Quality of Life in Breast Cancer Patients: The Moderator Role of Family Stress

• Pereira, M.Graça ^[1] ; Paredes, Ana Cristina ^[1] ; Nabiço, Rui ^[2] ; Ribeiro, Catarina ^[1] ; Ferreira, Gabriela ^[1]
  1. [1] Universidade do Minho

     Universidade do Minho

     Braga (São José de São Lázaro), Portugal

     
  2. [2] Hospital Braga

     Hospital Braga

     Braga (São José de São Lázaro), Portugal

     
• Localización: Anales de psicología, ISSN-e 1695-2294, ISSN 0212-9728, Vol. 35, Nº. 2, 2019, págs. 181-187
• Idioma: inglés
• DOI: 10.6018/analesps.35.2.303561
• Títulos paralelos:
  • Calidad de vida en pacientes con cáncer de mama: el papel moderador del estrés familiar
• Enlaces
  • Texto completo
• Dialnet Métricas: 2 Citas
• Resumen
  • español

    En pacientes con cáncer de mama, la calidad de vida se ha asociado con la respuesta al tratamiento y la supervivencia global. Cien mujeres sometidas a tratamiento de quimioterapia para el cáncer de mama completaron cuestionarios incluyendo información demográfica y clínica, Cuestionario de Calidad de Vida EORTC, Escalas de Ansiedad y Depresión Hospitalaria, Escala de Imagen Corporal, Índice de Relaciones Familiares y el Test de Orientación Vital. Los resultados mostraron que un mayor optimismo y una mejor imagen corporal se asociaron con una mejor calidad de vida. La morbilidad psicológica predijo significativamente la calidad de vida física y emocional, pero la recurrencia sólo predijo la calidad de vida física. El estrés familiar fue un moderador en la relación entre la morbilidad psicológica y la calidad de vida emocional, mostrando la necesidad de detectar e intervenir en el estrés familiar en pacientes con cáncer de mama. Los resultados pueden ayudar en el diseño de intervenciones para las mujeres con cáncer de mama con el fin de promover la calidad de vida.

  • English

    In breast cancer patients, quality of life has been associated with treatment response and overall survival. One hundred women undergoing chemotherapy treatment for breast cancer completed questionnaires including demographic and clinical information, the EORTC-Quality of Life Questionnaire, Hospital Anxiety and Depression Scales, Body Image Scale, Index of Family Relations and the Life Orientation Test. The results showed that higher optimism and better body image were associated with improved quality of life. Distress significantly predicted physical and emotional quality of life, but recurrence only predicted physical quality of life. Family stress was a moderator in the relationship between psychological distress and emotional quality of life, showing the need  to screen and intervene on family stress in patients with breast cancer. The results may help in designing interventions for women with breast cancer in order to promote quality of life.

       

• Referencias bibliográficas
  • Aaronson, N., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., & Duez, N. et al. (1993). The European Organization for Research and...
  • Al-Ghazal, S., Fallowfield, L., & Blamey, R. (1999). Does cosmetic outcome from treatment of primary breast cancer influence psychosocial...
  • Allisson, P., Guichard, C., & Gilain, L. (2000). A prospective investigation of dispositional optimism as a predictor of health-related...
  • Applebaum, A., Stein, E., Lord-Bessen, J., Pessin, H., Rosenfeld, B., & Breitbart, W. (2013). Optimism, social support, and mental health...
  • Ardebil, M., Bouzari, Z., Shenas, M., Zeinalzadeh, M., & Barat, S. (2011). Depression and Health Related Quality of Life in Breast Cancer...
  • Avis, N., Crawford, S., & Manuel, J. (2005). Quality of Life Among Younger Women With Breast Cancer. Journal Of Clinical Oncology, 23(15),...
  • Badger, T., Braden, C., Mishel, M., & Longman, A. (2004). Depression burden, psychological adjustment, and quality of life in women with...
  • Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and...
  • Braun, D., Gupta, D., Grutsch, J., & Staren, E. (2011). Can changes in health related quality of life scores predict survival in stages...
  • Breast Cancer Treatment Option Overview. (2012). National Cancer Institute. Retrieved 22 August 2017, from http://www.cancer.gov/cancertopics/pdq/treatment/breast/Patient/page5#Keypoint23
  • Browall, M., Ahlberg, K., Karlsson, P., Danielson, E., Persson, L., & Gaston-Johansson, F. (2008). Health-related quality of life during...
  • Carver, C., Smith, R., Antoni, M., Petronis, V., Weiss, S., & Derhagopian, R. (2005). Optimistic Personality and Psychosocial Well-Being...
  • Carver, C., Smith, R., Petronis, V., & Antoni, M. (2006). Quality of life among long-term survivors of breast cancer: different types...
  • Colby, D., & Shifren, K. (2013). Optimism, mental health, and quality of life: A study among breast cancer patients. Psychology, Health...
  • Collins, K., Liu, Y., Schootman, M., Aft, R., Yan, Y., & Dean, G. et al. (2010). Effects of breast cancer surgery and surgical side effects...
  • Edwards, B., & Clarke, V. (2004). The psychological impact of a cancer diagnosis on families: The influence of family functioning and...
  • Ferlay, J., Steliarova-Foucher, E., Lortet-Tieulent, J., Rosso, S., Coebergh, J., & Comber, H. et al. (2013). Cancer incidence and mortality...
  • Fobair, P., Stewart, S., Chang, S., D'Onofrio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with...
  • Gupta, D., Granick, J., Grutsch, J., & Lis, C. (2006). The prognostic association of health-related quality of life scores with survival...
  • Härtl, K., Engel, J., Herschbach, P., Reinecker, H., Sommer, H., & Friese, K. (2010). Personality traits and psychosocial stress: quality...
  • Helms, R., O'Hea, E., & Corso, M. (2008). Body image issues in women with breast cancer. Psychology, Health & Medicine, 13(3),...
  • Ho, S., So, W., Leung, D., Lai, E., & Chan, C. (2013). Anxiety, depression and quality of life in Chinese women with breast cancer during...
  • Holzner, B., Kemmler, G., Kopp, M., Moschen, R., Rd Schweigkofler, H., & Du Nser, M. et al. (2001). Quality of Life in Breast Cancer Patients—Not...
  • Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European Journal Of Cancer,...
  • Hudson, W. (1993). Index of Family Relations. In W. Hudson, The Walmyr Assessment Scales Scoring Manual. Tempe: Walmyr Publishing Company.
  • Kissane, D., Bloch, S., Dowe, D., Snyder, R., Onghena, P., McKenzie, D., & Wallace, C. (1996). The Melbourne Family Grief Study, I: Perceptions...
  • Laranjeira, C. (2008). Tradução e validação portuguesa do Revised Life Orientation test (LOT-R). Universitas Psychologica, 7(2), 469-476.
  • Lemieux, J., Maunsell, E., & Provencher, L. (2008). Chemotherapy-induced alopecia and effects on quality of life among women with breast...
  • Leung, J., Atherton, I., Kyle, R., Hubbard, G., & McLaughlin, D. (2015). Psychological distress, optimism and general health in breast...
  • Livneh, H., & Antonak, R. (2005). Psychosocial Adaptation to Chronic Illness and Disability: A Primer for Counselors. Journal Of Counseling...
  • Montazeri, A. (2008). Health-related quality of life in breast cancer patients: A bibliographic review of the literature from 1974 to 2007....
  • Moreira, C.B., Fernandes, A.F., Gomes, A.M.; Silva A.M. & Santos, M.C... (2013). Educational Strategy Experimented with Mastectomized...
  • Moreira, H., Silva, S., Marques, A., & Canavarro, M. (2010). The Portuguese version of the Body Image Scale (BIS) – psychometric properties...
  • Northouse, L., Kershaw, T., Mood, D., & Schafenacker, A. (2005). Effects of a family intervention on the quality of life of women with...
  • Northouse, L., Mood, D., Kershaw, T., Schafenacker, A., Mellon, S., & Walker, J. et al. (2002). Quality of Life of Women With Recurrent...
  • Ogden, J. (2004). Understanding Breast Cancer. Lisboa: Climepsi Editores.
  • Pais-Ribeiro, J., Silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a Portuguese version of...
  • Pais-Ribeiro, J., Pinto, C., & Santos, C. (2008). Validation study of the Portuguese Version of The QLC-C30-V.3. Psicologia, Saúde e Doenças,...
  • Penttinen, H., Saarto, T., Kellokumpu-Lehtinen, P., Blomqvist, C., Huovinen, R., & Kautiainen, H. et al. (2010). Quality of life and physical...
  • Pereira, M., & Roncon, J. (2010). Relacionamento familiar em pessoas idosas: Adaptação do Índice de Relações Familiares (IFR). Psicologia,...
  • Petersen, L., Clark, M., Novotny, P., Kung, S., Sloan, J., & Patten, C. et al. (2008). Relationship of Optimism–Pessimism and Health-Related...
  • Rabin, E., Heldt, E., Hirakata, V., & Fleck, M. (2008). Quality of life predictors in breast cancer women. European Journal Of Oncology...
  • Rasmussen, H., Scheier, M., & Greenhouse, J. (2009). Optimism and Physical Health: A Meta-analytic Review. Annals Of Behavioral Medicine,...
  • Reece, J., Chan, Y., Herbert, J., Gralow, J., & Fann, J. (2013). Course of depression, mental health service utilization and treatment...
  • Reich, M., Lesur, A., & Perdrizet-Chevallier, C. (2007). Depression, quality of life and breast cancer: a review of the literature. Breast...
  • Rosenberg, S., Tamimi, R., Gelber, S., Ruddy, K., Kereakoglow, S., & Borges, V. et al. (2012). Body image in recently diagnosed young...
  • Scheier, M., & Carver, C. (1985). Optimism, coping ad health: Assessment and implications of generalized outcome expectancies. Health...
  • Scheier, M., & Carver, C. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update....
  • Scheier, M., Carver, C., & Bridges, M. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem):...
  • Schou, I., Ekeberg, Ø., Sandvik, L., Hjermstad, M., & Ruland, C. (2005). Multiple Predictors of Health-Related Quality of Life in Early...
  • Seidl, E., & Zannon, C. (2004). Qualidade de vida e saúde: aspectos conceituais e metodológicos. Cadernos De Saúde Pública, 20(2), 580-588....
  • Silva, S., Bettencourt, D., Moreira, H., & Canavarro, M. C. (2011). Qualidade de vida de mulheres com cancro da mama nas diversas fases...
  • So, W., Marsh, G., Ling, W., Leung, F., Lo, J., Yeung, M., & Li, G. (2010). Anxiety, depression and quality of life among Chinese breast...
  • Stanton, A., Revenson, T., & Tennen, H. (2007). Health Psychology: Psychological Adjustment to Chronic Disease. Annual Review Of Psychology,...
  • Thomas, C., Morris, S., & Harman, J. (2002). Companions through cancer:. Social Science & Medicine, 54(4), 529-544. http://dx.doi.org/10.1016/s0277-9536(01)00048-x
  • Vilhena, E., Pais-Ribeiro, J., Silva, I., Pedro, L., Meneses, R., & Cardoso, H. et al. (2014). Optimism on quality of life in Portuguese...
  • White, C. (2000). Body image dimensions and cancer: a heuristic cognitive behavioural model. Psycho-Oncology, 9(3), 183-192.doi: 10.1002/1099-1611(200005/06)9:3<183::aid-pon446>3.0.co;2-l
  • White, C. A., & Hood, C. (2011). Body image issues in oncology. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science,...
  • Zenger, M., Brix, C., Borowski, J., Stolzenburg, J., & Hinz, A. (2009). The impact of optimism on anxiety, depression and quality of life...
  • Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x