Skip to main content

Advertisement

Log in

Cognitive Processing Variables in Breast Cancer: Worry and Distress at the End of Treatment

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

This study assessed the influence of cognitive processing variables on cancer worries and distress after breast cancer treatment. In multivariate analyses, while independent variables were intolerance of uncertainty and intrusive thoughts, constructs' variables were anxiety and depression symptoms and cancer-related worries. The intolerance to uncertainty had a tendency to influence on distress and concerns about cancer after the end of treatment (Wilks' λ = 0.687, p = 0.074). Whereas, thought intrusion had a significant influence on distress and cancer related worries (Wilks' λ = 0.228, p = 0.000). Cognitive variables could be addressed by the oncology nurse when considering the patients' concerns related to cancer and psychological distress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Costanzo ES, Lutgendorf SK, Mattes ML, Trehan S, Robinson CB, Tewfik F, Roman SL (2007) Adjusting to Life after Treatment: Distress and Quality of Life following Treatment for Breast Cancer. Br J Cancer 97:1625–1631

    Article  PubMed  CAS  Google Scholar 

  2. Cappiello M, Cunnigham RS, Knobf MT, Erdos D (2007) Breast Cancer Survivors. Information and Support after Treatment. Clin Nurs Res 16(4):278–293

    Article  PubMed  Google Scholar 

  3. Hay JL, Buckley TR, Ostroff JS (2005) The role of cancer worry in cancer screening: A theoretical and empirical review of the literature. Psycho-Oncology 14:517–534

    Article  PubMed  Google Scholar 

  4. Freeston MH, Rheaume J, Letarte H, Dugas MJ, Ladouceur R (1994) Why do People Worry? Pers Individ Differ 17(6):791–802

    Article  Google Scholar 

  5. Dugas MJ, Freeston MH, Ladouceur R (1997) Intolerance of Uncertainty and Problem Orientation in Worry. Cogn Ther Res 21(6):593–606

    Article  Google Scholar 

  6. Han PKJ, Moser RP, Klein WMP (2006) Perceived ambiguity about cancer prevention recommendations: Relationships to perceptions of cancer preventability, risk and worry. J Health Commun 11:51–69

    Article  PubMed  Google Scholar 

  7. Segerstrom SC, Tsao JCI, Alden LE, Craske MG (2000) Worry and Rumiation: Repetitive Thought as a Concomitant and Predictor of negative Mood. Cogn Ther Res 24(6):671–688

    Article  Google Scholar 

  8. Beck R, Perkins TS, Holder R, Robbins M, Gray M, Allison SH (2001) The Cognitive and Emotional Phenomenology of Depression and Anxiety: Are Worry and Hopelessness the Cognitive Correlatesof NA and PA? Cogn Ther Res 25(6):829–838

    Article  Google Scholar 

  9. Cella D, Mahon S, Donovan M (1990) Cancer Recurrence as a Traumatic Event. Behav Med 16:15–22

    Article  PubMed  CAS  Google Scholar 

  10. Lerman C, Lustbader E, Rimer B, Daly M, Millar S, Sands C, Balshem A (1995) Effects of Individualized Breast Cancer Risk Counseling: a Randomized Trial. J Natl Cancer Inst 87(4):286–292

    Article  PubMed  CAS  Google Scholar 

  11. Lewis JA, Manne SL, DuHamel KN, Vickburg SMJ, Bovbjerg DH, Currie V, Winkel G, Redd WH (2001) Social Support, Intrusive Thoughts, and quality of life in Breast Cancer Survivors. J Behav Med 24(3):231–245

    Article  PubMed  CAS  Google Scholar 

  12. Karnofsky DA, Abelman WH, Craver LF, Burchenal JH (1948) The use of nitrogen mustards in the palliative treatment of carcinoma. Cancer 1:634–56

    Article  Google Scholar 

  13. Lerman C, Trock B, Rimer BK, Boyce A, Jepson C, Engstrom PF (1991) Psychological and Behavioral Implications of abnormal Mammograms. Ann Intern Med 114:657–661

    PubMed  CAS  Google Scholar 

  14. Cabrera E, Zabalegui A, Gil F, Llort G, Blanco I (2007) How to Measure Cancer Worry: Transcultural Validation of a Cancer Worry Scale. Psycho-Oncology 16:S179

    Google Scholar 

  15. González M, Cubas R, Rovella AT, Darias M (2006) Adaptación Española de la Escala de Intolerancia hacia la Incertidumbre: Procesos Cognitivos, Ansiedad y Depresión. Psicología y Salud 16(2):219–233

    Google Scholar 

  16. Weiss DS, Marmar CR (1997) The Impact of Event Scale- Revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a handbook for practioners. Guilford, New York, pp 399–411

    Google Scholar 

  17. Costa-Requena G, Gil FL (2007) Propiedades Psicométricas de la Escala Revisada del Impacto del Evento Estresante (IES-R) en una Muestra Española de Pacientes con Cáncer. Análisis y Modificación de Conducta 33(149):311–331

    Google Scholar 

  18. Creamer M, Burgués P, Pattison P (1992) Reaction to trauma: A cognitive procesing model. J Abnorm Psychol 191:452–459

    Article  Google Scholar 

  19. Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depresión Scale. Acta Psychiatr Scand 67:361–370

    Article  PubMed  CAS  Google Scholar 

  20. Costa-Requena G, Pérez X, Salamero M, Gil FL (2009) Discriminación del malestar emocional en pacientes oncológicos utilizando la escala de Ansiedad y Depresión Hospitalaria (HADS). Ansiedad y Estrés 15(2–3):217–229

    Google Scholar 

  21. Deshields T, Tibbs T, Fan M-Y, Bayer L, Taylor M, Fisher E (2005) Ending treatment: the course of emotional adjustment and quality of life among breast cancer survivors immediately following radiation therapy. Support Care Cancer 13:1018–1026

    Article  PubMed  Google Scholar 

  22. Hay JL, McCaul KD, Magnan RE (2006) Does worry about breast cancer predict screening behaviors? A meta-analysis of the prospective evidence. Prev Med 42:401–408

    Article  PubMed  Google Scholar 

  23. Mathews A, Ridgeway V, Warren R, Britton P (2002) Predicting worry following a diagnosis of breast cancer. Psycho-Oncology 11:415–418

    Article  PubMed  CAS  Google Scholar 

  24. Booth K, Beaver K, Kitchener H (2005) O´Neill J, Farrell C. Women’s experiences of information, psychological distress and worry after treatment for gynaecological cancer. Patient Educ Couns 56:225–232

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We thank those cancer patients who kindly volunteered to participle in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gema Costa-Requena.

Additional information

Ethical Approval

The study was approved by the institutional reviews boards and by the Ethics Committee from Duran i Reynals Hospital, and all participants gave informed consent.

Supported

This research was supported by the Catalan Agency for Health Technology Assessment and Research (No. 102/19/2004).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Costa-Requena, G., Rodríguez, A., Fernández, R. et al. Cognitive Processing Variables in Breast Cancer: Worry and Distress at the End of Treatment. J Canc Educ 26, 375–379 (2011). https://doi.org/10.1007/s13187-010-0140-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-010-0140-8

Keywords

Navigation