Quality of life and physical performance and activity of breast cancer patients after adjuvant treatments

ResumenObjetivo: Valorar la utilidad de las distintas intervenciones psicológicas en relación al estado emocional, físico, funcionalidad y la calidad de vida de los pacientes oncológicos en las diferentes fases de la enfermedad.Método: Se realizó una búsqueda bibliográfica en las bases de datos Medline y CancerLit, entre el año 2000 y 2014.Resultados: Un total de 122 estudios experimentales se describen agrupados según las fases de la enfermedad y los tipos de intervención psicológica aplicados. Se discute acerca de sus garantías metodológicas y se analizan las medidas y valoraciones de eficacia terapéutica para identificar las intervenciones con mejores pronósticos.Conclusiones: En general, los trabajos revisados han logrado resultados favorables en relación a la mejora del estado emocional, físico, funcional y la calidad de vida de los pacientes. No obstante, sus limitaciones metodológicas (uso de muestras pequeñas, dificultades de generalización, ausencia de grupo control, etc.) y, en ocasiones, resultados contradictorios señalan cautela a la hora de concluir sobre la efectividad o no de la intervención psicológica en cáncer y los beneficios de su aplicación.Palabras clave: Cáncer, intervención psicológica, estado emocional, síntomas físicos y calidad de vida. Results: A total of 122 experimental studies are described grouped according to the illness phases and the kind of psychological intervention employed. It is discussed about the methodological guaranties and the measures and the assessments of therapeutic efficiency to identify the interventions with the best prognostic.Conclusions: In general, the studies reviewed have achieved favorable results in relation to the improvement of the emotional, physical, functional state and the quality of life the patients. Nevertheless, their methodological limitations (little samples, difficulties of generalization, control group absence, etc.) and, sometimes, contradictory results suggest to be cautious when concluding about the effectiveness or not of the psychological intervention in cancer and the benefits of its application.

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“…Mediante técnicas conductuales y ejercicio físico, el meta-análisis de Dujits et al (52)(53)(54) . (55) .…”

Section: Revisión De Intervenciones Psicológicas En La Fase Libre De unclassified

La intervención psicológica en pacientes oncológicos: una revisión de la literatura (2000-2014)

et al. 2016

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“…[4] Other psychological and emotional side-effects experienced by cancer patients include stress, fear of death, poor body image, low self-esteem, loneliness and a sense of loss of control over life. [2,3] One study [9] found a similar deterioration in fatigue and QoL measures in breast cancer patients shortly after completing adjuvant therapies. QoL impairment was also strongly associated with scores on depression, as well as fatigue.…”

Section: Treatment Effects On Quality Of Lifementioning

confidence: 99%

“…QoL impairment was also strongly associated with scores on depression, as well as fatigue. [9] Despite an inconclusive relationship between psychological distress and cancer survival, a review of available research relating to breast cancer shows that most studies indicate a significant relationship between psychological factors and survival. [10,11] Clinical depression is associated with non-compliance with cancer treatment and reduced survival, emphasising that depression negatively affects the psychological and physical health of many patients.…”

Section: Treatment Effects On Quality Of Lifementioning

confidence: 99%

Exercise effects on mood in breast cancer patients

Oers¹

2013

S Afr J SM

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REVIEWBreast cancer is one of the most common cancers worldwide, and statistics reveal that the number of women diagnosed with breast cancer in South Africa is increasing. As such, medical practitioners will treat an increasing number of breast cancer patients. Although increasingly effective treatments improve patient survival intervals, a significant number of patients experience psychological distress, at the time of diagnosis and sometimes well beyond the start of treatment. This can be attributed to the disease itself and to treatment side-effects. Historically, patients experiencing such distress have been treated with pharmacotherapy or have been referred for psychotherapeutic intervention. Although it is well known that physical exercise is beneficial to physical health, only recently, and comparatively, has the effect of exercise been recognised as beneficial to psychological well-being. Cancer patients are often advised to reduce physical activity to avoid cancer-related fatigue. Paradoxically, recent research shows that physical exercise, of the type and intensity appropriate for the ability of each patient, can in fact play a significant role in improving mood and aiding physical recovery. This opens up a valuable additional resource to augment patients' quality of life, both physically and psychologically. One precaution stands vitally important, however: the prescribed exercise regimen must be tailored to the physical capabilities of the patient.S Afr J SM 2013;25(2):55-59.

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“…The short-term side effects and long-term reproductive sequelae of cancer treatments on this population are becoming increasingly important. For these survivors, menopausal symptoms and concerns about infertility are common and have a negative impact on quality of life [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Acute Menopausal Symptoms in Young Cancer Survivors Immediately following Chemotherapy

et al. 2018

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Purpose: The aim of this study was to evaluate the prevalence of menopausal symptoms in young cancer survivors immediately following the completion of chemotherapy. Methods: This prospective cohort study followed 124 young females with a new diagnosis of cancer requiring chemotherapy to assess symptoms of menopause before treatment and immediately following chemotherapy. Symptoms were compared before and after treatment using the McNemar test and between cancer patients and 133 similar-aged healthy controls using Pearson χ² and Fisher’s exact tests. Results: Participants undergoing cancer therapy reported more menopausal symptoms compared to controls prior to the initiation of any treatment (hot flashes or night sweats 33 vs. 7%, p < 0.01, trouble sleeping 57 vs. 31%, p < 0.01, headaches 50 vs. 35%, p = 0.02, and decreased libido 36 vs. 16%, p < 0.01) and also reported a greater prevalence of symptoms immediately after cancer therapy compared to pretreatment prevalence (vasomotor symptoms, p < 0.01, vaginal dryness, p < 0.01, decreased concentration, p < 0.01, and body aches, p = 0.01). Cancer patients with lower anti-Müllerian hormone (AMH) levels after treatment (<0.10 ng/mL) had an increased risk of vasomotor symptoms (OR 2.2, p = 0.04), mood swings (OR 2.4, p = 0.03), feeling sad (OR 2.2, p = 0.04), trouble sleeping (OR 2.7, p = 0.02), and decreased libido (OR 3.0, p = 0.03) when controlled for age and cancer type, and the incidence of these symptoms was not affected by the use of systemic hormones or psychiatric medications. Treatment length, use of alkylating agents, pelvic radiation, and marital status were also not associated with the prevalence of menopausal symptoms. Conclusions: Premenopausal women with a new cancer diagnosis have more menopausal symptoms than females of similar age before and after cancer treatment, the effects of which are not mitigated by systemic hormone use. Decreased AMH levels were associated with an increased likelihood of reporting physiologic symptoms after therapy. Implications for Cancer Survivors: This information is imperative for counseling; ultimately, improved symptom management during and after cancer therapies will improve quality of life in young cancer survivors.

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Quality of life and physical performance and activity of breast cancer patients after adjuvant treatments

Cited by 97 publications

References 54 publications

La intervención psicológica en pacientes oncológicos: una revisión de la literatura (2000-2014)

La intervención psicológica en pacientes oncológicos: una revisión de la literatura (2000-2014)

Exercise effects on mood in breast cancer patients

Acute Menopausal Symptoms in Young Cancer Survivors Immediately following Chemotherapy

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