Anxiety and coping in women with breast cancer in chemotherapy

Silva, Araceli Vicente da; Zandonade, Eliana; Amorim, Maria Helena Costa

doi:10.1590/1518-8345.1722.2891

Cited by 25 publications

(25 citation statements)

References 11 publications

(23 reference statements)

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“…As fasting is currently not recommended, patients should be encouraged to find alternative coping problem-focused strategies to reduce anxiety. Health psychologists could play a key role in helping patients to do so (da Silva et al, 2017;Fischer & Tarquinio, 2006). Health psychologists could also suggest cognitive behavioural therapies to efficiently manage both anxiety and depression (DuHamel et al, 2010;Yi & Syrjala, 2017).…”

Section: Conclusion and Clinical Implicationsmentioning

confidence: 99%

Why do women fast during breast cancer chemotherapy? A qualitative study of the patient experience

Mas

Bonniec

Cousson‐Gélie

2019

British J Health Psychol

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Background Why do patients practice fasting? The effects of fasting before treatment with chemotherapy for cancer in humans are currently unknown. However, there is an apparent enthusiasm for fasting among cancer patients. This qualitative study provides data on the motivations to fast and the experience of fasting among a population of women with breast cancer. Method Sixteen semi‐structured interviews were conducted, and two researchers independently performed a thematic analysis. To ensure the internal validity of the study, patients had the possibility to rate their agreement with the study results through a satisfaction questionnaire. Results Six main themes were identified in this study: main reasons to fast, alternative authorities to the oncologist, adapting the fast to social and lifestyle constraints, fasting effects felt during chemotherapy, barriers and facilitators of fasting during chemotherapy, and seeking for a more integrative medicine. Patients’ primary motivation to fast was to lower the negative side effects of chemotherapy. Fasting was also reported as a coping strategy to give them a greater sense of control over their treatment and to reduce their anxiety. Clinical implications Results from the study suggest that, if discouraged from fasting, patients may turn to complementary health care practitioners for support. Medical professionals may thus not know of patients’ fasting practice. Health psychologists could play a key role fostering the dialogue between different health professionals and the patient. They could also help to meet patients’ needs during cancer treatment to reduce treatment anxiety. What is already known on this subject? Fasting diet in cancer treatment has become an important topic since Raffaghello et al. published their study on mice in 2008. While the (positive) effects of fasting in humans remain to be proven, there has been a significant enthusiasm for this practice among patients in the last few years. However, patients’ motivations to fast remain unclear to the scientific community and clinicians. What does this study add? This study is the first to investigate patients’ motivations to fast and patients’ experience of fasting in a cancer population. Patients’ primary motivation to fast was to lower the side effects of chemotherapy. Fasting acts as an active coping strategy that helps to reduce anxiety. Unsupported patients may turn to complementary health care practitioners.

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Section: Conclusion and Clinical Implicationsmentioning

confidence: 99%

Why do women fast during breast cancer chemotherapy? A qualitative study of the patient experience

Mas

Bonniec

Cousson‐Gélie

2019

British J Health Psychol

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“…At the same line Silva et al [9] who studied anxiety and coping in women with breast cancer in chemotherapy revealed that the problem-focused coping may be a strong determinant of adaptation to breast cancer. It is of paramount importance that nurses who experience the care of women undergoing chemotherapy should be aware of the coping strategies used, that help them cope more effectively with the process experienced by them.…”

Section: Resultsmentioning

confidence: 95%

“…Research suggests that adequate patients preparation before chemotherapy can improve their coping and satisfaction. [9,10] 1.1 Significance of the study National Cancer Registry Program [11] reported that around 100,000 Egyptians are diagnosed with cancer annually and the incidents are 166 for every 10,000 people in Egypt. Moreover statistical records of Menoufia University Hospital illustrated that 1,450 patients were diagnosed with cancer during the year 2015.…”

Section: Introductionmentioning

confidence: 99%

Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Aboalizm

El-Sayad

2019

CNS

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Objective: Cancer’s patients receiving chemotherapy need information about the treatments and self-care that must practice in order to prevent serious complications. Purpose of the study: To determine the impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer.Methods: Quasi experimental research design was used. The study was conducted at outpatient’s chemotherapy clinic and at word of the Oncology Menoufia University Hospital, Shebin El-Kom, Egypt. A convenience sample of 100 adult patients of both sexes who were diagnosed with cancer in the Oncology outpatient clinic and would receive first time chemotherapy treatment were enrolled in this study. Three tools were used. Tool I: Chemotherapy Patients needs assessment: structured interviewing scheduled questionnaire: The tool consisted of the following 2 parts. Part 1: Sociodemographic and clinical data, Part II: Pre Chemotherapy Knowledge Assessment Sheet. Tool II: 16 attributes of cancer therapy satisfaction questionnaire (CTSQ). Tool III: Cancer Coping Questionnaire (CCQ) 21 Items Versions.Results: The study group had better knowledge, coping and satisfaction post intervention than control group. There was statistically considerable differences between study and control group concerning the mean total score of satisfaction and coping (p value < .001). There were significant positive correlation total score of cancer coping and mean score of cancer therapy satisfaction p value < .001.Conclusions: Prechemotherapy preparation to cancer patients improved patient’s knowledge, satisfaction and coping. Recommendation: Prechemotherapy education should be considered a part of routine nursing care performed for all newly diagnosed patients with cancer who would receive chemotherapy for first time.

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“…This association was also observed in other studies both in patients with heart disease and in other groups. (19)(20)(21) Regarding the short-term outcomes analyzed, it could not be demonstrated that anxiety is a predictor of the occurrence of non-fatal arrhythmias. Although our initial hypothesis has not been confirmed, there is underlying pathophysiological foundation.…”

Section: Discussionmentioning

confidence: 99%

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

2018

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Resumo Objetivos Descrever o nível de ansiedade traço e estado em pacientes com síndrome coronariana aguda submetidos a cateterismo não programado; verificar a influência da ansiedade traço na ansiedade estado antes e após o cateterismo e verificar se a ansiedade (traço e estado) é preditiva da ocorrência de arritmias não fatais, da gravidade dos pacientes medida pela classificação Killip e pelo índice de comorbidade de Charlson, e do tempo de permanência hospitalar. Métodos Estudo observacional, correlacional e longitudinal, no qual foram avaliados participantes com síndrome coronariana aguda aguardando cateterismo cardíaco não programado. No encontro inicial (Ti) foram coletados dados sociodemográficos e clínicos, aplicados inventários de ansiedade traço e estado (IDATE) e de depressão de Beck. No encontro final (Tf), aplicou-se o IDATE-estado. Os participantes foram acompanhados até alta hospitalar ou óbito quanto a ocorrência de arritmias não fatais e tempo de permanência hospitalar. Resultados Foram incluídos 100 participantes (62,2±11,4 anos; 61% do sexo masculino). O escore do IDATE-traço foi 42,2±10,4 e influenciou o escore do IDATE-estado em Ti e Tf (p<0,005). O IDATE-estado diminuiu significativamente de Ti para Tf (40,2±10,4 vs 37,2±11,2, respectivamente, p=0,002). Não se observou associação do IDATE-traço ou do IDATE-estado com os índices de gravidade, tempo de permanência hospitalar ou ocorrência de arritmias. Entretanto, o escore de depressão aumentou 9,5% a chance de ocorrência de arritmias (OR=1,009; IC95%=0,913-1,115). Conclusão O nível de ansiedade reduziu de forma significativa após a realização do cateterismo, e não foi um preditor de desfechos clínicos em curto prazo.

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Anxiety and coping in women with breast cancer in chemotherapy

Cited by 25 publications

References 11 publications

Why do women fast during breast cancer chemotherapy? A qualitative study of the patient experience

Why do women fast during breast cancer chemotherapy? A qualitative study of the patient experience

Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

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