The changes of quality of life and their correlations with psychosocial factors following surgery among women with breast cancer from the post-surgery to post-treatment survivorship
Journal
Breast
Journal Volume
44
Pages
59-65
Date Issued
2019
Author(s)
Jow G.-M.
Wang M.-Y.
Lai Y.-M.
Chen Y.-T.
Abstract
Objectives: This 14-month study aimed to examine the changes of quality of life following breast cancer surgery and associations of such changes with depression and anxiety levels, and protective factors (attachment styles in close relationship, and meaning in life) based on positive psychology theory. Materials and methods: Women with breast cancer were recruited within one week of completion of breast cancer surgery. They were asked to complete several questionnaires to measure the generic and breast cancer specific quality of life, depression and anxiety levels, attachment styles in close relationship, and meaning in life. Assessments were performed at baseline (T0), T1 (the 2nd month), T2 (the 5th month), T3 (the 8th month), and T4 (the 14th month). Results: While the generic functions of quality of life improve after surgery, no significant changes of the breast-specific functions were found during the 14-month follow up period. While physical, role, and social functions improved immediately after surgery, the improvements of emotional and cognitive functions began to occur at the 5th and the 8th months after surgery. Depressive symptoms predicted almost all general and breast-specific QOL functions and symptoms. Avoidant and anxious attachment styles were associated with the negative scores for breast-specific functions and symptoms. Conclusion: Breast-specific functions, in particular body image and sexual function, remain unchanged with the passage of time following surgery. A psychological rehabilitation program aiming to reduce depressive symptoms and enhance secure attachment styles in close relationships needs to be established immediately following surgery and continue through the post-treatment survivorship stages. ? 2018
SDGs
Other Subjects
adult; anxiety; Article; attitude to life; breast cancer; cancer surgery; cancer survivor; cognition; correlational study; depression; emotionality; female; human; major clinical study; priority journal; quality of life; questionnaire; social psychology; survivorship; symptom; aged; body image; breast tumor; coping behavior; longitudinal study; middle aged; psychology; quality of life; Adaptation, Psychological; Adult; Aged; Anxiety; Body Image; Breast Neoplasms; Cancer Survivors; Depression; Female; Humans; Longitudinal Studies; Middle Aged; Quality of Life; Survivorship
Publisher
Churchill Livingstone
Type
journal article