Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer

Oudsten, Brenda L. Den; Vries, Jolanda De; Steeg, Alida F. W. van der; Roukema, Jan A.; Heck, G.L. van

doi:10.1007/s11136-009-9548-1

Cited by 16 publications

(18 citation statements)

References 18 publications

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“…The second important result of our study was that three of the 12 variables evaluated were associated to a better sexual QoL: (i) low score on negative feelings; (ii) being on hormonal treatment; and (iii) having a partner. In agreement with our findings, negative feelings or depression have been associated with worse general QoL in gender‐dysphoric adults [36] and in medical conditions [38]. Hormonal treatment as a factor associated to a better sexual QoL is in line with the results of Gorin‐Lazard et al.…”

Section: Discussionsupporting

confidence: 93%

Sexual Quality of Life in Gender-Dysphoric Adults Before Genital Sex Reassignment Surgery

Bartolucci

Gómez‐Gil

Salamero

et al. 2015

The Journal of Sexual Medicine

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Introduction Although there is literature on sexuality in gender dysphoria, few studies have been done prior to genital sex reassignment surgery (SRS). Aims To evaluate the perception of sexual QoL in gender-dysphoric patients before genital SRS and the possible factors associated to this perception. Methods The final sample consisted of 67 male-to-female and 36 female-to-male gender-dysphoric adults consecutively attended in a gender unit who had not undergone genital SRS; 39.8% was receiving cross-sex hormonal treatment, and 30.1% had undergone breast augmentation or reduction. Sexual QoL was assessed using the sexual activity facet of the World Health Organization Quality of Life (WHOQOL)-100. Sociodemographic (age, gender, partner relationship) and clinical data (being on hormonal treatment and having undergone any breast surgery) were recorded from the clinical records. Depressive symptoms were assessed using the negative feelings facet of the WHOQOL-100. Personality was assessed using the Revised NEO-Five Factor Inventory. Main Outcome Measures Sexual QoL, negative feelings, hormonal treatment, partner relationship, personality. Results The mean score of the sexual facet was 10.01 (standard deviation = 4.09). More than 50% of patients rated their sexual life as “poor/dissatisfied” or “very poor/very dissatisfied,” around a quarter rated it as “good/satisfied” or “very good/very satisfied,” and the rest had a neutral perception. Three variables were significantly associated with a better sexual QoL: less negative feelings (β = −0.356; P < 0.001), being on hormonal treatment (β = 0.216; P = 0.018), and having a partner (β = 0.206; P = 0.022). Age, sex, having undergone some breast surgery, and personality factors were not associated with their perception. Conclusion This study indicates that before genital SRS, about half of gender-dysphoric subjects perceived their sexual life as “poor/dissatisfied” or “very poor/very dissatisfied.” Moreover, receiving hormonal treatment, low negative feelings, and having a partner are related to a better subjective perception of sexual QoL.

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Section: Discussionsupporting

confidence: 93%

Sexual Quality of Life in Gender-Dysphoric Adults Before Genital Sex Reassignment Surgery

Bartolucci

Gómez‐Gil

Salamero

et al. 2015

The Journal of Sexual Medicine

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“…The authors found that emotional distress decreased with time since treatment . Finally, the subjective perception that quality of life depends on the use of medications predicted better quality of life …”

Section: Resultsmentioning

confidence: 95%

“…Sleep difficulties predicted more psychological distress and poorer quality of life, but 3 studies found no significant associations . Reports of more pain predicted more depressive and anxiety symptoms .…”

Section: Resultsmentioning

confidence: 95%

“…Two studies indicated that lower income predicted poorer quality of life and more depressive symptoms . One study found no association . Employment status was a significant predictor of quality of life in only 1 study of 6 studies .…”

Section: Resultsmentioning

confidence: 97%

“…In 4 studies, however, no associations were found between time since diagnosis and psychological adjustment . Fatigue predicted more depressive symptoms, more anxiety, and worse quality of life while no association between fatigue and psychological adjustment was found in only 1 study . Hormone therapy did not predict psychological adjustment in any of the 4 studies that examined this question …”

Section: Resultsmentioning

confidence: 97%

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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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Quality of life in cancer rehabilitation: the role of life goal adjustment

Blanckenburg

Seifart²,

Conrad

et al. 2014

Psycho-Oncology

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Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer

Abstract: QOL domains and facets contributed differently to overall QOL at various time points across treatment in women with early stage breast cancer.

Cited by 16 publications

References 18 publications

Sexual Quality of Life in Gender-Dysphoric Adults Before Genital Sex Reassignment Surgery

Sexual Quality of Life in Gender-Dysphoric Adults Before Genital Sex Reassignment Surgery

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

Quality of life in cancer rehabilitation: the role of life goal adjustment

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