Assessment of Distress Among Chemotherapy Patients: A Comparative Study of Gender

Bergerot, Cristiane Decat; Araújo, Tereza Cristina Cavalcanti Ferreira de; Tróccoli, Bartholomeu Tôrres

doi:10.1590/1982-43272457201408

Cited by 16 publications

(16 citation statements)

References 46 publications

(65 reference statements)

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“…It is essential to recognize and reflect upon gender roles given the need to provide therapeutic guidance and develop programs and public policies for each health specialty (13). Gender norms, roles and relations can influence health outcomes and affect the attainment of mental, physical and social health and well-being (14).…”

Section: Original Articlementioning

confidence: 99%

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Gautam

Poudel

2016

J. Gastrointest. Oncol.

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Background: Stoma can pose extensive challenges for colorectal cancer survivors. Identifying the psychological and social adjustment among them and how it differs by gender will aid in identifying those particularly at risk of having poor adjustment and in planning programs to improve their adjustment. The purpose of this study was to determine the effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy. Methods: A descriptive cross sectional study was carried out in the stoma clinic of B.P. Koirala Memorial Cancer Hospital, Bharatpur, Nepal. A purposive sample of 122 patients with ostomy was taken from the above mentioned setting. Selection criteria included colorectal cancer survivors having ostomy for at least 6 months. Data on socio-demographic and clinical variables were collected. Psychosocial adjustment was measured using Ostomy Adjustment Inventory-23 (OAI-23).Results: A total of 122 patients were included in the study. Mean time since ostomy surgery was 2.53 and 1.98 years for men and women respectively. Both men and women had significant impairment in the psychosocial adjustment, however, men had significantly lower psychosocial adjustment score (37.68±12.96 vs.43.45±12.81, t=−2.47, P=0.015) at 95% CI as compared to women and they reported more negative emotions. Furthermore, men significantly predicted low acceptance {β=−3.078, P=0.023, ΔR 2 =0.036, F [4,117] =7.90, P<0.001} and social engagement score {β=−2.501, P<0.001, ΔR 2 =0.098, F [4,117] =6.03, P<0.001}. Conclusions:Colorectal cancer survivors with ostomy should be monitored for psychosocial concerns in regular basis and health care providers should tailor care based on their need. Approaches of survivorship care and psychosocial interventions in colorectal cancer survivors with ostomy should take into account gender specific concerns and requirements to aid adjustment. J Gastrointest Oncol 2016;7(6):938-945 jgo.amegroups.com (QoL) scores in patients with ostomy (6,7). Furthermore, qualitative analysis has explored that low score in QoL is mainly attributable to the psychosocial issues (8)(9)(10)(11)). Yet, clinical outcome measures are mostly confined to laboratory results, complication rates and death, which often overlook those aspects of functioning and fall short to provide complete picture of how patient's life has been affected by the disease and its sequelae. Hence, detail analysis of psychosocial adjustment to measure actual outcome in these population is very essential, where psychosocial adjustment is the integration of illness or disability into the individual's life, identity, self concept, and body image (12).Deep rooted differences in men and women in societies can shape people's lives and their adjustment. It is essential to recognize and reflect upon gender roles given the need to provide therapeutic guidance and develop programs and public policies for each health specialty (13). Gender norms, roles and relations can influence health outcomes and affect the attainment of mental, physical and ...

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Section: Original Articlementioning

confidence: 99%

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Gautam

Poudel

2016

J. Gastrointest. Oncol.

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“…Sex has been identified as an important potential moderator of one's response to cancer and cancer treatment . The majority of studies suggest that female patients are more likely to report higher levels of distress than male patients, regardless of the type of cancer, disease stage or timing of the screening (e.g. at diagnosis or post‐treatment) .…”

Section: Introductionmentioning

confidence: 99%

“…The majority of studies suggest that female patients are more likely to report higher levels of distress than male patients, regardless of the type of cancer, disease stage or timing of the screening (e.g. at diagnosis or post‐treatment) . Evidence also suggests that females will report higher levels of distress than males regardless of whether they are the patient or the partner .…”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial problem‐related distress in cancer: examining the role of sex and age

et al. 2016

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“…24 It is important, therefore, to think of breast cancer in all its aspects, as it is a disease which affects the woman not only in the physical ambit, but which also compromises the relationship which she has with her body image and with different aspects of her social and affective life. [25][26][27] As limitations of this study, emphasis is placed on the fact that it used a convenience sample, as well as the fact that the women who participated in the study attended a psychosocial rehabilitation group, in which they received information about cancer and its implications, as well as being in constant contact with other women who had undergone breast reconstruction. In spite of these limitations, it is believed that this study's results can contribute to improving the quality of care for women with breast cancer, through offering the health professionals new information regarding the physical, emotional and social consequences associated with breast reconstruction.…”

Section: The Loss Of the Breast's Sensitivitymentioning

confidence: 99%

Impact of the Effects of the Reconstructive Surgery in the Life of Women With Breast Cancer

Inocenti¹,

Santos²,

Loyola³

et al. 2016

Texto contexto - enferm.

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This is a descriptive study which aimed to investigate the impact of the effects of reconstructive surgery in the life of women with breast cancer. Semistructured and audiorecorded, interviews were held with 14 women who had had mastectomies, who were registered in a rehabilitation center. Social Representation Theory was used for discussion of the data. Thematic analysis guided the analysis of the data. The categories which emerged from the interviews are related to the way in which the woman sees herself after the reconstruction, and what this meant in her life, and how she perceives its benefits and lives with the resulting limitations. The reconstruction of the breast, in some cases, allowed recovery of self-image and overcoming of the trauma caused by the disease. On the other hand, the postoperative complications gave rise to fear of further loss, fear of compromise in the sexual sphere, and fear in the perception of the reconstructed breast. The health team must offer appropriate information such that the woman may participate in the decisions regarding the operation.

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Assessment of Distress Among Chemotherapy Patients: A Comparative Study of Gender

Cited by 16 publications

References 46 publications

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Biopsychosocial problem‐related distress in cancer: examining the role of sex and age

Impact of the Effects of the Reconstructive Surgery in the Life of Women With Breast Cancer

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