes, DNA damage repair and transcriptional regulation. The assessments of familial cancer risk are extremely varied, including families from different ethnic backgrounds with greater or less numbers of affective relatives at varying ages. And estimates of penetrance for BRCA1 and BRCA2 mutations range from 36% to 85% for breast cancer, and 16% to 60% for ovarian cancer. Tliree specific mutations in these genes accounted for 90% of the BRCA1 and BRCA2 variants within Ashkenazi Jewish population. For molecular correlations, BRCA1 cancers were shown to be more often estrogen receptor negative, more high grade tumors and more frequent mutations in p53 than nonhereditary cancers. The risk for breast cancer in female BRCA2 mutation earners appeal's similar to that for BRCA1 carriers, but the age of onset is shifted to an older age distribution. The growing body of data elucidating the functions of these genes suggest a gatekeeper role, characterized by interactions with other genes in the regulations of the cell cycle and DNA repair and may provide novel opportunities to develop genotype-based therapeutic approaches to treatment and prevention. Surveillance recommendations for women with germline BRCA mutations are necessary and women are encouraged to leam and practice breast self-examination beginning at age 18 and to begin annual mammogram screening at age 25. A number of women with BRCA mutations may consider undergoing surgical procedures (mastectomy and salpingooophorectomy) in attempt to reduce their risk. Nonsurgical options (tamoxifen medication) tor the prevention of hereditary breast cancer are currently limited.The choice of whether to undergo genetic testing is difficult on and should be made only after extensive consultation with a professional who is well versed in the counseling and management of families at hereditary risk. And psychological consequences of testing and the potential impact on family dynamics ai*e important considerations that must be individually addressed.The identification and location of these breast cancer genes will now permit further investigation of the precise role they play in cancer progression and will allow us to determine the percentage of total breast cancer caused by the inheritance of mutant genes. This in turn will ultimately enrich our understanding of all breast cancer, sporadic as well as hereditary, and will facilitate the identification of high-risk individuals. Most of above mentioned data are based on studies of European ancestry. It is needed to study many aspects of Korean breast cancer including age specific mutation prevalence, penetrance, molecular correlation, pathology, prognosis, surveillance and prevention options for women with BRCA mutations.In genetic studies, we need to examine the psychological and clinical impact of using gene-based diagnostic tests in families with heritable forms of breast cancer, assess public knowledge and attitudes about genetic testing for cancer risks and gather information needed to establish clinical protocols for the optimum use of these risk assessment technologies in the future.Furthermore, at least half of hereditary breast cancers are not linked to these genes. Remaining cases are not caused by another single, unidentified gene, but rather by many genes, each accounting for a small fraction of breast cancers.
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Acebedo, Juanita C., Barbara K. Haas, and Melinda Hermanns. "Breast Cancer–Related Lymphedema in Hispanic Women: A Phenomenological Study." Journal of Transcultural Nursing 32, no. 1 (December 2, 2019): 41–49. http://dx.doi.org/10.1177/1043659619891236.
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Introduction: Breast cancer–related lymphedema (BCRL), a long-term side effect of treatment, can occur at any point in time. With the extensive physical and psychological effects of BCRL, few studies have focused on the lived experience. The purpose of this study was to examine the lived experience of Hispanic women dealing with BCRL, particularly women of Mexican descent or origin. Method: Using interpretive phenomenology, 13 Hispanic women with BCRL, 42 to 80 years, were individually interviewed. Data analysis was conducted using interpretive reading of field notes, journal entries, and transcribed interviews. Results: Three central themes emerged from the findings, “sense of loss,” “resignation to the new self,” and “not knowing.” Further subthemes highlight the physical, psychological, and spiritual aspects of living with BCRL. Discussion: Cultural awareness of the impact BCRL has on activities of daily living of Hispanic women should be part of a holistic plan of nursing care when caring for this population.
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Surbone, Antonella. "The ethical challenge of genetic testing for breast cancer." Medicina e Morale 48, no. 3 (June 30, 1999): 469–84. http://dx.doi.org/10.4081/mem.1999.799.
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The scientific importance of our recently acquired ability to test for heredity predisposition to breast and ovarian cancers is paralleled only by its social and ethical relevance. Dilemmas are common in all genetic testing, but they assume particular nuances in the setting of breast cancer. Due to its devastating nature and to its increasing incidence, breast cancer is a central issue in women’s health. Breast cancer patients and women in general are often deeply involved in understanding the disease process and the treatment options, as they are in discussing the psychological, social and moral ramifications. This paper is a reflection upon some qualitative aspects of the debate that surrounds genetic testing for breast and ovarian cancer, as they have emerged in my encounters with breast cancer patients prior to their decision to consider genetic testing. The five recurrent themes identified in those conversations may or may not be representative of other practice situations, but they illustrate some fundamental philosophical, ethical and moral questions which exist at the core of our human essence and of our moral agency, and which point to the unavoidable intertwinement of medicine, culture, normativity and philosophy, vis-à-vis the many questions raised by genetics. The Author has intentionally refrained from questionnaires, which could betray the complexity of our thinking process, and from the vignettes, as they could betray confidentiality. The paper concludes that the correct answers to the dilemmas posed by genetic testing for breast cancer predisposition can only arise from a blend of medical, social and philosophical analysis.
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Wyatt, Gail E., Tamra Burns Loeb, Katherine A. Desmond, and Patricia A. Ganz. "Does a History of Childhood Sexual Abuse Affect Sexual Outcomes in Breast Cancer Survivors?" Journal of Clinical Oncology 23, no. 6 (February 20, 2005): 1261–69. http://dx.doi.org/10.1200/jco.2005.01.150.
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Purpose Little is known about a history of childhood sexual abuse (CSA) in breast cancer survivors and its relationship to sexual functioning after cancer. As part of a larger survey study examining sexuality and intimacy in breast cancer survivors, we conducted in-person interviews with a subsample of participants. Methods A total of 147 women in Los Angeles, CA, and Washington, DC, completed a structured interview that addressed sexual socialization and a history of sexual abuse. Trained female interviewers conducted the interviews. Descriptive statistics and regression analyses were used to examine the prevalence of CSA, and its potential impact on sexual health and functioning. Results One in three women reported at least one CSA incident. Among women who had experienced CSA, 71% reported a single incident, and 22% reported a penetrative form of sexual contact. In multivariate regression analyses examining physical and psychological aspects of sexuality and body image, CSA was not a significant predictor of physical discomfort. However, a history of penetrative CSA was a significant predictor of psychological discomfort (P = .02). Conclusion The prevalence of CSA in this sample was similar to the general population literature on this topic. In this small sample, a past history of CSA did not contribute significantly to the physical discomforts associated with sexual intimacy after breast cancer; however, our findings suggest that a past history of penetrative CSA is associated with increased psychological discomfort, and may warrant additional examination in future research.
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McCuaig, Jeanna M., Emily Thain, Janet Malcolmson, Sareh Keshavarzi, Susan Randall Armel, and Raymond H. Kim. "A Comparison of Patient-Reported Outcomes Following Consent for Genetic Testing Using an Oncologist- or Genetic Counselor-Mediated Model of Care." Current Oncology 28, no. 2 (April 8, 2021): 1459–71. http://dx.doi.org/10.3390/curroncol28020138.
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This study compares knowledge, experience and understanding of genetic testing, and psychological outcomes among breast and ovarian cancer patients undergoing multi-gene panel testing via genetic counselor-mediated (GMT) or oncologist-mediated (OMT) testing models. A pragmatic, prospective survey of breast and ovarian cancer patients pursuing genetic testing between January 2017 and August 2019 was conducted at the Princess Margaret Cancer Centre in Toronto, Canada. A total of 120 (80 GMT; 40 OMT) individuals completed a survey administered one week following consent to genetic testing. Compared to OMT, the GMT cohort had higher median knowledge (8 vs. 9; p = 0.025) and experience/understanding scores (8.5 vs. 10; p < 0.001) at the time of genetic testing. Significant differences were noted in the potential psychological concerns experienced, with individuals in the GMT cohort more likely to screen positive in the hereditary predisposition domain of the Psychosocial Aspects of Hereditary Cancer tool (55% vs. 27.5%; p = 0.005), and individuals in the OMT cohort more likely to screen positive in the general emotions domain (65.0% vs. 38.8%; p = 0.007). The results of this study suggest that OMT can be implemented to streamline genetic testing; however, post-test genetic counseling should remain available to all individuals undergoing genetic testing, to ensure any psychologic concerns are addressed and that individuals have a clear understanding of relevant implications and limitations of their test results.
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Αυδή, Ευρυνόμη, Δέσποινα Ζηλιασκοπούλου, and Παγώνα Ρούσση. "H εμπειρία της μαστεκτομής: Στίγμα και μεταβολές στην ενσώματη ταυτότητα." Psychology: the Journal of the Hellenic Psychological Society 19, no. 2 (October 15, 2020): 144. http://dx.doi.org/10.12681/psy_hps.23613.
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Breast cancer and its treatment have significant effects on a bodily, psychological and social level. Although there are many studies of breast cancer and its effects on women’s lives, the research literature that examines the experience of mastectomy and the meaning that women themselves attribute to it is relatively limited. This paper exploresthe experience of mastectomy in relation to social representations regarding femininity and health, which provide the context for and affect the personal meaning attributed to the experience, as well as women’sdecisions regarding treatment. The findings of a phenomenological study, based on interviews with eight women that had undergone mastectomy for breast cancer, are presented. The analysis focuses on aphenomenological description of the experience of mastectomy, whilst taking into account the fact that the female breast has particularly strong connotations of femininity, sexuality and motherhood, that is,important aspects of women’s identity. It seems that a central aspect of women’s experience of mastectomy is a sense that they are somehow ‘different’ and this sense is associated with a stigmatised identity. The ways in which women seem to manage the double stigma, associated with the identity of a cancer patient and with that of a ‘deficient’ woman, are further discussed in the paper.
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Deban, Melina, J. Gregory McKinnon, and Claire Temple-Oberle. "Mitigating Breast-Cancer-Related Lymphedema—A Calgary Program for Immediate Lymphatic Reconstruction (ILR)." Current Oncology 30, no. 2 (January 24, 2023): 1546–59. http://dx.doi.org/10.3390/curroncol30020119.
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With increasing breast cancer survival rates, one of our contemporary challenges is to improve the quality of life of survivors. Lymphedema affects quality of life on physical, psychological, social and economic levels; however, prevention of lymphedema lags behind the progress seen in other areas of survivorship such as breast reconstruction and fertility preservation. Immediate lymphatic reconstruction (ILR) is a proactive approach to try to prevent lymphedema. We describe in this article essential aspects of the elaboration of an ILR program. The Calgary experience is reviewed with specific focus on team building, technique, operating room logistics and patient follow-up, all viewed through research and education lenses.
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Bayu saputra, Yani Sofiani, and Diana Irawati. "The effect bibliotheraphy on depression and anxiety level of breast cancer patient at Arifin Achmad Regional General Hospital of Riau Province." Jurnal Kesehatan Komunitas 5, no. 3 (December 31, 2019): 248–53. http://dx.doi.org/10.25311/keskom.vol5.iss3.466.
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Patient with breast cancer who get chemotheraphy has an side effect, one of this effect is psychological problem. The psychological problem among breast cancer patient is about depression and anxiety. The implementation of biblioteraphy has a positive effect on psychological condition. The aim of this research was to identify the effect biblioteraphy method on the level of depression and anxiety of breast cancer patient. The method was used quasy experimental pretest-postest with intervention control group design. The sampel was 32 respondents using purposive sampling technique wich divided into 2 groups, the intervention group received biblioteraphy story telling method and pray of Prophet Ayyub Alaihisalam while the control group without intervention.The evaluation of psychological aspect depression and anxiety used Hospital Anxiety Depression Scale (HADS) in bahasa. The analysis of depression and anxiety changes measured using independent t-test. The result: There was a significant relationship between level of depression and anxiety in pre and post on respondents who received intervention and without intervention. Conclusion: the applying of intervention of biblioteraphy method with frequency as much as 5 time and maximum in 45 minutes proved in lowering level of depression and anxiety. It is suggested for applying bibliotheraphy when giving nursing care of breast cancer patient. The future research should investigate other aspect such as education and environment against level of depression and anxiety.
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Tommasi, Chiara, Rita Balsano, Matilde Corianò, Benedetta Pellegrino, Giorgio Saba, Fabio Bardanzellu, Nerina Denaro, et al. "Long-Term Effects of Breast Cancer Therapy and Care: Calm after the Storm?" Journal of Clinical Medicine 11, no. 23 (December 6, 2022): 7239. http://dx.doi.org/10.3390/jcm11237239.
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Breast cancer is still a lethal disease and the leading cause of death in women, undermining patients’ survival and quality of life. Modern techniques of surgery and radiotherapy allow for the obtaining of good results in terms of survival, however they cause long-term side effects that persist over time, such as lymphedema and neuropathy. Similarly, the advent of new therapies such as endocrine therapy revolutionized breast cancer outcomes, but side effects are still present even in years of follow-up after cure. Besides the side effects of medical and surgical therapy, breast cancer is a real disruption in patients’ lives considering quality of life-related aspects such as the distortion of body image, the psychological consequences of the diagnosis, and the impact on family dynamics. Therefore, the doctor-patient relationship is central to providing the best support both during treatment and afterwards. The aim of this review is to summarize the consequences of medical and surgical treatment on breast cancer patients and to emphasize the importance of early prevention of side effects to improve patients’ quality of life.
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Yaneva, Galina, Tsonka Dimitrova, Dobri Ivanov, Gergana Ingilizova, and Sergei Slavov. "Quality of Life of Bulgarian Breast Cancer Female Patients." Open Access Macedonian Journal of Medical Sciences 9, B (September 4, 2021): 925–30. http://dx.doi.org/10.3889/oamjms.2021.6665.
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BACKGROUND: During recent years, breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in females worldwide and in Bulgaria as well. The issues of satisfactory individual quality of life (QoL) after treatment represent undoubted interest and contribute to the elaboration and implementation of specific assessment questionnaires and scales. AIM: The objective of the present study was to assess some aspects of the QoL in female patients with breast cancer following successful disease management. MATERIALS AND METHODS: We examined a total of 57 female breast cancer patients operated on between 2018 and 2020 at a mean age of 47.89 ± 6.71 years (range, 30–59 years). They filled in the upper limb lymphoedema QoL questionnaire containing 27 items. RESULTS: There was a significant prevalence of the ductal carcinoma and nonspecific invasive carcinoma, of the luminal B- human epidermal growth factor receptor-2 (HER2) positive and luminal B-HER2 negative breast cancer as well as of grade two of differentiation. The responses with “not at all” dominated concerning the domains of “activities of daily living” and “health-related complaints. There was a great variety of the frequency of different patient’s responses to one and the same question when all 27 questions of all 57 patients were assessed as a whole. There was only one response with suffering “a lot” given to all the four items dealing with health-related complaints. The response with “a little” inclination dominated concerning the psychological dimension. The responses with “a lot” disturbance in terms of three items (“in your emotional life with your partner”, “look at yourself in a mirror” and “in your professional relationships”) considerably prevailed indicating the pronounced unfavourable influence on these patients’ quality of social life exerted by the breast cancer. CONCLUSION: Breast cancer moderately affects individual patient’s QoL following successful treatment. Future research using additional specific questionnaires and focusing on the emotional and social aspects of the QoL could contribute to the improvement of patient’s life characteristics.
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DeSouza, Rebecca, Shona Milon Nag, Rama Sivaram, and Anupama Dutt Mane. "From helplessness to self help: Breast cancer surviorship in India." Journal of Clinical Oncology 35, no. 5_suppl (February 10, 2017): 208. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.208.
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208 Background: In The Indian Scenario, a diagnosis of cancer is accompanied with social stigma and emotional upheavals, especially in breast cancer patients. They are typically thinking: “I would be less of a woman,” “I don’t know if people understand me,” “I feel isolated from myself, my family and my friends,” “Would I be normal again?” “Do I know how to help myself?” or “What will happen in the future, to my kids, to my husband?” Methods: All of these concerns are not always addressed by the medical professions. To address these issues, the Indian Breast Cancer Survivors Conference was organized as an annual conference with an attendance of 200-250 breast cancer survivors from the state of Maharashtra, India. The conference would address the psychological, emotional and social distress experienced by the patients with an aim from living a longer life to living a better and fulfilled life. Results: The emphasis of the sessions were educational (with recent updates on the surgical, medical and radiation therapy aspects of breast cancer treatment), practical (emphasized important issues like side-effects of treatment, patient advocacy, complementary therapies, spirituality, lifestyle changes, etc.), and entertaining. The summary and outcomes of the last 5 annual survivorship conferences will be described and enumerated. Results of questionnaires administered during the last 2 conferences and addressing health behavior patterns of survivors will be presented. Conclusions: We can evaluate through post conference support group discussions and conference feedback, qualify patient psychological and social health as 1) Physical:There are side effects but I choose to go on; 2) Mental: There are times that I am low, depressed, anxious, scared, guilty, but this is my new normal; 3) Emotional:Little things upset me, angry quickly but I am dealing with it; 4)Spiritual:Moved away from bargaining with God to accepting, from rituals to spiritual; 5) Social:don’t hesitate to reach out for support and to support; and 5) Intellectual:Knowledge is power, so I have learned to ask, to question, and then to decide. Achieving psychological and social health is the effort of the patient, the treating team and the support group.
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Krishnan, Chandralekha. "Abstract P4-12-13: Psychosocial aspects in relation to clinical status of breast cancer patients after prolonged COVID pandemic in south India: A observational survey study." Cancer Research 82, no. 4_Supplement (February 15, 2022): P4–12–13—P4–12–13. http://dx.doi.org/10.1158/1538-7445.sabcs21-p4-12-13.
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Abstract BACKGROUND:The prolonged global threat imposed by covid 19 pandemic’s first and second wave has created immense stress among the breast cancer due to interruptions of standard oncological care. The frequent lockdown imposed had tremendous impact on the patients’ financial status and posed hinderance in transportation to oncological centre. In our hospital, majority of the treatment population are from distant places and below poverty line. We conducted a questionnaire based study to assess the psychological impact in this situation affecting their quality of life(QOL) and their perspective in this current situation. MATERIALS AND METHODS:Breast cancer patients who had been diagnosed and registered in our department from 1st January to 1stApril 2020 before the covid out break were tracked from the medical records. The patients details, disease status dates of follow up and the treatment details were collected.Defaulted patients were contacted.Post one year, in April 2021, these patients were assessed clinically and questioned regarding the treatment perspective. Psychological status and health related quality of life were analysed with GAD-7 (Generalised anxiety disorder questionnaire), PHQ-9 (patient health questionnaire) and EORTC QLQ-C30 questionnaire.RESULTS:A total of 202 breast cancer patients were included. 83 patients(41%) were diagnosed with early breast cancer of which 67(33%) patients were started on adjuvant chemotherapy after surgery,16 (8%)were registered for hormonal therapy. 54(27%) patients with locally advanced, were on neoadjuvant chemotherapy. 65(32%)had metastatic disease at presentation. 23 of 65 metastatic patients were in visceral crisis and were on supportive management for the same. 35 patients had been started on palliative chemotherapy. Out of the 156 patients who had been in initiated with various chemotherapy, only 62(31%) patients were able to review at correct interval for the scheduled chemotherapy. 45 patients(22%) reviewed in the day care irregularly. Among the 45, 28 patients had locally advanced breast cancer and 22 patients had clinical progression due to prolonged gap. 38 patients(19%) had defaulted completely.Of the 38,16 had advanced disease and presented with clinical progression of disease and switched to second line chemotherapy. 15 patients progressed to have distant metastases and are started on palliative chemotherapy or supportive care. 7 patients who were on adjuvant chemotherapy are kept under close follow up. 11 patients with metastatic breast cancer had died during the past one year. 3 patients had committed suicide.112(55 %) patients were within the city. 71 patients(35%) were from suburban areas. 19 patients(10%) were from adjacent rural areas. 113(56%) were educated.176 (87 %) were desperate to continue treatment inspite of pandemic, while remaining patients main concern was to avoid infection than to get oncological management. While the most common reason for defaulting was travel restrictions, few also documented financial issues and ignorance about progression of cancer. 46 (22%)of patients who had been visiting the day care had turned covid positive. Except for 2 patients who succumbed to the infection, none had major complications. 51%, 42%, 7% had mild, moderate and severe anxiety. 69%, 25%, 6% had mild, moderate and severe depression. The severe anxiety and depression was significant with metastatic breast cancer and educated patients. There were 3 suicides. The overall heath score had a mean of 4. The overall QOL had a mean score of 3 (1- very poor to 7- excellent).CONCLUSION: In patients who were already psychologically affected by onset of cancer, the chaos created by the pandemic added to it further. Hence the patients also need counseling appropriately during oncological treatment Citation Format: Chandralekha Krishnan. Psychosocial aspects in relation to clinical status of breast cancer patients after prolonged COVID pandemic in south India: A observational survey study [abstract]. In: Proceedings of the 2021 San Antonio Breast Cancer Symposium; 2021 Dec 7-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2022;82(4 Suppl):Abstract nr P4-12-13.
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Gercovich, Daniela, Pablo Lopez, Diego Bortolato, Patricia Margiolakis, Mirta Morgenfeld, Laura Rosell, Claudia Lorena Acuna, and Ernesto Gil Deza. "Τhe modulatory role of psychological distress in the relationship between illness perception and quality of life in patients with breast cancer." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): e20657-e20657. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e20657.
Full textAbstract:
e20657 Background: In a previous study (Gercovich et al., 2011) we found that several dimensions of Illness Perception predicted some aspects of Quality of Life. The present study introduces Psychological Distress as a variable to assess the modulatory role it plays in the association between Illness Perception dimensions and Quality of Life in patients with breast cancer, identifying which of these two variables explain further variability in the different aspects of Quality of Life. Methods: A cohort of seventy-five patients was evaluated with the Brief Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-30). We calculated bivariate and partial correlations to evaluate the associations between the illness perception dimensions and different aspects of quality of life, controlling these associations by the psychological distress measure. Subsequently, we performed linear regression analysis to evaluate which of these two variables better explains the variability in the quality of life scores. Results: Although significant associations between subscales of perception of illness and quality of life were found, most of them lost their significance when controlled by distress. In the regression models, variables that predicted the variability in the quality of life best were psychopathological diagnostic and distress. Conclusions: According to the study results, psychological distress and psychopathological diagnostic were the two variables that better explained the variability in the quality of life. For this reason it is essential to learn more about the role these variables play on the quality of life and on the morbidity and mortality associated to them.