Age-related differences in the quality of life of breast carcinoma patients after treatment

Wenzel, Lari; Fairclough, Diane L.; Brady, Marianne J.; Cella, David; Garrett, Kathleen; Kluhsman, Brenda C.; Crane, Lori A.; Marcus, Alfred C.

doi:10.1002/(sici)1097-0142(19991101)86:9<1768::aid-cncr19>3.0.co;2-o

Cited by 299 publications

(204 citation statements)

References 36 publications

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“…In particular, younger women were significantly more likely to experience depression, anxiety, and cancer-related distress, a pattern that is consistent with previous studies of breast cancer survivors (Wenzel et al, 1999;Arndt et al, 2004). Age was the most robust predictor of distress and remained significant in models with multiple predictors.…”

Section: Discussionsupporting

confidence: 89%

Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

et al. 2007

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Clinical and anecdotal findings suggest that the completion of cancer treatment may be marked by heightened distress and disrupted adjustment. The present study examined psychological adjustment during the 3 months following treatment among 89 women with stages 0 -III breast cancer. Participants completed measures of depression, cancer-related anxiety, cancer concerns, and quality of life at three time points: during treatment, 3 weeks following the end of treatment, and 3 months post-treatment. Post-treatment scores were suggestive of good psychological adjustment among the majority of women. Moreover, distress did not increase following treatment; longitudinal analyses showed no significant changes in depression or recurrence worry, while intrusive thoughts decreased, and quality of life improved. Younger age predicted greater distress across measures. A history of depression or anxiety predicted greater depressive symptomatology, while more extensive treatment predicted greater cancer-related anxiety. Despite the lack of distress endorsed on general depression and anxiety indices, participants reported moderate distress associated with cancer-related concerns, including physical problems, fear of cancer recurrence, and resuming normal life. In sum, while breast cancer survivors demonstrate good adjustment on general distress indices following treatment, some women are at risk for sustained distress. Moreover, significant cancer-related concerns are prevalent and may be important intervention targets.

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Section: Discussionsupporting

confidence: 89%

Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

et al. 2007

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“…Specific symptoms predictive of distress included depression, anxiety, pain, and fatigue. Consistent with previous research, younger patients were more likely to report higher levels of distress along with an interest in obtaining help for distress [14]. Distress levels were not associated with any other clinical variables, including stage of illness or treatment type.…”

Section: Discussionsupporting

confidence: 86%

“…Younger patients and women report higher levels of distress [7,11,14,15], and individuals with lung cancer, compared to individuals with other cancer diagnoses, also report higher levels of distress [15,17]. Approximately 43% of patients with lung cancer report clinically-significant levels of distress [15,18], compared to about 33% of patients with breast cancer and 32% of patients with colon cancer [15].…”

Section: Introductionmentioning

confidence: 99%

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Distress screening in a multidisciplinary lung cancer clinic: Prevalence and predictors of clinically significant distress

et al. 2007

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SummaryScreening for distress in cancer patients is recommended by the National Comprehensive Cancer Network, and a Distress Thermometer has previously been developed and empirically-validated for this purpose. The present study sought to determine the rates and predictors of distress in a sample of patients being seen in a multidisciplinary lung cancer clinic. Consecutive patients (N = 333) were recruited from an outpatient multidisciplinary lung cancer clinic to complete the Distress Thermometer, an associated Problem Symptom List, and two questions about interest in receiving help for symptoms. Over half (61.6%) of patients reported distress at a clinically significant level, and 22.5% of patients indicated interest in receiving help with their distress and/or symptoms. Problems in the areas of family relationships, emotional functioning, lack of information about diagnosis/treatment, physical functioning, and cognitive functioning were associated with higher reports of distress. Specific symptoms of depression, anxiety, pain and fatigue were most predictive of distress. Younger age was also associated with higher levels of distress. Distress was not associated with other clinical variables, including stage of illness or medical treatment approach. Similar results were obtained when individuals who had not yet received a definitive diagnosis of lung cancer (n = 134) were excluded from analyses; however, family problems and anxiety were no longer predictive of distress. Screening for distress in a multidisciplinary lung cancer clinic is feasible and a significant number of patients can be expected to meet clinical criteria for distress. Results also highlight younger age and specific physical and psychosocial symptoms as predictive of clinically-significant distress. Identification of the presence and predictors of distress are the first steps toward appropriate referral and treatment of symptoms and problems that contribute to cancer patients' distress.

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“…23 As documented in the literature with medical populations, a score of у20 on either subscale is indicative of significant stress response. 24,25 …”

Section: Impact Of Events Scale (Ies)mentioning

confidence: 99%

Psychosocial adjustment of patients and caregivers prior to allogeneic bone marrow transplantation

Siston

List

Daugherty

et al. 2001

Bone Marrow Transplant

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Summary:There are many studies that examine the psychosocial adjustment of survivors of bone marrow transplantation (BMT). On the other hand, there are relatively few studies that examine the psychosocial adjustment of patients prior to BMT, and even fewer that focus on the psychosocial adjustment of the patient's caregiver. The purpose of the present study was to assess performance status and psychosocial adjustment to illness, mood and stress response of patients and caregivers prior to admission for allogeneic BMT. Forty patients and their 39 caregivers were assessed using standardized measures. One-fourth of the patients reported clinical levels of psychosocial maladjustment on the Psychosocial Adjustment to Illness Scale and had greater adjustment problems than BMT survivors. Approximately onethird (35%) and one-quarter (23%) of the patients reported significant symptoms of intrusive and avoidance stress responses, respectively on the Impact of Events Scale. Caregivers reported more impairments in family relationships than patients, but overall reported similar distress to that of patients. Information about the pre-BMT process appears to be critical to understanding the psychosocial impact that BMT can have on patients and their caregivers. Bone Marrow Transplantation (2001) 27, 1181-1188.

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Age-related differences in the quality of life of breast carcinoma patients after treatment

Cited by 299 publications

References 36 publications

Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

Distress screening in a multidisciplinary lung cancer clinic: Prevalence and predictors of clinically significant distress

Psychosocial adjustment of patients and caregivers prior to allogeneic bone marrow transplantation

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