Emotional distress and subjective impact of the disease in young women with breast cancer and their spouses

Duprez, Christelle; Vanlemmens, Laurence; Untas, Aurélie; Antoine, Pascal; Lesur, A.; Loustalot, Catherine; Guillemet, Cécile; Leclercq, Monelle; Ségura, Carine; Carlier, Damien; Lefeuvre-Plesse, Claudia; Simon, H.; Frenel, Jean-Sébastien; Christophe, Véronique

doi:10.2217/fon-2017-0264

Cited by 13 publications

(16 citation statements)

References 75 publications

(47 reference statements)

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“…In addition, breast cancer was associated with loss of control over career success and work choices; treatment side effects were described as interfering with work self-efficacy and skills; and interpersonal difficulties connecting within and outside of work were reported. Difficulties connected to body image and sexuality, management of career and finances, management of children and everyday life had been also described for young breast cancer women and their spouses by Duprez and colleagues [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of life and psychological distress during cancer: a prospective observational study involving young breast cancer female patients

et al. 2020

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Background Despite the possible traumatic significance of cancer and of the incidence, prevalence, and survival of young women with breast cancer, these patients are underrepresented in multidimensional research. In the present survey, QoL and psychological distress were studied in a sample of young female breast cancer patients during the first year of their disease. More in detail, the study was firstly aimed to assess if QoL of 18–45 years old female breast cancer patients was different from QoL of women from the general population and if it changed over time. Secondly, it described the psychological distress and its change over time. Finally, it assessed if QoL registered 1 year post-surgery may be explained by QoL and/or psychological distress registered during the hospitalization. Methods One hundred six, consecutive 18–45 years old, female primary breast cancer patients undergoing anticancer surgery filled out the Short Form 36 Health Survey Questionnaire, the Hospital Anxiety and Depression Scale and a socio-demographic and clinical form during hospitalization to receive surgery (T0), and again at 12 months post-surgery (T1). Results At T0, participants showed a better physical functioning ( p = 0 .001) than the female normative sample, whereas their mental functioning was worse ( p < 0 .001). In this time, mental functioning within our sample was weaker than physical functioning ( p < 0 .001). Over time, physical functioning decreased ( p < 0 .001), whereas mental functioning increased ( p < 0 .001). Both at T0 and T1, anxiety was higher than depression ( p < 0 .05). Both distress dimensions decreased over time ( p < 0 .001). Nevertheless, at T0 the 25.5 and 26.4% of the sample were respectively possible and probable cases of anxiety, whereas the 17.9 and 9.4% were possible and probable cases of depression. At T1, the percentages were 17.9 and 18.9% for anxiety, and 8.5 and 6.6% for depression. In both considered times, a better QoL corresponded to less psychological distress. However, QoL and psychological distress assessed at T0 did not predict the QoL at T1. Conclusions This study documented as QoL and psychological distress may change during the first year after surgery for a primary breast cancer in young women; therefore, they should be monitored over time to detect and treat women with alarming levels on them.

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Section: Discussionmentioning

confidence: 99%

Quality of life and psychological distress during cancer: a prospective observational study involving young breast cancer female patients

et al. 2020

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“…Additionally, AYA cancer survivors were more likely to have a poorer quality of life than persons of the same age in the general population and older cancer survivors [26]. In young patients, these subjective factors of severity of illness and emotional distress affected posttraumatic stress symptoms and subjective experience of her spouse more [27] [28]. In particular, younger age is a factor associated with high psychological distress and a low quality of life for spouses and partners [29].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey

Amano¹,

Ichikura²,

Hisamura³

et al. 2019

IJCM

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Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) "social support needs regarding disease and treatment of patient" (54 items) comprised 3 factors ("medical condition and cure", "daily life and social support", "intimacy and employment"), and (2) "social support needs of spouse (19 items)" comprised 2 factors ("family psychological issues and social support" and "intimacy, employment and society"). The ANOVA and T tests showed that "younger age", "under treatment", and "cancer not cured: treatment stopped", "PS1" and "PS 2-4", the presence of "lung cancer", and "recurrence/metastasis" were significant factors (all p < 0.05). Conclusions: The age of the spouse, treatment status, performance status, site of cancer, and recurrence/metastasis are important factors related to spousal needs for social support. Clinicians should assess these factors and the social support needs of spouses to provide appropriate support.

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“…In addition, spouses bear the behavioural and emotional instability of their wives who suffer from the disease and become emotionally unstable themselves. Many studies have cited the experience of emotional instability and distress in both patients and their spouses (Charvoz et al, 2016;Duprez et al, 2017;Zimmermann, 2015). In a qualitative study conducted in Turkey, Çömez and Karayurt (2016) described the spouses' experiences of their wives' breast cancer as a crisis, as the spouses described their worries and fear of death.…”

Section: Participant Nomentioning

confidence: 99%

The concept of coping in male spouses of Iranian women with breast cancer: A qualitative study using a phenomenological approach

Noveiri¹,

Shamsaei²,

Khodaveisi³

et al. 2021

CONJ

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Introduction: Breast cancer is a multidimensional crisis that affects not just the patient, but the spouse and other family members. Coping with this phenomenon, as one of the important challenges for the families and spouses, requires investigation. Understanding more about how spouses of women with breast cancer cope with this crisis could lead to better performance of spouses in front of their wives and raise their wives’ quality of life. Purpose: The study was conducted to explore the concept of coping based on the lived experiences of spouses of women with breast cancer. Methods: This qualitative study was conducted with a phenomenological approach in Hamedan and Rasht cities in Iran in 2019. Participants included 20 spouses of women with breast cancer selected by a purposive sampling method. Data were collected through unstructured face-to-face interviews and analyzed using van Manen’s six-stage phenomenological method. Results: The lived experiences of participants showed that the phenomenon of coping in spouses of women with breast cancer included five themes: Emotional pain, Shouldering the burden of care, Striving for family life cohesion, Future in ambiguity, and Sense of loss of self concept. Understanding the concept of coping in the spouses of women with breast cancer in health strategies can help wives achieve effective adaptation and also help professionals take effective measures in the field of medical care for patients and their spouses.

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Emotional distress and subjective impact of the disease in young women with breast cancer and their spouses

Abstract: These data confirm the importance of implementing couple-focused interventions.

Cited by 13 publications

References 75 publications

Quality of life and psychological distress during cancer: a prospective observational study involving young breast cancer female patients

Quality of life and psychological distress during cancer: a prospective observational study involving young breast cancer female patients

Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey

The concept of coping in male spouses of Iranian women with breast cancer: A qualitative study using a phenomenological approach

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