Influence of irradiation on therapy-associated psychological distress in breast carcinoma patients

Mose, Stephan; Budischewski, K.; Rahn, A.; Zander-Heinz, A.; Bormeth, S.B.; Böttcher, H.D.

doi:10.1016/s0360-3016(01)01711-4

Cited by 39 publications

(45 citation statements)

References 20 publications

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“…Messages originating from the social environment influence the way women view, interpret and confront their disease (23) . Here, again, there is the discomfort of the participants with the fact that, with their illness, changes were generated in the family dynamics.…”

Section: Out Of Rhythm With the Worldmentioning

confidence: 99%

Stressors in Breast Cancer Post-Treatment: a Qualitative Approach

Silva

Santos

2010

Rev. Latino-Am. Enfermagem

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With the increasing effectiveness of breast cancer treatment, the scientific interest in investigating the quality of life of survivors has increased. However, research addressing the post-treatment period is still scarce. The aim of this study was to identify the stressors present in the lives of women in the one to five years post-diagnosis period. The sample was composed of 16 women assisted at a specialized mastectomy rehabilitation service. Data were collected through semi-structured interviews and analyzed using content analysis. The results indicate conflicts with self-image and alteration in the feeling of autonomy, fear in relation to the evolution of the condition, feelings of guilt about the disorder generated in the family, experience of disturbing social situations and a desire to return to their professional occupation. These results reveal the existence of stressors in this phase and the importance of support offered by psychosocial rehabilitation services for this population. Factores estresantes del post-tratamiento del cáncer de mama: un enfoque cualitativoCon la creciente resolutividad del tratamiento del cáncer de mama, ha aumentado el interés científico por la investigación de la calidad de vida de las sobrevivientes. Sin embargo, todavía son escasas las investigaciones que abordan el período post-tratamiento. Este estudio tuvo por objetivo identificar los factores estresantes presentes en la vida de mujeres en el período de uno a cinco años post-diagnóstico. Fueron investigadas 16 mujeres atendidas en un servicio especializado en rehabilitación de mastectomizadas.Los datos fueron recolectados mediante entrevista semiestructurada y analizados por medio del análisis de contenido. Los resultados indicaron conflictos con la autoimagen, alteración en la sensación de autosuficiencia, miedo en relación a la evolución del cuadro, sentimiento de culpa por el trastorno generado en la familia, vivencia de situaciones sociales perturbadoras y, deseo de retornar a la ocupación profesional. Esos resultados refuerzan la comprobación de la existencia de factores estresantes en esta fase y la importancia del apoyo ofrecido por los servicios de rehabilitación psicosocial junto a esa población.Descriptores: Neoplasias de la Mama; Rehabilitación; Estrés Psicológico; Salud Mental Adaptación Psicológica.

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Section: Out Of Rhythm With the Worldmentioning

confidence: 99%

Stressors in Breast Cancer Post-Treatment: a Qualitative Approach

Silva

Santos

2010

Rev. Latino-Am. Enfermagem

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“…Although some studies have shown that radiotherapy is generally better accepted than what may be expected [3,4] and than other treatments [5], other studies have also shown that it can be associated with emotional distress [6][7][8] and especially anxiety [3,5,7,9]. Ten to twenty percent of patients with cancer experience anxiety before the start of radiotherapy [7] and 20-50% of patients feel anxious during the first days of treatment; these feelings tend to decrease throughout the course of treatment, although results have varied greatly across studies [7,10,11].…”

Section: Introductionmentioning

confidence: 98%

“…Radiotherapy may generate many fears [1][2][3] that persist after the start of treatment and despite information transmission [1]. Although some studies have shown that radiotherapy is generally better accepted than what may be expected [3,4] and than other treatments [5], other studies have also shown that it can be associated with emotional distress [6][7][8] and especially anxiety [3,5,7,9].…”

Section: Introductionmentioning

confidence: 99%

“…One study suggested that anxiety ''prior'' to radiotherapy is associated with the lack of information about treatment, side effects, and the procedure [2]. Another study suggested that anxiety at the first radiotherapy session is associated with psychological distress and some characteristics of the radiotherapy environment (e.g., waiting room, linear accelerator room), but not with patients' coping strategies, cancer prognosis, or experience of other treatments [3]. To our knowledge, no study has specifically assessed the time course of anxiety before and after radiotherapy sessions.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Merckaert

Liénard

et al. 2014

Radiotherapy and Oncology

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a b s t r a c tPurpose: To our knowledge, no study has specifically assessed the time course of anxiety during radiotherapy (RT). The objective of this study was to assess anxiety time courses in patients with nonmetastatic breast cancer. Material and methods: This multicenter, descriptive longitudinal study included 213 consecutive patients with breast cancer who completed visual analog scales (VASs) assessing state anxiety before and after the RT simulation and the first and last five RT sessions. Results: Pre-and post-session anxiety mean levels were highest at the RT simulation (respectively, 2.9 ± 2.9 and 1.6 ± 2.5) and first RT session (respectively, 3.4 ± 2.9 and 2.0 ± 2.4), then declined rapidly. Clinically relevant mean differences (P1 cm on the VAS) between pre-and post-simulation/session VAS scores were found only for the RT simulation (À1.3 ± 2.7; p < 0.001) and first RT session (À1.4 ± 2.4; p < 0.001). Five percent to 16% of patients presented clinically relevant anxiety (pre-and post-simulation/session VAS scores P 4 cm) throughout treatment. Conclusions: To optimize care, RT team members should offer all patients appropriate information about treatment at the simulation, check patients' understanding, and identify patients with clinically relevant anxiety requiring appropriate support throughout RT.

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“…Radiotherapy and Oncology 114 (2014) 35-41 Many studies have shown that patients undergoing radiotherapy often experience anxiety [1][2][3][4][5][6][7]. Anxiety during radiotherapy is associated with numerous factors, including fear of the unknown aspects of treatment [8] and side effects [7].…”

Section: Introductionmentioning

confidence: 99%

Anxiety at the first radiotherapy session for non-metastatic breast cancer: Key communication and communication-related predictors

Merckaert

Liénard

et al. 2015

Radiotherapy and Oncology

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a b s t r a c tBackground and purpose: Patients may experience clinically relevant anxiety at their first radiotherapy (RT) sessions. To date, studies have not investigated during/around the RT simulation the key communication and communication-related predictors of this clinically relevant anxiety. Material and methods: Breast cancer patients (n = 227) completed visual analog scale (VAS) assessments of anxiety before and after their first RT sessions. Clinically relevant anxiety was defined as having preand post-first RT session VAS scores P4 cm. Communication during RT simulation was assessed with content analysis software (LaComm), and communication-related variables around the RT simulation were assessed with questionnaires. Results: Clinically relevant anxiety at the first RT session was predicted by lower self-efficacy to communicate with the RT team (OR = 0.65; p = 0.020), the perception of lower support received from the RT team (OR = 0.70; p = 0.020), lower knowledge of RT-associated side effects (OR = 0.95; p = 0.057), and higher use of emotion-focused coping (OR = 1.09; p = 0.013). Conclusions: This study provides RT team members with information about potential communication strategies, which may be used to reduce patient anxiety at the first RT session.Ó 2014 Elsevier Ireland Ltd. All rights reserved. Radiotherapy and Oncology 114 (2014) 35-41 Many studies have shown that patients undergoing radiotherapy often experience anxiety [1][2][3][4][5][6][7]. Anxiety during radiotherapy is associated with numerous factors, including fear of the unknown aspects of treatment [8] and side effects [7]. Previous results of this study conducted in the same sample of patients with non-metastatic breast cancer showed that patient anxiety was highest at the first radiotherapy session and that 16% of patients presented with clinically relevant anxiety. Results also underlined the need to assess patient anxiety at the radiotherapy simulation and identify patients with clinically relevant anxiety that may require additional support throughout radiotherapy [9].Knowledge of communication and communication-related variables that affect clinically relevant anxiety may allow radiotherapy teams to improve communication during and around the radiotherapy simulation to reduce patient anxiety at the first radiotherapy session and throughout treatment. To our knowledge, no study has prospectively assessed, during and around radiotherapy simulation, communication and communication-related predictors of clinically relevant anxiety at the first radiotherapy session.The main objective of this study was to investigate key communication and communication-related predictors assessed during and around the radiotherapy simulation that may be associated with clinically relevant anxiety at the first radiotherapy session in patients with non-metastatic breast cancer. First, it was hypothesized that clinically relevant anxiety at the first radiotherapy session would be predicted by communication strategies utilized by the radiotherapy tea...

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Influence of irradiation on therapy-associated psychological distress in breast carcinoma patients

Cited by 39 publications

References 20 publications

Stressors in Breast Cancer Post-Treatment: a Qualitative Approach

Stressors in Breast Cancer Post-Treatment: a Qualitative Approach

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Anxiety at the first radiotherapy session for non-metastatic breast cancer: Key communication and communication-related predictors

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