The efficacy of interventions to improve psychosocial outcomes following surgical treatment for breast cancer: a systematic review and meta-analysis

Matthews, Hannah; Grunfeld, Elizabeth A.; Turner, Andy

doi:10.1002/pon.4199

Cited by 90 publications

(98 citation statements)

References 50 publications

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“…A recent meta-analysis demonstrated the efficacy of interventions for psychosocial outcomes following breast cancer surgery, with cognitive behavioral therapy promoting improvements in anxiety, depression, and quality of life 24 .…”

Section: Discussionmentioning

confidence: 99%

Association between poor clinical prognosis and sleep duration among breast cancer patients

Mansano-Schlosser¹,

Ceolim

2017

Rev. Latino-Am. Enfermagem

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Section: Discussionmentioning

confidence: 99%

Association between poor clinical prognosis and sleep duration among breast cancer patients

Mansano-Schlosser¹,

Ceolim

2017

Rev. Latino-Am. Enfermagem

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“…Posttreatment, 94% of women have at least one emotional concern . Eighty percent have a fear of recurrence, 60% feel grief, identity issues, or emotional distress, and as many as 30% of survivors experience anxiety and depression, which may persist for up to 10 years following diagnosis …”

Section: Long‐term Care Of the Breast Cancer Survivormentioning

confidence: 99%

Long‐Term Effects of Breast Cancer Surgery, Treatment, and Survivor Care

Lovelace

McDaniel

Golden

2019

J Midwife Womens Health

247

182

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Women are increasingly surviving breast cancer, but up to 90% experience unexpected long‐term sequelae as a result of treatment. Symptoms may include physical, functional, emotional, and psychosocial changes that can dramatically alter the quality of life for breast cancer survivors. Primary care clinicians, including midwives, are likely to care for these women and should be familiar with common symptoms, treatment, and best practices to avoid permanent dysfunction. A holistic approach to assessment, treatment, and referral as needed is the most effective strategy. Although women experience significant changes after breast cancer treatment, many fail to receive thorough assessment of their symptoms, education about interventions, and treatment options to optimize health promoting strategies. Disparities exist in treatment availability, options, and survivorship. Long‐term physical changes include anatomic changes, chronic pain, phantom breast pain, axillary web syndrome, and lymphedema. In addition, women may have decreased strength, aerobic capacity, mobility, fatigue, and cognitive dysfunction. Emotional and psychosocial changes include depression, anxiety, fatigue, concerns about body image, and issues with sexuality. Treatment should be multifactorial based on thorough assessment of symptoms and can include medication, exercise, counseling, physical and occupational therapy, and alternative and complementary therapies. Primary care and gynecologic clinicians are well positioned to provide thorough evaluation, education, treatment, and referral for the most common sequelae of mastectomy and breast cancer treatments.

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“…Receiving a breast cancer diagnosis is accompanied by emotional responses to both the diagnosis and the treatment, and women must adapt their coping strategies to handle this stress (Matthews, Grunfeld, & Turner, ). For women diagnosed with hormone‐receptor‐positive breast cancer, endocrine therapy (ET), that is tamoxifen (TAM) or aromatase inhibitors (AI) is recommended for at least five years, to reduce recurrence and rates of mortality (Davies, Godwin, & Gray, ).…”

Section: Introductionmentioning

confidence: 99%

Women’s coping strategies during the first three months of adjuvant endocrine therapy for breast cancer

et al. 2019

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Aim The aim was to explore stressful events, experienced problems and used coping strategies during the first three months of undergoing ET. Design This study used a mixed method design. Methods A consecutive sample of 39 women newly diagnosed with breast cancer were included at the start of their adjuvant endocrine therapy. A daily coping assessment was used to create daily reports about stressful events or experienced problems and coping strategies. Results The most frequently reported physical problems were sleeping difficulties. Anxiety was the most reported emotional problem. Patients used both emotion‐and problem‐focused coping, and sleeping difficulties were coped by relaxing, and anxiety was coped by thinking about something else. Conclusions Patients experienced a variety of stressful events or problems during the first three months of endocrine therapy. They also used several coping strategies to endure the treatment.

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The efficacy of interventions to improve psychosocial outcomes following surgical treatment for breast cancer: a systematic review and meta-analysis

Cited by 90 publications

References 50 publications

Association between poor clinical prognosis and sleep duration among breast cancer patients

Association between poor clinical prognosis and sleep duration among breast cancer patients

Long‐Term Effects of Breast Cancer Surgery, Treatment, and Survivor Care

Women’s coping strategies during the first three months of adjuvant endocrine therapy for breast cancer

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