Symptom Clusters Predictive of Quality of Life Among Jordanian Women with Breast Cancer

Qadire, Mohammad Al; Alsaraireh, Mahmoud; Alomari, Khaled Mohammad; Aldiabat, Khaldoun; Sabei, Sulaiman Al; AL-Rawajfah, Omar M.; Aljezawi, Maʼen

doi:10.1016/j.soncn.2021.151144

Cited by 16 publications

(17 citation statements)

References 20 publications

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“…The present study demonstrate that in patients with MG, the major contributor to the poorer QOL in MG patients is the direct effect from SC, that is, the higher the SC score, the worse the QOL, which is consistent with previous findings by Al et al (2021) and Fu et al (2022). For instance, patients with pure ocular symptoms have little effect on their QOL.…”

Section: Discussionsupporting

confidence: 93%

Effects of symptom clusters on quality of life mediated by self‐efficacy among individuals with myasthenia gravis: A structural equation modelling analysis

Song

Huang

2022

Journal of Clinical Nursing

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Aims and Objectives: To determine whether self-efficacy mediates the relationship between Symptom Clusters (SC) and quality of life (QOL) in patients with myasthenia gravis (MG). Background:The QOL in patients with MG can be affected not only by the SC but the self-efficacy in previous studies, while the latter may also be contributed by the former. However, it is still unclear whether self-efficacy mediates the relationship between SC and QOL in patients with MG.Design: A cross-sectional survey was conducted in patients with MG who were recruited from our institution from October 2021 to March 2022, which was reported in line with the STROBE guidelines. Methods:The hypothetical model was tested and all the effects of SC and self-efficacy on QOL were estimated based on structural equation modelling (SEM) analysis after conducting a confirmatory factor analysis of the scales in a separate cohort.Results: Three scales for symptoms (four summated items), self-efficacy (four plus one parcelled item) and MG-QOL (three summated items) were validated according to the confirmatory factor analysis in 72 patients. An SEM analysis of another 310 participants revealed that SC exerted significant direct effects on QOL and self-efficacy, with values of .585 and −.293, respectively, and self-efficacy also had a significant effect on QOL (−.141). The indirect effect of SC on QOL via self-efficacy was .041, accounting for 6.6% of the overall effect. Male and female patients did not differ in the direct and indirect effects of symptoms on QOL. Conclusions:This study suggests that, although self-efficacy partially mediates the relationship between SC and QOL in patients with MG, worsening of symptoms remains the leading contributor to the decreased QOL. Relevance to Clinical Practice:These results may provide a potential clue for doctors, nurses, and other caregivers to optimise treatment strategies for targeted patients with MG.

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Section: Discussionsupporting

confidence: 93%

Effects of symptom clusters on quality of life mediated by self‐efficacy among individuals with myasthenia gravis: A structural equation modelling analysis

Song

Huang

2022

Journal of Clinical Nursing

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“…These include the psychological effects of the COVID-19 pandemic on refugee mental health, resilience, depression, and the history of trauma, barriers to the use of mental health services, and mental health symptoms [ 20 , 21 , 22 , 23 ]. In addition, some studies have investigated mental health among Jordanian women, which mainly focused on specific groups such as cancer patients, employed women, pregnant women, and victims of domestic violence and sexual abuse [ 24 , 25 , 26 , 27 ]. The present study was designed to examine the mental health and general well-being of Syrian refugee women who have resettled in the urban areas of the city of Ar-Ramtha in northern Jordan at the Syrian Jordanian border.…”

Section: Introductionmentioning

confidence: 99%

Understanding Mental Health Status of Syrian Refugee and Jordanian Women: Novel Insights from a Comparative Study

Atrooz

Aljararwah

Chen

et al. 2023

IJERPH

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(1) Background: War and displacement are well-known predictors of negative mental health outcomes among affected populations. This is especially relevant for refugees of war, particularly women, who often repress their mental health needs due to family responsibilities, social stigma, and/or cultural pressures. In this study, we compared the mental health status of urban Syrian refugee women (n = 139) with local Jordanian women (n = 160). (2) Methods: Psychometrically validated Afghan Symptom Checklist (ASC), Perceived Stress Scale (PSS), and Self-Report Questionnaire (SRQ) examined psychological distress, perceived stress, and mental health, respectively. (3) Results: According to independent t-tests, Syrian refugee women scored higher than Jordanian women on the ASC [mean score (SD): 60.79 (16.67) vs. 53.71 (17.80), p < 0.001], PSS [mean score (SD): 31.59 (8.45) vs. 26.94 (7.37), p < 0.001], and SRQ [mean score (SD): 11.82 (4.30) vs. 10.21 (4.72), p = 0.002]. Interestingly, both Syrian refugee and Jordanian women scored higher than the clinical cutoff in the SRQ. Regression analyses indicated that more educated women were less likely to score high on the SRQ (β = −0.143, p = 0.019), particularly in the anxiety and somatic symptoms subscale (β = −0.133, p = 0.021), and were less likely to exhibit symptoms of ruminative sadness (β = −0.138, p = 0.027). Employed women were more likely to exhibit high coping ability than unemployed women (β = 0.144, p = 0.012). (4) Conclusions: Syrian refugee women scored higher than Jordanian women in all used mental health scales. Access to mental health services and enhancing educational opportunities would help mitigate perceived stress and may enhance stress-coping abilities.

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“…Symptom clusters are sets of interrelated symptoms that share a common etiology or variance, and might cause more impact on health outcomes when compared with isolated symptoms ( 9 ). In contrast to symptoms of patients without cancer diagnosis, symptom clusters are relatively more severe and are closely related to chronic syndrome ( 10 ). Additionally, physical, social, and cognitive impairment are commonly reported in the course of chemotherapy, and can be the consequence of symptom clusters ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

Heterogeneity of symptoms and functions among women receiving chemotherapy for breast cancer in China: A multicentre, cross-sectional study

Cai

Zhou²,

Yuan³

et al. 2022

Front. Public Health

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BackgroundCurrently, few studies have explored the heterogeneity of symptoms and functions in patients with breast cancer. This study aimed to identify the subgroups of symptoms and functions in women receiving chemotherapy for breast cancer and determine whether the subgroups differed in demographic and clinical characteristics.MethodsA cross-sectional multicenter survey involving five hospitals in Zhejiang, Shanghai, Shandong, and Guangxi provinces of Mainland China was implemented between August 2020 to December 2021. Participants completed questionnaires that included the PROMIS-57, PROMIS cognitive function short form, and demographic and clinical characteristics. Latent class analysis was performed, followed by chi-square test and analysis of variance. Subsequently, significant variables were included in multinomial logistic regression.ResultsA total of 1,180 patients were investigated, with an average age of 48.9 years. Three classes were identified: low symptom burdens and functions group (26.2%, Class 1), moderate symptom burdens and functions group (16.9%, Class 2), and low symptom burdens and high functions group (56.9%, Class 3). Compared with patients in Class 1 and 3, those in Class 2 consistently showed a higher tendency of having urban employee health insurance (odds ratio = 2.506, P < 0.05) and rural health insurance (odds ratio = 2.207, P < 0.05). Additionally, patients in Class 2 tended to be in their fourth cycle of chemotherapy. However, receiving chemotherapy and surgery increased the likelihood of belonging to Class 1.ConclusionsA high proportion of patients experienced varying degrees of symptom and function issues, suggesting that attention is warranted for women with breast cancer undergoing chemotherapy. Patients with the urban employee basic medical system, the new rural cooperative medical system and in the early stage of chemotherapy cycles were more likely to have symptom burdens. Middle-aged postmenopausal women reported varying degrees of cognitive issues. Additionally, surgery increased the presence of potential long-term effects in functional levels.

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Symptom Clusters Predictive of Quality of Life Among Jordanian Women with Breast Cancer

Cited by 16 publications

References 20 publications

Effects of symptom clusters on quality of life mediated by self‐efficacy among individuals with myasthenia gravis: A structural equation modelling analysis

Effects of symptom clusters on quality of life mediated by self‐efficacy among individuals with myasthenia gravis: A structural equation modelling analysis

Understanding Mental Health Status of Syrian Refugee and Jordanian Women: Novel Insights from a Comparative Study

Heterogeneity of symptoms and functions among women receiving chemotherapy for breast cancer in China: A multicentre, cross-sectional study

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