A literature review of the social and psychological needs of ovarian cancer survivors

Abstract

Objective: To identify and comprehensively present the psychosocial needs of ovarian cancer (OvCa) survivors, including young survivors <45 years of age.Methods: A literature review was conducted using keywords specific to psychosocial health and OvCa survivorship to identify peer-reviewed, original research articles published in English between January 2000 and December 2010; 28 articles were identified as relevant. Articles were abstracted and results categorized according to six psychosocial domains: quality of life (QoL), social support and relationships, self-image and sexual functioning, psychological distress and functioning, fear of death/recurrence, and personal growth and coping. Findings unique to young survivors are presented when applicable. Psychosocial measurement tools used in relevant studies are also presented.Results: Physical complications and side effec ts have significant impact on OvCa survivors' psychosocial health. Access to social support services and relational support is critical, as feelings of isolation are common. Survivors report low levels of sexual activity and satisfaction, potentially causing strain on personal relationships, and survivors experience high levels of distress, depression, and anxiety. However, QoL can improve after diagnosis for some OvCa survivors, many of whom report spiritual growth and strengthened personal relationships. Younger survivors are likely to have greater distress and lower QoL compared with older survivors.Conclusions: OvCa is the deadliest of all gynecologic cancers, greatly impacting the psychosocial health of survivors. Increased awareness of psychosocial health among OvCa survivors themselves, their social support system, and their health care providers is necessary to adequately address their unique needs.

Quality of Life in Ovarian Cancer Patients Choosing to Receive Salvage Chemotherapy or Palliative Treatment

“…However, the side effects of the salvage treatment may be a significant cause of distress and excessive disability. Physical complication and side effect have significant impact on ovarian cancer survivors' psychological health (Roland et al,2013). Since the treatment is usually aggressive, some patients choose to deny salvage chemotherapy.…”

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

“…Identifying coping strategies and needs associated with poor psychosocial health is important to developing and appropriately targeting interventions for ovarian cancer patients (Roland et al, 2013).…”

Self-Reported Distress in Patients With Ovarian Cancer: Is It Related to Disease Status?

“…4 Because most of the patients experienced no distress and median time after first surgery was 3.3 years, patients probably have learned to cope with their feelings, experienced personal growth, had positive personal transition, adjusted to the disease or changed perspectives on life, and anxiety and depression symptoms improved over time. 4,32,34,35 Our study had several limitations. This study was crosssectional, used self-reported questionnaires which resulted in missing data.…”