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Article: Trajectories of psychological distress among Chinese women diagnosed with breast cancer

TitleTrajectories of psychological distress among Chinese women diagnosed with breast cancer
Authors
Keywordsbreast cancer
Chinese women
distress
oncology
optimism
resilience
Issue Date2010
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2010, v. 19 n. 10, p. 1044-1051 How to Cite?
AbstractBackground: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored. Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5-day, 1-month, 4-month, and 8-month post-surgery on measures of psychological distress, optimism, treatment decision-making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease. Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed-recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post-surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed-recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook. Conclusion: Optimism and better early post-operative treatment outcomes predicted resilience to distress. Pre-operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post-operative rehabilitation should focus on symptom management. © 2009 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/129476
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorBonanno, GAen_HK
dc.contributor.authorMancini, ADen_HK
dc.contributor.authorHo, Sen_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorHung, WKen_HK
dc.contributor.authorOr, Aen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-12-23T08:37:47Z-
dc.date.available2010-12-23T08:37:47Z-
dc.date.issued2010en_HK
dc.identifier.citationPsycho-Oncology, 2010, v. 19 n. 10, p. 1044-1051en_HK
dc.identifier.issn1057-9249en_HK
dc.identifier.urihttp://hdl.handle.net/10722/129476-
dc.description.abstractBackground: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored. Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5-day, 1-month, 4-month, and 8-month post-surgery on measures of psychological distress, optimism, treatment decision-making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease. Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed-recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post-surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed-recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook. Conclusion: Optimism and better early post-operative treatment outcomes predicted resilience to distress. Pre-operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post-operative rehabilitation should focus on symptom management. © 2009 John Wiley & Sons, Ltd.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_HK
dc.relation.ispartofPsycho-Oncologyen_HK
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThis is a preprint of an article published in Psycho-Oncology, 2010, v. 19 n. 10, p. 1044-1051-
dc.subjectbreast canceren_HK
dc.subjectChinese womenen_HK
dc.subjectdistressen_HK
dc.subjectoncologyen_HK
dc.subjectoptimismen_HK
dc.subjectresilienceen_HK
dc.subject.meshAsian Continental Ancestry Group - psychology-
dc.subject.meshBreast Neoplasms - diagnosis - ethnology - psychology - surgery-
dc.subject.meshIllness Behavior-
dc.subject.meshResilience, Psychological-
dc.subject.meshStress, Psychological - ethnology-
dc.titleTrajectories of psychological distress among Chinese women diagnosed with breast canceren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1057-9249&volume=19&issue=10&spage=1044&epage=1051&date=2010&atitle=Trajectories+of+psychological+distress+among+Chinese+women+diagnosed+with+breast+cancer-
dc.identifier.emailLam, WWT: wwtlam@hku.hken_HK
dc.identifier.emailHo, S: munyin@hkucc.hku.hken_HK
dc.identifier.emailFielding, R: fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityHo, S=rp00554en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturepostprint-
dc.identifier.doi10.1002/pon.1658en_HK
dc.identifier.pmid20014074-
dc.identifier.scopuseid_2-s2.0-78149293144en_HK
dc.identifier.hkuros183399en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78149293144&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1044en_HK
dc.identifier.epage1051en_HK
dc.identifier.eissn1099-1611-
dc.identifier.isiWOS:000283405600004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridBonanno, GA=7101685888en_HK
dc.identifier.scopusauthoridMancini, AD=14060467900en_HK
dc.identifier.scopusauthoridHo, S=25722730500en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridHung, WK=26027012100en_HK
dc.identifier.scopusauthoridOr, A=8562756500en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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