Skip to main content
Erschienen in: Supportive Care in Cancer 3/2019

09.08.2018 | Original Article

Emotional distress and unmet supportive care needs in survivors of breast cancer beyond the end of primary treatment

Erschienen in: Supportive Care in Cancer | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Cancer patient survival rates are rapidly growing, and further data are needed on the impact of the disease beyond diagnosis and treatment phases. The aims of this study were to analyze the prevalence and sociodemographic and medical risk factors of clinical distress. Additionally, we also explore the relationship between unmet psychosocial needs and both clinical distress and subgroups of survival periods.

Methods

A cross-sectional study of 450 women who at least 1 month before had completed the primary treatment for breast cancer was conducted. The Brief Symptom Inventory 18 and the Cancer Survivors Unmet Needs measure were used.

Results

One in four women showed clinical distress related to unmet psychosocial needs. None of the sociodemographic and medical predictors was associated with clinical distress. Needs focused on the possibility of recurrence and its cognitive-emotional impact were the most frequent. Needs tended to decrease through periods of survival; however, there was a considerable level of unmet needs even among long-term survivors.

Conclusions

The findings highlight the relevance of extending psychosocial care beyond the breast cancer primary medical treatment. Early and regular screen for distress and unmet supportive needs permits to identify high-risk groups that likely benefit from targeted preventive interventions.
Literatur
12.
Zurück zum Zitat Holland JC, Andersen B, Breitbart WS, Buchmann LO, Compas B, Deshields TL, Dudley MM, Fleishman S, Fulcher CD, Greenberg DB, Greiner CB, Handzo GF, Hoofring L, Hoover C, Jacobsen PB, Kvale E, Levy MH, Loscalzo MJ, McAllister-Black R, Mechanic KY, Palesh O, Pazar JP, Riba MB, Roper K, Valentine AD, Wagner LI, Zevon MA, McMillian NR, Freedman-Cass DA (2013) Distress management. Clinical practice guidelines in oncology. J Natl Compr Cancer Netw 11:190–209CrossRef Holland JC, Andersen B, Breitbart WS, Buchmann LO, Compas B, Deshields TL, Dudley MM, Fleishman S, Fulcher CD, Greenberg DB, Greiner CB, Handzo GF, Hoofring L, Hoover C, Jacobsen PB, Kvale E, Levy MH, Loscalzo MJ, McAllister-Black R, Mechanic KY, Palesh O, Pazar JP, Riba MB, Roper K, Valentine AD, Wagner LI, Zevon MA, McMillian NR, Freedman-Cass DA (2013) Distress management. Clinical practice guidelines in oncology. J Natl Compr Cancer Netw 11:190–209CrossRef
15.
Zurück zum Zitat Syrjala KL, Yi J (2017) Overview of psychosocial issues in the adult cancer survivor. In: Post TW (ed) UpToDate. UpToDate Inc., Waltham. http://www.uptodate.com. Accessed 15 Jan 2018 Syrjala KL, Yi J (2017) Overview of psychosocial issues in the adult cancer survivor. In: Post TW (ed) UpToDate. UpToDate Inc., Waltham. http://​www.​uptodate.​com. Accessed 15 Jan 2018
26.
Zurück zum Zitat Derogatis LR (2013) Brief Symptom Inventory (BSI-18). National Computer Sistema Pearson, Inc, Minneapolis Derogatis LR (2013) Brief Symptom Inventory (BSI-18). National Computer Sistema Pearson, Inc, Minneapolis
27.
Zurück zum Zitat Derogatis LR (2001) Brief Symptom Inventory (BSI)-18. Administration, scoring and procedures manual. NCS Pearson, Inc, Minneapolis Derogatis LR (2001) Brief Symptom Inventory (BSI)-18. Administration, scoring and procedures manual. NCS Pearson, Inc, Minneapolis
29.
Zurück zum Zitat Martínez P, Andreu Y, Galdón MJ (under review) Psychometric properties of Brief Symptom Inventory-18 in heterogeneous sample of adult cancer patients Martínez P, Andreu Y, Galdón MJ (under review) Psychometric properties of Brief Symptom Inventory-18 in heterogeneous sample of adult cancer patients
30.
Zurück zum Zitat Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hob KM, Lo SK et al (2007) The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology 16:796–804. https://doi.org/10.1002/pon.1137 CrossRefPubMed Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hob KM, Lo SK et al (2007) The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology 16:796–804. https://​doi.​org/​10.​1002/​pon.​1137 CrossRefPubMed
35.
Zurück zum Zitat Wenzel LB, Donnelly JP, Fowler JM, Habbal R, Taylor TH, Aziz N, Cella D (2002) Resilience, reflection, and residual stress in ovarian cancer survivorship: a gynecologic oncology group study. Psycho-Oncology 11:142–153CrossRefPubMed Wenzel LB, Donnelly JP, Fowler JM, Habbal R, Taylor TH, Aziz N, Cella D (2002) Resilience, reflection, and residual stress in ovarian cancer survivorship: a gynecologic oncology group study. Psycho-Oncology 11:142–153CrossRefPubMed
39.
Zurück zum Zitat Holland JC, Reznik I (2005) Pathways for psychosocial care of cancer survivors. Cancer 104:2624–2637CrossRefPubMed Holland JC, Reznik I (2005) Pathways for psychosocial care of cancer survivors. Cancer 104:2624–2637CrossRefPubMed
Metadaten
Titel
Emotional distress and unmet supportive care needs in survivors of breast cancer beyond the end of primary treatment
Publikationsdatum
09.08.2018
Erschienen in
Supportive Care in Cancer / Ausgabe 3/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4394-8

Weitere Artikel der Ausgabe 3/2019

Supportive Care in Cancer 3/2019 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.