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Erschienen in: Supportive Care in Cancer 11/2007

01.11.2007 | Supportive Care International

Change in quality of life in Chinese women with breast cancer: changes in psychological distress as a predictor

verfasst von: Wing S. Wong, Richard Fielding

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2007

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Abstract

Introduction

The effect of fluctuating psychological distress on quality of life (QoL) scores is not well delineated. We examined how changes in psychological distress affected change in QoL over time in 259 Chinese women recovering from breast cancer (BC).

Patients and methods

Women were interviewed during their first postoperative outpatient visit for chemotherapy (Baseline), at 3 months (FU1), and at 6 months after Baseline (FU2). Respondents completed the Chinese version of the FACT-G version-3 scale [FACT-G (Ch)]. Psychological distress was assessed using three categorical measures of depression, mood, and boredom. Linear mixed effects (LME) models examined whether changes in psychological distress predicted subsequent changes in QoL.

Results

Respondents’ mood improved significantly over time from baseline to FU2 (Baseline/FU2: standardized β = −0.266, p < 0.005; FU1/FU2: standardized β = −0.243, p < 0.005). Changes in depression scores consistently predicted subsequent changes in overall (standardized β = 4.96; 95% CI, 3.749, 6.171, p < 0.001), physical (standardized β = 1.752; 95% CI, 1.209, 2.294, p < 0.001), and functional (standardized β = 0.872; 95% CI, 0.308, 1.436, p < 0.001) QoL scores.

Conclusions

The magnitude of change in psychological distress significantly impacted physical and functional, but not social QoL in Chinese BC patients. These data highlight the need to address psychological and physical distress as part of the drive to improve physical and functional QoL for women with BC.
Fußnoten
1
There were four possible interaction terms: ΔDepression×ΔMood, ΔDepression×ΔBoredom, ΔMood×ΔBoredom, and ΔDepression×ΔMood×ΔBoredom.
 
2
Interaction terms added in follow-up LME analyses: Model 1, ΔDepression × ΔMood × ΔBoredom; Model 2, ΔDepression × ΔMood; Model 3, ΔDepression × ΔBoredom.
 
Literatur
1.
Zurück zum Zitat Jin F, Devesa SS, Chow WH, Zheng W, Ji BT, Fraumeni JF, Gao Y (1999) Cancer incidence trends in urban Shanghai, 1972–1994: an update. Int J Cancer 83:435–440PubMedCrossRef Jin F, Devesa SS, Chow WH, Zheng W, Ji BT, Fraumeni JF, Gao Y (1999) Cancer incidence trends in urban Shanghai, 1972–1994: an update. Int J Cancer 83:435–440PubMedCrossRef
2.
Zurück zum Zitat Yang L, Parkin MD, Ferlay J, Li L, Chen Y (2005) Estimates of cancer incidence in China for 2000 and projections for 2005. Cancer Epidemiol Biomark Prev 14:243–250CrossRef Yang L, Parkin MD, Ferlay J, Li L, Chen Y (2005) Estimates of cancer incidence in China for 2000 and projections for 2005. Cancer Epidemiol Biomark Prev 14:243–250CrossRef
3.
Zurück zum Zitat Leung GM, Thach TQ, Lam TH, Hedley AJ, Foo W, Fielding R, Yip PSM, Lau EMC, Wong CM (2002) Trends in breast cancer incidence in Hong Kong between 1973 and 1999: an age–period–cohort analysis. Br J Cancer 87:982–988PubMedCrossRef Leung GM, Thach TQ, Lam TH, Hedley AJ, Foo W, Fielding R, Yip PSM, Lau EMC, Wong CM (2002) Trends in breast cancer incidence in Hong Kong between 1973 and 1999: an age–period–cohort analysis. Br J Cancer 87:982–988PubMedCrossRef
4.
Zurück zum Zitat Kissane DW, Grabsch B, Love A, Clarke DM, Bloch S, Smith GC (2004) Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Aust N Z J Psychiatry 38:320–326PubMedCrossRef Kissane DW, Grabsch B, Love A, Clarke DM, Bloch S, Smith GC (2004) Psychiatric disorder in women with early stage and advanced breast cancer: a comparative analysis. Aust N Z J Psychiatry 38:320–326PubMedCrossRef
5.
Zurück zum Zitat McDaniel JS, Musselman DL, Nemeroff CB (1997) Cancer and depression: theory and treatment. Psychiatr Ann 27:360–364 McDaniel JS, Musselman DL, Nemeroff CB (1997) Cancer and depression: theory and treatment. Psychiatr Ann 27:360–364
6.
Zurück zum Zitat Plamer SC, Kagee A, Coyne JC, DeMichele A (2004) Experience of trauma, distress, and posttraumatic stress disorder among breast cancer patients. Psychosom Med 66:258–264CrossRef Plamer SC, Kagee A, Coyne JC, DeMichele A (2004) Experience of trauma, distress, and posttraumatic stress disorder among breast cancer patients. Psychosom Med 66:258–264CrossRef
7.
Zurück zum Zitat Maraste R, Brandt L, Olsson H, Ryde-Brandt B (1992) Anxiety and depression in breast cancer patients at start of adjuvant radiotherapy: relations to age and type of surgery. Acta Oncol 31:641–643PubMed Maraste R, Brandt L, Olsson H, Ryde-Brandt B (1992) Anxiety and depression in breast cancer patients at start of adjuvant radiotherapy: relations to age and type of surgery. Acta Oncol 31:641–643PubMed
8.
Zurück zum Zitat Stark D, Kiely M, Smith A et al (2002) Anxiety disorders in cancer patients: their nature, associations, and relation to quality of life. J Clin Oncol 20:3137–3148PubMedCrossRef Stark D, Kiely M, Smith A et al (2002) Anxiety disorders in cancer patients: their nature, associations, and relation to quality of life. J Clin Oncol 20:3137–3148PubMedCrossRef
9.
Zurück zum Zitat Liu A, Kiu X, Yang J (1989) Affective disturbances in patients with breast cancer. Chin J Neurol Psychiatry 22:383–384 Liu A, Kiu X, Yang J (1989) Affective disturbances in patients with breast cancer. Chin J Neurol Psychiatry 22:383–384
10.
Zurück zum Zitat Lam WWT, Fielding R, Ho EYY (2005) Predicting psychological morbidity in Chinese women after surgery for breast carcinoma. Cancer 103:37–46 Lam WWT, Fielding R, Ho EYY (2005) Predicting psychological morbidity in Chinese women after surgery for breast carcinoma. Cancer 103:37–46
11.
Zurück zum Zitat Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A (2005) Depression and anxiety in women with early breast cancer: five-year observational cohort study. BMJ 330:702–705PubMedCrossRef Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A (2005) Depression and anxiety in women with early breast cancer: five-year observational cohort study. BMJ 330:702–705PubMedCrossRef
12.
Zurück zum Zitat Andersen BL, Anderson B, deProsse C (1989) Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes. J Consult Clin Psychol 57:692–697PubMedCrossRef Andersen BL, Anderson B, deProsse C (1989) Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes. J Consult Clin Psychol 57:692–697PubMedCrossRef
13.
Zurück zum Zitat Kurtz ME, Kurtz JC, Stommel M, Given CW, Given BA (2002) Predictors of depressive symptomatology of geriatric patients with lung cancer—a longitudinal analysis. Psycho-Oncol 11:12–22CrossRef Kurtz ME, Kurtz JC, Stommel M, Given CW, Given BA (2002) Predictors of depressive symptomatology of geriatric patients with lung cancer—a longitudinal analysis. Psycho-Oncol 11:12–22CrossRef
14.
Zurück zum Zitat Kurtz ME, Kurtz JC, Stommel M, Given CW, Given BA (2002) Predictors of depressive symptomatology of geriatric patients with colorectal cancer—a longitudinal analysis. Support Care Cancer 10:494–501PubMedCrossRef Kurtz ME, Kurtz JC, Stommel M, Given CW, Given BA (2002) Predictors of depressive symptomatology of geriatric patients with colorectal cancer—a longitudinal analysis. Support Care Cancer 10:494–501PubMedCrossRef
15.
Zurück zum Zitat McQuellon RP, Russell GB, Rambo TD, Craven BL, Radford J, Perry JJ, Cruz J, Hurd DD (1998) Quality of life and psychological distress of bone marrow transplant recipients: the time trajectory to recovery over the first year. Bone Marrow Transplant 21:477–486PubMedCrossRef McQuellon RP, Russell GB, Rambo TD, Craven BL, Radford J, Perry JJ, Cruz J, Hurd DD (1998) Quality of life and psychological distress of bone marrow transplant recipients: the time trajectory to recovery over the first year. Bone Marrow Transplant 21:477–486PubMedCrossRef
16.
Zurück zum Zitat Stommel M, Kurtz ME, Kurtz JC, Given CW, Given BA (2004) A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung, or prostate. Health Psychol 23:564–573PubMedCrossRef Stommel M, Kurtz ME, Kurtz JC, Given CW, Given BA (2004) A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung, or prostate. Health Psychol 23:564–573PubMedCrossRef
17.
Zurück zum Zitat Weitzner MA, Meyer CA, Stuebing KK, Saleeba AK (1997) Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy. Support Care Cancer 5:241–248PubMedCrossRef Weitzner MA, Meyer CA, Stuebing KK, Saleeba AK (1997) Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy. Support Care Cancer 5:241–248PubMedCrossRef
18.
Zurück zum Zitat Dapueto JJ, Serventne L, Francolino C, Hahn EA (2005) Determinants of quality of life in patients with cancer: a South American study. Cancer 103:1072–1081PubMedCrossRef Dapueto JJ, Serventne L, Francolino C, Hahn EA (2005) Determinants of quality of life in patients with cancer: a South American study. Cancer 103:1072–1081PubMedCrossRef
19.
Zurück zum Zitat Shimozuma K, Ganz PA, Petersen L, Hirji K (1999) Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Res Treat 56:45–57PubMedCrossRef Shimozuma K, Ganz PA, Petersen L, Hirji K (1999) Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Res Treat 56:45–57PubMedCrossRef
20.
Zurück zum Zitat Golden-Kreutz DM, Thornton LM, Di Gregorio SW, Frierson GM et al (2005) Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients. Health Psychol 24:288–296PubMedCrossRef Golden-Kreutz DM, Thornton LM, Di Gregorio SW, Frierson GM et al (2005) Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients. Health Psychol 24:288–296PubMedCrossRef
21.
Zurück zum Zitat Yu CL, Fielding R, Chan CL, Sham JS (2001) Chinese nasopharyngeal cancer patients treated with radiotherapy: the association between information satisfaction and quality of life. Cancer 92:2126–2135PubMedCrossRef Yu CL, Fielding R, Chan CL, Sham JS (2001) Chinese nasopharyngeal cancer patients treated with radiotherapy: the association between information satisfaction and quality of life. Cancer 92:2126–2135PubMedCrossRef
22.
Zurück zum Zitat Yu CLM, Fielding R, Chan CLW (2003) The mediating role of optimism on post-radiation quality of life in nasopharyngeal carcinoma. Qual Life Res 211:41–51CrossRef Yu CLM, Fielding R, Chan CLW (2003) The mediating role of optimism on post-radiation quality of life in nasopharyngeal carcinoma. Qual Life Res 211:41–51CrossRef
23.
Zurück zum Zitat Ryan LS (1996) Psychosocial issues and lung cancer: a behavioral approach. Semin Oncol Nurs 12:318–323PubMedCrossRef Ryan LS (1996) Psychosocial issues and lung cancer: a behavioral approach. Semin Oncol Nurs 12:318–323PubMedCrossRef
24.
Zurück zum Zitat Daut RL, Cleeland CS, Flanery RC (1983) Development of the Wisconsin brief pain questionnaire to assess pain in cancer and other diseases. Pain 17:197–210PubMedCrossRef Daut RL, Cleeland CS, Flanery RC (1983) Development of the Wisconsin brief pain questionnaire to assess pain in cancer and other diseases. Pain 17:197–210PubMedCrossRef
25.
Zurück zum Zitat Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11:570–579PubMed Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11:570–579PubMed
26.
Zurück zum Zitat Yu CL, Fielding R, Chan CLW, Tse VKC, Choi PHK, Lau WH et al (2000) Measuring quality of life of Chinese cancer patients: a validation of the Chinese version of the functional assessment of cancer therapy-general (FACT-G) scale. Cancer 88:1715–1727PubMedCrossRef Yu CL, Fielding R, Chan CLW, Tse VKC, Choi PHK, Lau WH et al (2000) Measuring quality of life of Chinese cancer patients: a validation of the Chinese version of the functional assessment of cancer therapy-general (FACT-G) scale. Cancer 88:1715–1727PubMedCrossRef
27.
Zurück zum Zitat London M, Crandall R, Seals GW (1997) The contribution of job and leisure satisfaction to quality of life. J Appl Psychol 62:328–334CrossRef London M, Crandall R, Seals GW (1997) The contribution of job and leisure satisfaction to quality of life. J Appl Psychol 62:328–334CrossRef
28.
Zurück zum Zitat Environics (1989) Needs and attitudes of disabled Ontarians. Office for disabled persons, Government of Ontario, Toronto, CA Environics (1989) Needs and attitudes of disabled Ontarians. Office for disabled persons, Government of Ontario, Toronto, CA
29.
Zurück zum Zitat Day HY, Alon E (1993) Work, leisure and quality of life of vocational rehabilitation consumers. Can J Rehabil 7:119–125CrossRef Day HY, Alon E (1993) Work, leisure and quality of life of vocational rehabilitation consumers. Can J Rehabil 7:119–125CrossRef
30.
Zurück zum Zitat Coleman D (1993) Leisure based social support, leisure dispositions and health. J Leis Res 25:350–361 Coleman D (1993) Leisure based social support, leisure dispositions and health. J Leis Res 25:350–361
31.
Zurück zum Zitat Andrykowski MA, Greiner CB, Altmaier EM et al (1995) Quality of life following bone marrow transplantation; findings from a multicentre study. Br J Cancer 71:1322–1329PubMed Andrykowski MA, Greiner CB, Altmaier EM et al (1995) Quality of life following bone marrow transplantation; findings from a multicentre study. Br J Cancer 71:1322–1329PubMed
32.
Zurück zum Zitat Mahoney J, Drinka T, Abler R et al (1994) Screening for depression: single question versus GDS. J Am Geriatr Soc 42:1006–1008PubMed Mahoney J, Drinka T, Abler R et al (1994) Screening for depression: single question versus GDS. J Am Geriatr Soc 42:1006–1008PubMed
33.
Zurück zum Zitat Watkins C, Daniels L, Jack C et al (2001) Accuracy of a single question in screening for depression in a cohort of patients after stroke: comparative study. BMJ 323:1159PubMedCrossRef Watkins C, Daniels L, Jack C et al (2001) Accuracy of a single question in screening for depression in a cohort of patients after stroke: comparative study. BMJ 323:1159PubMedCrossRef
34.
Zurück zum Zitat Turk DC, Fernandez E (1990) On the putative uniqueness of cancer pain. Do psychological principles apply? Behav Res Ther 28:1–13PubMedCrossRef Turk DC, Fernandez E (1990) On the putative uniqueness of cancer pain. Do psychological principles apply? Behav Res Ther 28:1–13PubMedCrossRef
35.
Zurück zum Zitat Teasdale JD, Barnard PJ (1993) Affect, cognition and change: remodelling depressive thought. LEA, Hove, UK Teasdale JD, Barnard PJ (1993) Affect, cognition and change: remodelling depressive thought. LEA, Hove, UK
Metadaten
Titel
Change in quality of life in Chinese women with breast cancer: changes in psychological distress as a predictor
verfasst von
Wing S. Wong
Richard Fielding
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 11/2007
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-006-0190-y

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