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Article: Distress trajectories at the first year diagnosis of breast cancer in relation to 6 years survivorship

TitleDistress trajectories at the first year diagnosis of breast cancer in relation to 6 years survivorship
Authors
KeywordsAnxiety disorder
Breast cancer
Breast surgery
Cancer chemotherapy
Cancer hormone therapy
Issue Date2012
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2012, v. 21 n. 1, p. 90-99 How to Cite?
AbstractPurpose: To explore how initial trajectories of distress experienced during the first year following diagnosis with early-stage breast cancer (ESBC) relate to subsequent long-term (6 years) psychosocial outcomes. Methods: 285/303 Chinese women recruited 1-week post-surgery for predominantly ESBC were assessed for distress with the Chinese Health Questionnaire at 1, 4, and 8 months later. Latent growth mixture modeling revealed four distinct distress trajectories during the first 8 months following surgery (Lam et al., 2010). Six years later we reassessed 186 of these 285 women, comparing scores on the Hospital Anxiety and Depression Scale, Impact of Events Scale, and Chinese Social Adjustment Scale by first 8 months' distress trajectory. Results: Distress trajectories over the first 8 months post-operatively predicted psychosocial outcomes 6 years later. Women with stable low levels of distress over the first 8 months post-operatively (resilient group) had the best 6-year psychosocial outcomes. Women who experienced chronic distress had significantly greater longer-term psychological distress, cancer-related distress, and poorer social adjustment in comparison to women in the resilient group. Women in the recovered or delayed-recovery groups were comparable to those in the resilient group, except for concerns about appearance and sexuality, and self-image. Conclusion: Women with an illness trajectory characterized by chronic distress over the first 8 months post-operatively had poorest longer-term psychosocial outcomes. Clarification of determinants of chronic distress and means for early identification of at-risk women are needed. This will enable targeted optimization of interventions to prevent and manage chronic distress, improving ESBC rehabilitation efficiency. Copyright © 2010 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/151764
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_US
dc.contributor.authorShing, YTen_US
dc.contributor.authorBonanno, GAen_US
dc.contributor.authorMancini, ADen_US
dc.contributor.authorFielding, Ren_US
dc.date.accessioned2012-06-26T06:28:02Z-
dc.date.available2012-06-26T06:28:02Z-
dc.date.issued2012en_US
dc.identifier.citationPsycho-Oncology, 2012, v. 21 n. 1, p. 90-99en_US
dc.identifier.issn1057-9249en_US
dc.identifier.urihttp://hdl.handle.net/10722/151764-
dc.description.abstractPurpose: To explore how initial trajectories of distress experienced during the first year following diagnosis with early-stage breast cancer (ESBC) relate to subsequent long-term (6 years) psychosocial outcomes. Methods: 285/303 Chinese women recruited 1-week post-surgery for predominantly ESBC were assessed for distress with the Chinese Health Questionnaire at 1, 4, and 8 months later. Latent growth mixture modeling revealed four distinct distress trajectories during the first 8 months following surgery (Lam et al., 2010). Six years later we reassessed 186 of these 285 women, comparing scores on the Hospital Anxiety and Depression Scale, Impact of Events Scale, and Chinese Social Adjustment Scale by first 8 months' distress trajectory. Results: Distress trajectories over the first 8 months post-operatively predicted psychosocial outcomes 6 years later. Women with stable low levels of distress over the first 8 months post-operatively (resilient group) had the best 6-year psychosocial outcomes. Women who experienced chronic distress had significantly greater longer-term psychological distress, cancer-related distress, and poorer social adjustment in comparison to women in the resilient group. Women in the recovered or delayed-recovery groups were comparable to those in the resilient group, except for concerns about appearance and sexuality, and self-image. Conclusion: Women with an illness trajectory characterized by chronic distress over the first 8 months post-operatively had poorest longer-term psychosocial outcomes. Clarification of determinants of chronic distress and means for early identification of at-risk women are needed. This will enable targeted optimization of interventions to prevent and manage chronic distress, improving ESBC rehabilitation efficiency. Copyright © 2010 John Wiley & Sons, Ltd.en_US
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_US
dc.relation.ispartofPsycho-Oncologyen_US
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.-
dc.rightsSpecial Statement for Preprint only Before publication: 'This is a preprint of an article accepted for publication in [The Journal of Pathology] Copyright © ([year]) ([Pathological Society of Great Britain and Ireland])'. After publication: the preprint notice should be amended to follows: 'This is a preprint of an article published in [include the complete citation information for the final version of the Contribution as published in the print edition of the Journal]' For Cochrane Library/ Cochrane Database of Systematic Reviews, add statement & acknowledgement : ‘This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 20XX, Issue X. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.’ Please include reference to the Review and hyperlink to the original version using the following format e.g. Authors. Title of Review. Cochrane Database of Systematic Reviews 20XX, Issue #. Art. No.: CD00XXXX. DOI: 10.1002/14651858.CD00XXXX (insert persistent link to the article by using the URL: http://dx.doi.org/10.1002/14651858.CD00XXXX) (This statement should refer to the most recent issue of the Cochrane Database of Systematic Reviews in which the Review published.)-
dc.subjectAnxiety disorderen_US
dc.subjectBreast canceren_US
dc.subjectBreast surgeryen_US
dc.subjectCancer chemotherapyen_US
dc.subjectCancer hormone therapyen_US
dc.titleDistress trajectories at the first year diagnosis of breast cancer in relation to 6 years survivorshipen_US
dc.typeArticleen_US
dc.identifier.emailLam, WWT: wwtlam@hku.hken_US
dc.identifier.emailFielding, R: fielding@hku.hken_US
dc.identifier.authorityLam, WWT=rp00443en_US
dc.identifier.authorityFielding, R=rp00339en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/pon.1876en_US
dc.identifier.pmid21132676-
dc.identifier.scopuseid_2-s2.0-84855379633en_US
dc.identifier.hkuros198831-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84855379633&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume21en_US
dc.identifier.issue1en_US
dc.identifier.spage90en_US
dc.identifier.epage99en_US
dc.identifier.eissn1099-1611-
dc.identifier.isiWOS:000298741400011-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridFielding, R=7102200484en_US
dc.identifier.scopusauthoridMancini, AD=14060467900en_US
dc.identifier.scopusauthoridBonanno, GA=7101685888en_US
dc.identifier.scopusauthoridShing, YT=54882901500en_US
dc.identifier.scopusauthoridLam, WWT=7203022022en_US

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