Cognitive processing in relation to psychological distress in women with breast cancer: a theoretical approach

Rissanen, Ritva; Arving, Cecilia; Ahlgren, Johan; Cernvall, Martin; Nordin, Karin

doi:10.1002/pon.3392

Cited by 7 publications

(14 citation statements)

References 35 publications

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“…Posttraumatic growth mediated the connections of perceived social support to quality of life and to depressive symptoms . No evidence was found in support of the mediating role of avoidance of thinking about cancer and related thoughts in explaining the relationship between intrusion and psychological distress …”

Section: Resultsmentioning

confidence: 90%

“…One study found that perceptions of a lack of decisional control predicted more psychological distress but only when coping strategies and baseline levels of psychological distress were not entered in the analysis. One study did not find any association between rumination and psychological distress …”

Section: Resultsmentioning

confidence: 97%

“…61 No evidence was found in support of the mediating role of avoidance of thinking about cancer and related thoughts in explaining the relationship between intrusion and psychological distress. 57 Even rarer is the investigation of moderators that might shape individual differences in links between identified predictors and markers of adjustment. One study indicated that physical impairment did not moderate the link between communication style and psychological distress.…”

Section: Moderators and Mediatorsmentioning

confidence: 99%

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Psychological adjustment after breast cancer: a systematic review of longitudinal studies

2016

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Objectives: Breast cancer (BC) can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to BC. This systematic review examines which sociodemographic, disease-related, and psychosocial factors near diagnosis predict later psychological adjustment to BC. Methods:Database searches were conducted in nine different health-related databases from 2000 to December 2015 using relevant search terms. Full-text, peer-reviewed articles in English that analyzed potential predictors of psychological adjustment in longitudinal studies were considered for inclusion.Results: Of 1780 abstracts 41 studies fulfilled inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adjustment were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress, and quality of life for women with BC, in predictable ways. Other psychosocial variables, such as cognitive and body image factors, predicted psychological adjustment but were explored only by a few studies. Conclusions:The majority of studies showed a significant relationship between psychosocial factors and psychological adjustment. These results point to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be referred for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress.

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Section: Resultsmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 97%

Section: Moderators and Mediatorsmentioning

confidence: 99%

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Psychological adjustment after breast cancer: a systematic review of longitudinal studies

2016

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“…These considerations are important to the planning and administration of supportive or survivorship care, which has been advocated at the end of treatment or within three months post-treatment. Undue distress or even increasing distress may be allowed if healthcare providers delay the identification of problems and the creation of a care plan intended to prevent or ameliorate distress (Rissanen et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

“…The number of psychological comorbidities and the survivor's time point in the cancer trajectory may determine her level of distress and should inform the timing and type of intervention (Rissanen, Arving, Ahlgren, Cernvall, & Nordin, 2014). Adjustment disorders, anxiety, grief, and mood swings were common causes of psychological distress in survivors (Mitchell et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Lester

Crosthwaite

Stout

et al. 2014

Oncology Nursing Forum

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Purpose/Objectives To identify and compare levels of distress and sources of problems among patients with breast cancer in early survivorship. Design Descriptive, cross-sectional. Setting A National Cancer Institute–designated comprehensive cancer center. Sample 100 breast cancer survivors were selected to represent four time points in the cancer trajectory. Methods Distress was self-reported using the Distress Thermometer and its 38-item problem list. Analysis of variance and chi-square analyses were performed as appropriate. Main Research Variables Distress scores, problem reports, and time groups. Findings Participants scored in range of the cutoff of more than 4 (range = 4.1–5.1) from treatment through three months post-treatment. At six months post-treatment, distress levels were significantly lower. Significant differences were found between groups on the total problem list score (p = 0.007) and emotional (p = 0.01) and physical subscale scores (p = 0.003). Conclusions Comparison of groups at different points in the cancer trajectory found similar elevated levels from diagnosis through three months. Distress remained elevated in early survivorship but significantly decreased at six months post-treatment. Implications for Nursing Interventions to reduce or prevent distress may improve outcomes in early survivorship.

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Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study

Yang

Deng

Liu

et al. 2023

J of Neuroscience Research

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Breast cancer (BC) patients who undergo chemotherapy are likely to develop chemotherapy‐related cognitive impairment (CRCI). Recent studies of BC patients after chemotherapy have used graph theory to investigate the topological properties of the brain functional connectome. However, little is known about structural morphological networks in BC patients after early neoadjuvant chemotherapy (NAC). Brain morphological network organization in 47 female participants with BC was investigated before and after NAC. Topological properties of brain networks were ascertained based on morphological similarities in regional gray matter using a graph theory approach based on 3D T1‐weighted MRI data. Nonparametric permutation testing was used to assess longitudinal‐group differences in topological metrics. Compared with BC patients before NAC, BC patients after early NAC showed significantly increased global efficiency (p = .048), decreased path length (p = .033), and abnormal nodal properties and connectivity, mainly located in the central executive network (CEN). The change in the network efficiency of the right caudate was negatively correlated with the change in the Self‐Rating Anxiety Scale score (r = −.435, p = .008), and the change in the nodal degree of the left superior frontal gyrus (dorsolateral part) was positively correlated with the change in the Functional Assessment of Cancer Therapy score (r = .547, p = .002). BC participants showed randomization in global properties and dysconnectivity in the CEN after early NAC. NAC may disrupt the cognitive balance of the brain morphological network in individuals with BC.

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Cognitive processing in relation to psychological distress in women with breast cancer: a theoretical approach

Cited by 7 publications

References 35 publications

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

Women With Breast Cancer: Self-Reported Distress in Early Survivorship

Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study

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