Lived experiences of breast cancer in patients under the age of 40: A phenomenological study

Kim, Jiyoung; Lee, Kyungmi

doi:10.1016/j.ejon.2023.102336

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…This nding is consistent with the results of numerous studies [35,36].Young patients often bear more social roles and family responsibilities, making the diagnosis and treatment greatly impact their work, studies, and family life. Additionally, compared to older patients, young patients have higher expectations for their appearance and fertility, These pressures and worries can cause or exacerbate psychological distress in patients [37,38].The results of this study indicate that the higher the educational level of patients, the higher the proportion of signi cant psychological distress, which is consistent with some research ndings in China [39]. Higher educational attainment may be associated with greater knowledge and awareness, which can increase patients'understanding of their condition and the treatment process.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of distress in Chinese women with benign breast disease

Gao,

Wang,

Guo

et al. 2023

Preprint

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Purpose: Breast cancer patients often experience high levels of psychological distress, but there is limited research on the psychological distress status of patients with benign breast diseases. This study aims to investigate the psychological distress levels and influencing factors among patients with benign breast disease (BBD). Methods: A cross-sectional study was conducted on BBD patients admitted to a tertiary medical center in China between November 2022 and May 2023. Patient-reported distress and problems were assessed using the distress thermometer (DT) and the 42-item Problem List by the National Comprehensive Cancer Network. Descriptive statistics, chi-square test or Fisher's exact test, and multivariate logistic regression analyses were performed. Receiver operating characteristic analysis was used to evaluate the diagnostic accuracy of the DT in comparison to the Hospital Anxiety and Depression Scale (HADS) and to determine an optimal cutoff score for the DT in this specific population. Results: Among the 255 BBD patients, the mean psychological distress score was 3.69±1.96. The prevalence of psychological distress (≥4 points) was 52%. The main factors causing psychological distress were worry or anxiety (43.5%), fear (21.2%), pain (7.1%), sleep problems (6.7%), and child care responsibilities (5.1%). Multiple logistic regression analysis revealed that age, education, employment, and BI-RADS classification were factors associated with psychological distress in BBD patients. ROC curve analyses showed that a DT cutoff score of 4 had an area under the ROC curve of 0.88 and 0.7 when compared to HADS-A and HADS-D, respectively, indicating good overall accuracy. Conclusions: Patients with benign breast disease also experience significant psychological burden, which requires attention from healthcare professionals. Targeted health education and psychological counseling should be provided to these patients.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of distress in Chinese women with benign breast disease

Gao,

Wang,

Guo

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Speci cally, women are typically responsible for marital duties, childbirth, childcare, and housework [22]. A study conducted in China revealed that breast cancer patients often experience anxiety and depression as a result of changes in sexual function and body image [23]. Given society's emphasis on physical attractiveness for women, the loss or alteration of the breasts can elicit negative sentiments toward body image.…”

Section: The Source Of Distressmentioning

confidence: 99%

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

Gao,

Wang,

Guo

et al. 2024

Preprint

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Purpose: Although there is extensive research on the link between breast cancer diagnosis and psychological distress after diagnosis, there is limited data on the prevalence of psychological distress prior to breast cancer diagnosis. The purpose of this study is to measure the distress levels of patients before breast cancer diagnosis, to identify the categories of distress they have, and to describe the experience of distress of patients before diagnosis. Methods: This study uses a mixed method of survey and qualitative interviews. In the quantitative part, a cross-sectional survey of 118 patients with completed breast biopsies awaiting pathological diagnosis was conducted using the National Comprehensive Cancer Network's (NCCN's) Distress Thermometer(DT) and Problem List (PL), In the qualitative part, 15 patients were invited using convenient and purposive sampling. Data was collected using a semi-structured face-to-face interview and recorded. The transcribed text was analyzed using Colaizzi's phenomenological method. Results: The results reveal that 63.6% of patients reported a higher level of psychological distress (n=75, scoring≥4).Most patients had emotional (98%) or physical (64%) problems. Among these, worry or anxiety (47.4%), fear (33%), finances (21.1%), sadness and depression(18.6%), and grief or loss(15.2%) were the most frequently reported problems. Multivariate logistic regression analysis showed that the factors associated with psychological distress before the diagnosis of breast cancer patients were age, education level and employment. The experience of patients before diagnosis emerged four themes: Very high psychological distress index; Sources of psychological distress; The demand for information; Positive coping. Conclusions: Psychological distress is prevalent prior to breast cancer diagnosis and may merit early intervention. Gaining insight into patients' emotional distress can assist in shaping future evaluations and interventions focused on their psychosocial needs, to enhance their overall well-being.

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Lived experiences of breast cancer in patients under the age of 40: A phenomenological study

Cited by 2 publications

References 13 publications

Prevalence and correlates of distress in Chinese women with benign breast disease

Prevalence and correlates of distress in Chinese women with benign breast disease

Understanding distress in patients before breast cancer diagnosis in China：A Mixed Methods Study

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