Swipe om te navigeren naar een ander artikel
Breast cancer patients often experience adverse physical side effects of medical treatments. According to the biobehavioral model of cancer stress and disease, life stress during diagnosis and treatment may negatively influence the trajectory of women’s physical health-related adjustment to breast cancer. This longitudinal study examined chronic and episodic stress as predictors of bothersome physical symptoms during the year after breast cancer diagnosis. Women diagnosed with breast cancer in the previous 4 months (N = 460) completed a life stress interview for contextual assessment of chronic and episodic stress severity at study entry and 9 months later. Physical symptom bother (e.g., pain, fatigue) was measured at study entry, every 6 weeks through 6 months, and at nine and 12 months. In multilevel structural equation modeling (MSEM) analyses, both chronic stress and episodic stress occurring shortly after diagnosis predicted greater physical symptom bother over the study period. Episodic stress reported to have occurred prior to diagnosis did not predict symptom bother in MSEM analyses, and the interaction between chronic and episodic stress on symptom bother was not significant. Results suggest that ongoing chronic stress and episodic stress occurring shortly after breast cancer diagnosis are important predictors of bothersome symptoms during and after cancer treatment. Screening for chronic stress and recent stressful life events in the months following diagnosis may help to identify breast cancer patients at risk for persistent and bothersome physical symptoms. Interventions to prevent or ameliorate treatment-related physical symptoms may confer added benefit by addressing ongoing non-cancer-related stress in women’s lives.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Cancer Society. (2015). Breast cancer facts & figures 2015–2016. Atlanta, GA: American Cancer Society Inc.
Bauer, M. R., Harris, L. N., Wiley, J. F., Crespi, C. M., Krull, J. L., Weihs, K. L., et al. (2016). Dispositional and situational avoidance and approach as predictors of physical symptom bother following breast cancer diagnosis. Annals of Behavioral Medicine,50, 370–384. CrossRefPubMedPubMedCentral
Brown, G. W., & Harris, T. O. (1978). Social origins of depression. London: Free Press.
Cella, D., Land, S. R., Chang, C. H., Day, R., Costantino, J. P., Wolmark, N., et al. (2008). Symptom measurement in the Breast Cancer Prevention Trial (BCPT)(P-1): Psychometric properties of a new measure of symptoms for midlife women. Breast Cancer Research and Treatment,109, 515–526. CrossRefPubMed
du Toit, S. H., & du Toit, M. (2008). Multilevel structural equation modeling. Handbook of Multilevel Analysis. New York: Springer.
Enders, C. K., & Bandalos, D. L. (2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Structural Equation Modeling,8, 430–457. CrossRef
Golden-Kreutz, D. M., Thornton, L. M., Wells-Di Gregorio, S., Frierson, G. M., Jim, H. S., Carpenter, K. M., et al. (2005). Traumatic stress, perceived global stress, and life events: Prospectively predicting quality of life in breast cancer patients. Health Psychology,24, 288–296. CrossRefPubMedPubMedCentral
Hammen, C. (1991a). Depression runs in families: The social context of risk and resilience in children of depressed mothers. New York, NY: Springer-Verlag. CrossRef
Hayes, A. F. (2006). A primer on multilevel modeling. Human Communication Research,32, 385–410. CrossRef
Holland, J. C., Breitbart, W. S., Butow, P. N., Jacobsen, P. B., Loscalzo, M. J., & McCorkle, R. (2015). Psycho-Oncology (3rd ed.). New York, NY: Oxford University Press.
Kilpatrick, F. P., & Cantril, H. (1960). Self-anchoring scaling: A measure of individuals’ unique reality worlds. Journal of Individual Psychology,16, 158–173.
Muthén, L. K., & Muthén, B. O. (2012). Mplus User’s guide (7th ed.). Los Angeles: Muthén & Muthén.
Revenson, T. A. (2003). Scenes from a marriage: Examining support, coping, and gender within the context of chronic illness. In J. Suls & K. A. Wallston (Eds.), Social psychological foundations of health and illness (pp. 530–559). Malden, MA: Blackwell Publishing. CrossRef
Vickberg, S. M. J. (2003). Locating breast cancer in the context of women’s lives. Journal of Psychosocial Oncology,21, 68–69. CrossRef
- Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis
Lauren N. Harris
Margaret R. Bauer
Joshua F. Wiley
Jennifer L. Krull
Catherine M. Crespi
Karen L. Weihs
Annette L. Stanton
- Springer US