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Article: Trajectories of body image and sexuality during the first year following diagnosis of breast cancer and their relationship to 6 years psychosocial outcomes

TitleTrajectories of body image and sexuality during the first year following diagnosis of breast cancer and their relationship to 6 years psychosocial outcomes
Authors
Keywords6-Year survivorship
Body image
Breast cancer
Chinese
Sexuality
Trajectory patterns
Treatment decision making
Issue Date2012
PublisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806
Citation
Breast Cancer Research And Treatment, 2012, v. 131 n. 3, p. 957-967 How to Cite?
AbstractWe examined degree and determinants of change in body image and sexuality over the first year following breast cancer diagnosis to differentiate body image and sexuality trajectories, and then explored if differences in trajectories predicted 6 years' psychosocial outcomes. 363/405 (90%) Chinese women receiving surgery for BC were assessed at 5-days (Baseline), 1-month, 4-months, and 8-months post-surgery. Psychological distress, treatment decision making (TDM) difficulties, satisfaction with treatment outcome, optimism, and self-efficacy were assessed at Baseline. Self-image and sexuality were recorded at each follow-up assessment. Latent growth mixture modeling identified trajectories of self-image and sexuality. Multinominal logistic regression identified factors predicting trajectory patterns. Six years later 211/363 (58%) of the original patients were successfully traced and their psychosocial status assessed. Three distinct trajectories of self-image and sexuality were identified: high-stable, recovery, and high-deteriorating. Most women (64% self-image; 58% sexuality) showed stable levels of self-image and sexuality scores. TDM difficulties, satisfaction with treatment outcomes, physical symptom and psychological distress predicted trajectory patterns. Self-image trajectories over the first year diagnosis predicted 6-years psychosocial outcomes. Women with high-stable level of self-image had the best 6-year self-image and sexuality; women with initial low level of self-image had significantly greater long-term psychological distress. Low TDM difficulties and high treatment outcome satisfaction predicted high and stable self-image and sexuality. Type of surgery showed little impacts on self-image and sexuality. Self-image during acute illness phase predicted long-term outcomes. Interventions should focus on minimizing self-image decrement. © 2011 Springer Science+Business Media, LLC.
Persistent Identifierhttp://hdl.handle.net/10722/145598
ISSN
2015 Impact Factor: 4.085
2015 SCImago Journal Rankings: 2.424
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Government Health (Services Research Committee)213022
05060581
Hong Kong Cancer Fund Scholarship in Psycho-Oncology
Funding Information:

This project was supported by grants from the Hong Kong Government Health (Services Research Committee (HSRC # 213022 and HHSRF # 05060581), and the Hong Kong Cancer Fund Scholarship in Psycho-Oncology awarded to the first author in 2001-2002. We thank Lucy C.D. Fielding, Ella Y. Y. Ho, Pheebie Kwok, and many others who worked with us or facilitated this work through patient recruitment, data collection, data entry and data cleaning over the many years of this project, and the very many women who kindly and patiently participated at a most difficult time in their lives.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorLi, WWYen_HK
dc.contributor.authorBonanno, GAen_HK
dc.contributor.authorMancini, ADen_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorOr, Aen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2012-02-28T01:57:16Z-
dc.date.available2012-02-28T01:57:16Z-
dc.date.issued2012en_HK
dc.identifier.citationBreast Cancer Research And Treatment, 2012, v. 131 n. 3, p. 957-967en_HK
dc.identifier.issn0167-6806en_HK
dc.identifier.urihttp://hdl.handle.net/10722/145598-
dc.description.abstractWe examined degree and determinants of change in body image and sexuality over the first year following breast cancer diagnosis to differentiate body image and sexuality trajectories, and then explored if differences in trajectories predicted 6 years' psychosocial outcomes. 363/405 (90%) Chinese women receiving surgery for BC were assessed at 5-days (Baseline), 1-month, 4-months, and 8-months post-surgery. Psychological distress, treatment decision making (TDM) difficulties, satisfaction with treatment outcome, optimism, and self-efficacy were assessed at Baseline. Self-image and sexuality were recorded at each follow-up assessment. Latent growth mixture modeling identified trajectories of self-image and sexuality. Multinominal logistic regression identified factors predicting trajectory patterns. Six years later 211/363 (58%) of the original patients were successfully traced and their psychosocial status assessed. Three distinct trajectories of self-image and sexuality were identified: high-stable, recovery, and high-deteriorating. Most women (64% self-image; 58% sexuality) showed stable levels of self-image and sexuality scores. TDM difficulties, satisfaction with treatment outcomes, physical symptom and psychological distress predicted trajectory patterns. Self-image trajectories over the first year diagnosis predicted 6-years psychosocial outcomes. Women with high-stable level of self-image had the best 6-year self-image and sexuality; women with initial low level of self-image had significantly greater long-term psychological distress. Low TDM difficulties and high treatment outcome satisfaction predicted high and stable self-image and sexuality. Type of surgery showed little impacts on self-image and sexuality. Self-image during acute illness phase predicted long-term outcomes. Interventions should focus on minimizing self-image decrement. © 2011 Springer Science+Business Media, LLC.en_HK
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806en_HK
dc.relation.ispartofBreast Cancer Research and Treatmenten_HK
dc.rightsThe original publication is available at www.springerlink.comen_US
dc.subject6-Year survivorshipen_HK
dc.subjectBody imageen_HK
dc.subjectBreast canceren_HK
dc.subjectChineseen_HK
dc.subjectSexualityen_HK
dc.subjectTrajectory patternsen_HK
dc.subjectTreatment decision makingen_HK
dc.subject.meshAsian Continental Ancestry Group - psychology-
dc.subject.meshBody Image-
dc.subject.meshBreast Neoplasms - epidemiology - psychology-
dc.subject.meshHong Kong - epidemiology - ethnology-
dc.subject.meshInterview, Psychological-
dc.titleTrajectories of body image and sexuality during the first year following diagnosis of breast cancer and their relationship to 6 years psychosocial outcomesen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10549-011-1798-2en_HK
dc.identifier.pmid21971728-
dc.identifier.scopuseid_2-s2.0-84856223379en_HK
dc.identifier.hkuros198629en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84856223379&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume131en_HK
dc.identifier.issue3en_HK
dc.identifier.spage957en_HK
dc.identifier.epage967en_HK
dc.identifier.eissn1573-7217-
dc.identifier.isiWOS:000299346100024-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectOptimising treatment decision making and adjustment to breast cancer in Chinese women-
dc.relation.projectPsychosocial and physical outcomes after surgery for breast cancer: a five to six year follow-up and exploration consultation factors-
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridLi, WWY=54921763400en_HK
dc.identifier.scopusauthoridBonanno, GA=7101685888en_HK
dc.identifier.scopusauthoridMancini, AD=14060467900en_HK
dc.identifier.scopusauthoridChan, M=34871631600en_HK
dc.identifier.scopusauthoridOr, A=8562756500en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.citeulike9895700-

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