Skip to main content
Erschienen in: Journal of Cancer Education 2/2011

01.06.2011

Cognitive Processing Variables in Breast Cancer: Worry and Distress at the End of Treatment

verfasst von: Gema Costa-Requena, Ana Rodríguez, Rosina Fernández, Elisabet Palomera, Francisco L. Gil

Erschienen in: Journal of Cancer Education | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

This study assessed the influence of cognitive processing variables on cancer worries and distress after breast cancer treatment. In multivariate analyses, while independent variables were intolerance of uncertainty and intrusive thoughts, constructs' variables were anxiety and depression symptoms and cancer-related worries. The intolerance to uncertainty had a tendency to influence on distress and concerns about cancer after the end of treatment (Wilks' λ = 0.687, p = 0.074). Whereas, thought intrusion had a significant influence on distress and cancer related worries (Wilks' λ = 0.228, p = 0.000). Cognitive variables could be addressed by the oncology nurse when considering the patients' concerns related to cancer and psychological distress.
Literatur
1.
Zurück zum Zitat Costanzo ES, Lutgendorf SK, Mattes ML, Trehan S, Robinson CB, Tewfik F, Roman SL (2007) Adjusting to Life after Treatment: Distress and Quality of Life following Treatment for Breast Cancer. Br J Cancer 97:1625–1631PubMedCrossRef Costanzo ES, Lutgendorf SK, Mattes ML, Trehan S, Robinson CB, Tewfik F, Roman SL (2007) Adjusting to Life after Treatment: Distress and Quality of Life following Treatment for Breast Cancer. Br J Cancer 97:1625–1631PubMedCrossRef
2.
Zurück zum Zitat Cappiello M, Cunnigham RS, Knobf MT, Erdos D (2007) Breast Cancer Survivors. Information and Support after Treatment. Clin Nurs Res 16(4):278–293PubMedCrossRef Cappiello M, Cunnigham RS, Knobf MT, Erdos D (2007) Breast Cancer Survivors. Information and Support after Treatment. Clin Nurs Res 16(4):278–293PubMedCrossRef
3.
Zurück zum Zitat Hay JL, Buckley TR, Ostroff JS (2005) The role of cancer worry in cancer screening: A theoretical and empirical review of the literature. Psycho-Oncology 14:517–534PubMedCrossRef Hay JL, Buckley TR, Ostroff JS (2005) The role of cancer worry in cancer screening: A theoretical and empirical review of the literature. Psycho-Oncology 14:517–534PubMedCrossRef
4.
Zurück zum Zitat Freeston MH, Rheaume J, Letarte H, Dugas MJ, Ladouceur R (1994) Why do People Worry? Pers Individ Differ 17(6):791–802CrossRef Freeston MH, Rheaume J, Letarte H, Dugas MJ, Ladouceur R (1994) Why do People Worry? Pers Individ Differ 17(6):791–802CrossRef
5.
Zurück zum Zitat Dugas MJ, Freeston MH, Ladouceur R (1997) Intolerance of Uncertainty and Problem Orientation in Worry. Cogn Ther Res 21(6):593–606CrossRef Dugas MJ, Freeston MH, Ladouceur R (1997) Intolerance of Uncertainty and Problem Orientation in Worry. Cogn Ther Res 21(6):593–606CrossRef
6.
Zurück zum Zitat Han PKJ, Moser RP, Klein WMP (2006) Perceived ambiguity about cancer prevention recommendations: Relationships to perceptions of cancer preventability, risk and worry. J Health Commun 11:51–69PubMedCrossRef Han PKJ, Moser RP, Klein WMP (2006) Perceived ambiguity about cancer prevention recommendations: Relationships to perceptions of cancer preventability, risk and worry. J Health Commun 11:51–69PubMedCrossRef
7.
Zurück zum Zitat Segerstrom SC, Tsao JCI, Alden LE, Craske MG (2000) Worry and Rumiation: Repetitive Thought as a Concomitant and Predictor of negative Mood. Cogn Ther Res 24(6):671–688CrossRef Segerstrom SC, Tsao JCI, Alden LE, Craske MG (2000) Worry and Rumiation: Repetitive Thought as a Concomitant and Predictor of negative Mood. Cogn Ther Res 24(6):671–688CrossRef
8.
Zurück zum Zitat Beck R, Perkins TS, Holder R, Robbins M, Gray M, Allison SH (2001) The Cognitive and Emotional Phenomenology of Depression and Anxiety: Are Worry and Hopelessness the Cognitive Correlatesof NA and PA? Cogn Ther Res 25(6):829–838CrossRef Beck R, Perkins TS, Holder R, Robbins M, Gray M, Allison SH (2001) The Cognitive and Emotional Phenomenology of Depression and Anxiety: Are Worry and Hopelessness the Cognitive Correlatesof NA and PA? Cogn Ther Res 25(6):829–838CrossRef
9.
Zurück zum Zitat Cella D, Mahon S, Donovan M (1990) Cancer Recurrence as a Traumatic Event. Behav Med 16:15–22PubMedCrossRef Cella D, Mahon S, Donovan M (1990) Cancer Recurrence as a Traumatic Event. Behav Med 16:15–22PubMedCrossRef
10.
Zurück zum Zitat Lerman C, Lustbader E, Rimer B, Daly M, Millar S, Sands C, Balshem A (1995) Effects of Individualized Breast Cancer Risk Counseling: a Randomized Trial. J Natl Cancer Inst 87(4):286–292PubMedCrossRef Lerman C, Lustbader E, Rimer B, Daly M, Millar S, Sands C, Balshem A (1995) Effects of Individualized Breast Cancer Risk Counseling: a Randomized Trial. J Natl Cancer Inst 87(4):286–292PubMedCrossRef
11.
Zurück zum Zitat Lewis JA, Manne SL, DuHamel KN, Vickburg SMJ, Bovbjerg DH, Currie V, Winkel G, Redd WH (2001) Social Support, Intrusive Thoughts, and quality of life in Breast Cancer Survivors. J Behav Med 24(3):231–245PubMedCrossRef Lewis JA, Manne SL, DuHamel KN, Vickburg SMJ, Bovbjerg DH, Currie V, Winkel G, Redd WH (2001) Social Support, Intrusive Thoughts, and quality of life in Breast Cancer Survivors. J Behav Med 24(3):231–245PubMedCrossRef
12.
Zurück zum Zitat Karnofsky DA, Abelman WH, Craver LF, Burchenal JH (1948) The use of nitrogen mustards in the palliative treatment of carcinoma. Cancer 1:634–56CrossRef Karnofsky DA, Abelman WH, Craver LF, Burchenal JH (1948) The use of nitrogen mustards in the palliative treatment of carcinoma. Cancer 1:634–56CrossRef
13.
Zurück zum Zitat Lerman C, Trock B, Rimer BK, Boyce A, Jepson C, Engstrom PF (1991) Psychological and Behavioral Implications of abnormal Mammograms. Ann Intern Med 114:657–661PubMed Lerman C, Trock B, Rimer BK, Boyce A, Jepson C, Engstrom PF (1991) Psychological and Behavioral Implications of abnormal Mammograms. Ann Intern Med 114:657–661PubMed
14.
Zurück zum Zitat Cabrera E, Zabalegui A, Gil F, Llort G, Blanco I (2007) How to Measure Cancer Worry: Transcultural Validation of a Cancer Worry Scale. Psycho-Oncology 16:S179 Cabrera E, Zabalegui A, Gil F, Llort G, Blanco I (2007) How to Measure Cancer Worry: Transcultural Validation of a Cancer Worry Scale. Psycho-Oncology 16:S179
15.
Zurück zum Zitat González M, Cubas R, Rovella AT, Darias M (2006) Adaptación Española de la Escala de Intolerancia hacia la Incertidumbre: Procesos Cognitivos, Ansiedad y Depresión. Psicología y Salud 16(2):219–233 González M, Cubas R, Rovella AT, Darias M (2006) Adaptación Española de la Escala de Intolerancia hacia la Incertidumbre: Procesos Cognitivos, Ansiedad y Depresión. Psicología y Salud 16(2):219–233
16.
Zurück zum Zitat Weiss DS, Marmar CR (1997) The Impact of Event Scale- Revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a handbook for practioners. Guilford, New York, pp 399–411 Weiss DS, Marmar CR (1997) The Impact of Event Scale- Revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a handbook for practioners. Guilford, New York, pp 399–411
17.
Zurück zum Zitat Costa-Requena G, Gil FL (2007) Propiedades Psicométricas de la Escala Revisada del Impacto del Evento Estresante (IES-R) en una Muestra Española de Pacientes con Cáncer. Análisis y Modificación de Conducta 33(149):311–331 Costa-Requena G, Gil FL (2007) Propiedades Psicométricas de la Escala Revisada del Impacto del Evento Estresante (IES-R) en una Muestra Española de Pacientes con Cáncer. Análisis y Modificación de Conducta 33(149):311–331
18.
Zurück zum Zitat Creamer M, Burgués P, Pattison P (1992) Reaction to trauma: A cognitive procesing model. J Abnorm Psychol 191:452–459CrossRef Creamer M, Burgués P, Pattison P (1992) Reaction to trauma: A cognitive procesing model. J Abnorm Psychol 191:452–459CrossRef
19.
Zurück zum Zitat Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depresión Scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depresión Scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef
20.
Zurück zum Zitat Costa-Requena G, Pérez X, Salamero M, Gil FL (2009) Discriminación del malestar emocional en pacientes oncológicos utilizando la escala de Ansiedad y Depresión Hospitalaria (HADS). Ansiedad y Estrés 15(2–3):217–229 Costa-Requena G, Pérez X, Salamero M, Gil FL (2009) Discriminación del malestar emocional en pacientes oncológicos utilizando la escala de Ansiedad y Depresión Hospitalaria (HADS). Ansiedad y Estrés 15(2–3):217–229
21.
Zurück zum Zitat Deshields T, Tibbs T, Fan M-Y, Bayer L, Taylor M, Fisher E (2005) Ending treatment: the course of emotional adjustment and quality of life among breast cancer survivors immediately following radiation therapy. Support Care Cancer 13:1018–1026PubMedCrossRef Deshields T, Tibbs T, Fan M-Y, Bayer L, Taylor M, Fisher E (2005) Ending treatment: the course of emotional adjustment and quality of life among breast cancer survivors immediately following radiation therapy. Support Care Cancer 13:1018–1026PubMedCrossRef
22.
Zurück zum Zitat Hay JL, McCaul KD, Magnan RE (2006) Does worry about breast cancer predict screening behaviors? A meta-analysis of the prospective evidence. Prev Med 42:401–408PubMedCrossRef Hay JL, McCaul KD, Magnan RE (2006) Does worry about breast cancer predict screening behaviors? A meta-analysis of the prospective evidence. Prev Med 42:401–408PubMedCrossRef
23.
Zurück zum Zitat Mathews A, Ridgeway V, Warren R, Britton P (2002) Predicting worry following a diagnosis of breast cancer. Psycho-Oncology 11:415–418PubMedCrossRef Mathews A, Ridgeway V, Warren R, Britton P (2002) Predicting worry following a diagnosis of breast cancer. Psycho-Oncology 11:415–418PubMedCrossRef
24.
Zurück zum Zitat Booth K, Beaver K, Kitchener H (2005) O´Neill J, Farrell C. Women’s experiences of information, psychological distress and worry after treatment for gynaecological cancer. Patient Educ Couns 56:225–232PubMedCrossRef Booth K, Beaver K, Kitchener H (2005) O´Neill J, Farrell C. Women’s experiences of information, psychological distress and worry after treatment for gynaecological cancer. Patient Educ Couns 56:225–232PubMedCrossRef
Metadaten
Titel
Cognitive Processing Variables in Breast Cancer: Worry and Distress at the End of Treatment
verfasst von
Gema Costa-Requena
Ana Rodríguez
Rosina Fernández
Elisabet Palomera
Francisco L. Gil
Publikationsdatum
01.06.2011
Verlag
Springer-Verlag
Erschienen in
Journal of Cancer Education / Ausgabe 2/2011
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-010-0140-8

Weitere Artikel der Ausgabe 2/2011

Journal of Cancer Education 2/2011 Zur Ausgabe

Erhöhtes Risiko fürs Herz unter Checkpointhemmer-Therapie

28.05.2024 Nebenwirkungen der Krebstherapie Nachrichten

Kardiotoxische Nebenwirkungen einer Therapie mit Immuncheckpointhemmern mögen selten sein – wenn sie aber auftreten, wird es für Patienten oft lebensgefährlich. Voruntersuchung und Monitoring sind daher obligat.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Perioperative Checkpointhemmer-Therapie verbessert NSCLC-Prognose

28.05.2024 NSCLC Nachrichten

Eine perioperative Therapie mit Nivolumab reduziert das Risiko für Rezidive und Todesfälle bei operablem NSCLC im Vergleich zu einer alleinigen neoadjuvanten Chemotherapie um über 40%. Darauf deuten die Resultate der Phase-3-Studie CheckMate 77T.

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

Update Onkologie

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