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Conference Paper: Psychological morbidity in Chinese women with breast cancer: A prospective study

TitlePsychological morbidity in Chinese women with breast cancer: A prospective study
Authors
Issue Date2005
PublisherHonor Society of Nursing.
Citation
The 16th International Nursing Research Congress, Hawaii's Big Island, HI, 14-16 July 2005 How to Cite?
AbstractObjective: To examine predictors of short- and medium-term psychological morbidity (Distress) among Chinese women following breast cancer surgery. Method: Three hundred and three Chinese women were interviewed at 1 week (baseline), 1, 4 and 8 months following surgery. Participants were assessed for baseline Distress (Chinese Health Questionnaire-12) and completed a retrospective assessment of treatment decision making (TDM) difficulties, treatment outcome expectations and satisfaction with TDM involvement. Perceived treatment outcome, Distress, optimism, perceived self-efficacy (SE), and physical symptom distress (PSD) were assessed at each follow-up. Stepwise multivariate regression examined impact of TDM-related and other factors on Distress over time after adjustment for clinical and treatment differences. Results: At baseline, 38% of women had mild, and 40% moderate/severe Distress. Outcome expectation, TDM difficulties and SE predicted baseline CHQ12 scores (adjusted R2=.312). Distress declined significantly over follow-up assessments (p<.001). At one-month post-surgery (adjusted R2= 0.59) Distress was predicted by PSD (p<.001), baseline Distress (p<.001), Expectancy-Outcome incongruence (p<.001), and over-involvement in TDM (p=.003). Three-months post-surgery Distress (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), Expectancy-Outcome Incongruence (p=.001), and low SE (p<.001). Distress at eight-months post-surgery (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), and low optimism (p<.001). Conclusion: Distress declines throughout the first year after breast cancer surgery. One-month post-surgery Distress is a significant predictor of subsequent Distress. This in turn is predicted by consultation involvement and expectations. The early post-surgical period should be considered as a critical time to assess delay Distress.
Persistent Identifierhttp://hdl.handle.net/10722/98381

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorOr, Aen_HK
dc.date.accessioned2010-09-25T17:45:52Z-
dc.date.available2010-09-25T17:45:52Z-
dc.date.issued2005en_HK
dc.identifier.citationThe 16th International Nursing Research Congress, Hawaii's Big Island, HI, 14-16 July 2005-
dc.identifier.urihttp://hdl.handle.net/10722/98381-
dc.description.abstractObjective: To examine predictors of short- and medium-term psychological morbidity (Distress) among Chinese women following breast cancer surgery. Method: Three hundred and three Chinese women were interviewed at 1 week (baseline), 1, 4 and 8 months following surgery. Participants were assessed for baseline Distress (Chinese Health Questionnaire-12) and completed a retrospective assessment of treatment decision making (TDM) difficulties, treatment outcome expectations and satisfaction with TDM involvement. Perceived treatment outcome, Distress, optimism, perceived self-efficacy (SE), and physical symptom distress (PSD) were assessed at each follow-up. Stepwise multivariate regression examined impact of TDM-related and other factors on Distress over time after adjustment for clinical and treatment differences. Results: At baseline, 38% of women had mild, and 40% moderate/severe Distress. Outcome expectation, TDM difficulties and SE predicted baseline CHQ12 scores (adjusted R2=.312). Distress declined significantly over follow-up assessments (p<.001). At one-month post-surgery (adjusted R2= 0.59) Distress was predicted by PSD (p<.001), baseline Distress (p<.001), Expectancy-Outcome incongruence (p<.001), and over-involvement in TDM (p=.003). Three-months post-surgery Distress (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), Expectancy-Outcome Incongruence (p=.001), and low SE (p<.001). Distress at eight-months post-surgery (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), and low optimism (p<.001). Conclusion: Distress declines throughout the first year after breast cancer surgery. One-month post-surgery Distress is a significant predictor of subsequent Distress. This in turn is predicted by consultation involvement and expectations. The early post-surgical period should be considered as a critical time to assess delay Distress.-
dc.languageengen_HK
dc.publisherHonor Society of Nursing.en_HK
dc.relation.ispartofInternational Nursing Research Congressen_HK
dc.titlePsychological morbidity in Chinese women with breast cancer: A prospective studyen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailLam, WWT: wwtlam@hku.hken_HK
dc.identifier.emailFielding, R: fielding@hkusua.hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.identifier.hkuros119350en_HK

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