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Prevalence and predictors of distress in women taking part in surgical continuity of care for breast cancer: A cohort study

Jørgensen, L. ; Laursen, B.S. ; Garne, J.P. ; Sherman, K.A. ; Søgaard, M.

European Journal of Oncology Nursing, 06/2016, Vol.22, C, pp.30-36 [Tạp chí có phản biện]

ISSN: 14623889 ; DOI: http://dx.doi.org/10.1016/j.ejon.2016.01.004

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  • Nhan đề:
    Prevalence and predictors of distress in women taking part in surgical continuity of care for breast cancer: A cohort study
  • Tác giả: Jørgensen, L. ; Laursen, B.S. ; Garne, J.P. ; Sherman, K.A. ; Søgaard, M.
  • Chủ đề: Breast Cancer -- Health Aspects ; Breast Cancer -- Analysis ; Women -- Health Aspects ; Women -- Analysis ; Cancer Research -- Health Aspects ; Cancer Research -- Analysis ; Adjuvant Chemotherapy -- Health Aspects ; Adjuvant Chemotherapy -- Analysis ; Measuring Instruments -- Health Aspects ; Measuring Instruments -- Analysis
  • Là 1 phần của: European Journal of Oncology Nursing, 06/2016, Vol.22, C, pp.30-36
  • Mô tả: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1016/j.ejon.2016.01.004 Byline: L. Jorgensen [lojo@rn.dk] (a,*), B.S. Laursen [bisl@rn.dk] (b), J.P. Garne [jpg@dadlnet.dk] (a), K.A. Sherman [Kerry.Sherman@mq.edu.au] (c), M. Sogaard [mso@clin.au.dk] (d) Keywords Distress; Survey; Distress thermometer; Predictors; Longitudinal; Breast cancer Highlights * More than two-thirds of women diagnosed with breast cancer experienced moderate to severe distressed at time of diagnosis. * Mean distress decreased in surgical continuity of care. * However, for some women, distress was unchanged or even worsened. * Predictors of distress were multifaceted and multifactorial. Abstract Purpose Women with breast cancer often experience distress. This cohort study investigated the prevalence of distress, predictors of distress, and changes in distress during surgical continuity of care for breast cancer (from diagnosis to commencement of adjuvant treatment). Methods The participants were 1079 women with breast cancer who were recruited between April 2013 and May 2014 from 11 breast surgery departments in Denmark. Distress was evaluated using the Distress Thermometer (DT) and predictors of distress were assessed with a self-administered questionnaire at the time of diagnosis (T1), at discharge (T2), and by the start of adjuvant treatment or follow-up (T3). Repeated measures ANOVA, simple and multiple linear regression, and mixed effects regression models were used to identify predictors and estimate changes in distress. Results At T1, 249 (24.3%) women reported no or minimal distress, 298 (29.1%) moderate distress, and 407 (39.8%) severe distress. The mean distress was 5.5 points on the DT, which decreased by 0.70 (95% confidence interval (CI) -0.80, -0.54) points from T1 to T3. Predictors of distress were time since diagnosis, age, prior or concurrent intake of antidepressants or sedative medicine, prior emotional status, children living at home, feelings regarding femininity and attractiveness, and hospital. Conclusions More than two-thirds of women with breast cancer experienced moderate or severe distress. Mean distress decreased slightly during surgical continuity of care. However, for some women, distress remained unchanged or even worsened. These findings highlight the need to identify the individual women with distress and offer them adequate support and care. Author Affiliation: (a) Department of Breast Surgery, Aalborg University Hospital, Sdr Skovvej 3, 9000, Aalborg, Denmark (b) Department of Clinical Medicine Aalborg University & Clinical Nursing Research Unit Aalborg University Hospital, Sdr. Skovvej 15, 9000, Aalborg, Denmark (c) Centre for Emotional Health, Department of Psychology, Macquarie University, 2109, NSW, Westmead Breast Cancer Institute, Westmead Hospital, Sydney, Australia (d) Department of Epidemiology Institute of Clinical Medicine, Aarhus University Hospital, Olof Palmes Alle 43-45, 8200, Aarhus N, Denmark * Corresponding author. Article History: Received 9 March 2015; Revised 18 January 2016; Accepted 20 January 2016
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 14623889 ; DOI: http://dx.doi.org/10.1016/j.ejon.2016.01.004

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