A Qualitative Study Examining Psychosocial Distress, Coping, and Social Support Across the Stages and Phases of Epithelial Ovarian Cancer

Power, Jenelle; Brown, Laura G.; Ritvo, Paul

doi:10.1080/07399330701876521

Cited by 46 publications

(61 citation statements)

References 12 publications

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“…Zabora, Brintzenhofeszoc, Curbow, Hooker, and Piantadosi (2001) reported that approximately 20% of these patients experience a significantly elevated level of distress after a new diagnosis. Psychosocial distress has also been noted for women during the screening process for ovarian cancer, during the diagnosis and treatment phase of illness, and at times of recurrence (Kornblith et al, 1995;Petersen, Graham, & Qunlivan, 2005;Power, Brown, & Ritvo, 2008;Robinson, Rosen, & Bradley, 1997). High levels of anxiety and depression have been reported during chemotherapy treatment (Guidozzi, 1993;Kornblith et al) with high distress scores continuing for one third of the long-term survivors of ovarian cancer (Ersek et al, 1997).…”

Section: Literature Reviewmentioning

confidence: 99%

“…While some qualitative research has been completed (e.g., Ekman et al, 2004;Ferrell, Smith, Cullinane, et al, 2003;Power et al, 2008), there is very little quantitative, especially around whether or not people want help with their needs. This initial study is useful for pinpointing areas of concern and identifying potential areas for future research and development of interventions.…”

Section: Referencesmentioning

confidence: 99%

“…As Beever (2004) pointed out, "patients need information for a variety of reasons" (p. 193) because cancer and its treatment have physical, social, psychological, emotional, practical and spiritual impacts that all require some form of information to help patients manage their lives. Future interventions ought to be designed to address all domains (OtisGreen et al, 2008;Power et al, 2008).…”

Section: Referencesmentioning

confidence: 99%

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Identifying supportive care needs of women with ovarian cancer

Fitch¹,

Steele²

2010

CONJ

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Women diagnosed with ovarian cancer may experience many shortterm and long-term effects from cancer and its treatment. Cancer has more than a physical impact, yet there is a lack of information about the types of needs these women have and whether they want help in meeting their needs.The main purpose of this cross-sectional, descriptive study was to identify the supportive care needs (physical, emotional, social, informational, spiritual, psychological and practical) Ovarian cancer is the fourth leading cause of cancer-related death for women in Canada. An estimated 2,500 new cases of ovarian cancer and 1,700 deaths from the disease were expected in 2008 (National Cancer Institute of Canada, 2008). Women with ovarian cancer may face particularly difficult situations involving distress because of the aggressive surgical procedures used in treatment together with the toxic chemotherapy regimens (Armstrong, 2002;Pignata, Ballatori, Favalli, & Scambia, 2001). At present, there is a lack of knowledge about the supportive care needs of these women.Nursing staff in the gynecological clinic of a comprehensive, ambulatory cancer care centre in Ontario, Canada, were interested in understanding the supportive care needs of women with ovarian cancer attending the clinic. The staff wanted to provide optimal care to these women and were eager to further their knowledge about women's unmet needs. Although the nurses had a sense of what women needed, there was very little empirical research to support their beliefs. This study was developed to address this gap in evidence. Literature reviewOvarian cancer has a profound and variable course characterized by an initial response to antineoplastic therapies, followed by relapse and progression of disease. As a result, the disease has a significant physical and emotional impact on women and their families (Fitch, Deane, & Howell, 2003;Fitch, Gray, & Franssen, 2001;Howell, Fitch, & Deane, 2003a, 2003b). Some researchers have described this impact on quality of life (Bezjak et al., 2004;Ersek, Ferrel, Dow, & Melancon, 1997;Ferrell et al., 2005;Fish & Lewis, 1999; LockwoodRayermann, 2006;Schulman-Green, Ercolano, Dowd, Schwartz, & McCorkle, 2008;Wenzel et al., 2002), while others have reported the symptom burden (Montazeri, McEwen, & Gillis, 1996;Portenoy et al., 1994) and psychosocial distress experienced by this group of patients (Greimel & Friedl, 2000;Hamilton, 1999;Wenzel et al., 2002). Relatively consistent findings have been reported: marked anxiety and depression have been observed in many women; sexuality was often negatively influenced; social functioning was impaired, especially as it related to the ability to go to work; and physical functioning and disease progression were often predictive of changes in quality of life. Women reporting the lowest quality of life were more likely to be younger, more educated, un-partnered, or living with advanced disease (Schulman-Green et al.). Frequently, data regarding ovarian cancer patients are subsumed within general gynecol...

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Section: Literature Reviewmentioning

confidence: 99%

Section: Referencesmentioning

confidence: 99%

Section: Referencesmentioning

confidence: 99%

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Identifying supportive care needs of women with ovarian cancer

Fitch¹,

Steele²

2010

CONJ

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“…[15][16][17][18][19] While elevated levels of stress and anxiety are common among cancer patients in general, levels of distress among those with lung cancer are nearly always higher than all other cancer sites. [20,21] In a study by Zabora et al including over 4,400 patients comparing 14 different cancer sites, the prevalence of distress was found to be highest among lung cancer patients (43.4%).…”

Section: Discussionmentioning

confidence: 99%

Elevated distress among patients undergoing screening for lung cancer

Plank

Nemesure

2015

JNEP

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Objective: Low-dose CT scanning has recently been recommended to screen patients at elevated risk of developing lung cancer, however, limited data exist describing distress experienced by this at-risk population. The objective of this study is to describe the prevalence and risk factors of high distress among patients undergoing screening for lung cancer. Methods: The validated National Comprehensive Cancer Network Distress Thermometer (DT) was used to evaluate distress prior to and following lung cancer screening among 228 patients attending the Center for Lung Cancer Screening and Prevention at the Stony Brook Cancer Center between September 30, 2013 and September 29, 2014. Clinically significant distress was defined by a score ≥ 4 on the DT instrument and logistic regression models were used to evaluate factors associated with high distress. Results: Forty-three percent of study participants experienced elevated distress prior to screening, while approximately one-third of patients reported distress scores ≥4 post-screening. Risk factors for elevated distress before screening included female gender (OR = 2.68; 95% CI [1.51, 4.77]) and having a positive family history of lung cancer (OR = 2.02 [1.04, 3.91]), while significant associations with post-screening distress were found among females (OR = 3.16 [1.73,5.80]), current smokers (1.85 [1.00, 3.42]) and those with a positive personal history of a non-cancerous lung diagnosis (OR = 1.87 [1.00, 3.51]). Conclusions: The lung cancer screening population is a vulnerable group burdened by increased levels of distress. The screening visit represents a unique opportunity to not only educate patients about lung health and smoking cessation but additionally to address issues related to psychological wellness.

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“…Development of self-management skills is particularly urgent for women with ovarian cancer as frequent recurrence, limited treatment options, and an often short prognosis abruptly propel these women into a period of intense transitions (Power, Brown, & Ritvo, 2008). Transitions, or passages between two relatively stable periods of time during which an individual moves from one life phase, situation, or status to another (Schumacher, Jones, & Meleis, 1999), are times of vulnerability to risks that may influence health and well-being (Davies, 2005).…”

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confidence: 99%

One Step at a Time: Self-Management and Transitions Among Women With Ovarian Cancer

Bradley¹,

Nicholson²,

George³

et al. 2012

Oncology Nursing Forum

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Purpose/Objectives To describe experiences of self-management and transitioning among women with ovarian cancer. Research Approach Interpretive description. Setting Participants’ homes. Participants Purposive sample of 10 women with ovarian cancer. Methodologic Approach Individual interviews about women’s self-management and transition experiences. Main Research Variables Self-management, transitions, and ovarian cancer. Findings Participants self-managed to increase their sense of control and to self-advocate. They managed their care one step at a time to prevent becoming overwhelmed. Common transitions were diagnosis, surgery and recovery, starting chemotherapy, managing symptoms, and recurrence. Transitions were challenging, even if previously experienced, and influenced the ability and willingness of women to self-manage. Barriers and facilitators to self-management were identified. Conclusions The approach to self-management of one step at a time is somewhat illusory, as women face multiple transitions simultaneously. The short trajectory of ovarian cancer leaves little time between transitions and an awareness of mortality. Women are forced to confront goals of care quickly, which may affect their ability to self-manage. Interpretation Women with ovarian cancer need clinical and social support to prioritize and manage transitions. Introducing palliative care shortly after diagnosis could facilitate women’s anticipation of and adjustment to transitions.

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A Qualitative Study Examining Psychosocial Distress, Coping, and Social Support Across the Stages and Phases of Epithelial Ovarian Cancer

Cited by 46 publications

References 12 publications

Identifying supportive care needs of women with ovarian cancer

Identifying supportive care needs of women with ovarian cancer

Elevated distress among patients undergoing screening for lung cancer

One Step at a Time: Self-Management and Transitions Among Women With Ovarian Cancer

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