Calidad de vida en pacientes con cáncer de mama: el papel moderador del estrés familiar
Resumen
En pacientes con cáncer de mama, la calidad de vida se ha asociado con la respuesta al tratamiento y la supervivencia global. Cien mujeres sometidas a tratamiento de quimioterapia para el cáncer de mama completaron cuestionarios incluyendo información demográfica y clínica, Cuestionario de Calidad de Vida EORTC, Escalas de Ansiedad y Depresión Hospitalaria, Escala de Imagen Corporal, Índice de Relaciones Familiares y el Test de Orientación Vital. Los resultados mostraron que un mayor optimismo y una mejor imagen corporal se asociaron con una mejor calidad de vida. La morbilidad psicológica predijo significativamente la calidad de vida física y emocional, pero la recurrencia sólo predijo la calidad de vida física. El estrés familiar fue un moderador en la relación entre la morbilidad psicológica y la calidad de vida emocional, mostrando la necesidad de detectar e intervenir en el estrés familiar en pacientes con cáncer de mama. Los resultados pueden ayudar en el diseño de intervenciones para las mujeres con cáncer de mama con el fin de promover la calidad de vida.
Descargas
Citas
Aaronson, N., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., & Duez, N. et al. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in Oncology. JNCI Journal Of The National Cancer Institute, 85(5), 365-376. http://dx.doi.org/10.1093/jnci/85.5.365
Al-Ghazal, S., Fallowfield, L., & Blamey, R. (1999). Does cosmetic outcome from treatment of primary breast cancer influence psychosocial morbidity?. European Journal Of Surgical Oncology (EJSO), 25(6), 571-573. http://dx.doi.org/10.1053/ejso.1999.0708
Allisson, P., Guichard, C., & Gilain, L. (2000). A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Quality Of Life Research, 9(8), 951-960.
Applebaum, A., Stein, E., Lord-Bessen, J., Pessin, H., Rosenfeld, B., & Breitbart, W. (2013). Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-Oncology, 23(3), 299-306. http://dx.doi.org/10.1002/pon.3418
Ardebil, M., Bouzari, Z., Shenas, M., Zeinalzadeh, M., & Barat, S. (2011). Depression and Health Related Quality of Life in Breast Cancer Patients. Academic Journal Of Cancer Research, 4(2), 43-46.
Avis, N., Crawford, S., & Manuel, J. (2005). Quality of Life Among Younger Women With Breast Cancer. Journal Of Clinical Oncology, 23(15), 3322-3330. http://dx.doi.org/10.1200/jco.2005.05.130
Badger, T., Braden, C., Mishel, M., & Longman, A. (2004). Depression burden, psychological adjustment, and quality of life in women with breast cancer: Patterns over time. Research In Nursing & Health, 27(1), 19-28. http://dx.doi.org/10.1002/nur.20002
Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal Of Personality And Social Psychology, 51(6), 1173-1182. http://dx.doi.org/10.1037//0022-3514.51.6.1173
Braun, D., Gupta, D., Grutsch, J., & Staren, E. (2011). Can changes in health related quality of life scores predict survival in stages III and IV colorectal cancer?. Health And Quality Of Life Outcomes, 9(1), 62. http://dx.doi.org/10.1186/1477-7525-9-62
Breast Cancer Treatment Option Overview. (2012). National Cancer Institute. Retrieved 22 August 2017, from http://www.cancer.gov/cancertopics/pdq/treatment/breast/Patient/page5#Keypoint23
Browall, M., Ahlberg, K., Karlsson, P., Danielson, E., Persson, L., & Gaston-Johansson, F. (2008). Health-related quality of life during adjuvant treatment for breast cancer among postmenopausal women. European Journal Of Oncology Nursing, 12(3), 180-189. http://dx.doi.org/10.1016/j.ejon.2008.01.005
Carver, C., Smith, R., Antoni, M., Petronis, V., Weiss, S., & Derhagopian, R. (2005). Optimistic Personality and Psychosocial Well-Being During Treatment Predict Psychosocial Well-Being Among Long-Term Survivors of Breast Cancer. Health Psychology, 24(5), 508-516. http://dx.doi.org/10.1037/0278-6133.24.5.508
Carver, C., Smith, R., Petronis, V., & Antoni, M. (2006). Quality of life among long-term survivors of breast cancer: different types of antecedents predict different classes of outcomes. Psycho-Oncology, 15(9), 749-758. http://dx.doi.org/10.1002/pon.1006
Colby, D., & Shifren, K. (2013). Optimism, mental health, and quality of life: A study among breast cancer patients. Psychology, Health & Medicine, 18(1), 10-20. http://dx.doi.org/10.1080/13548506.2012.686619
Collins, K., Liu, Y., Schootman, M., Aft, R., Yan, Y., & Dean, G. et al. (2010). Effects of breast cancer surgery and surgical side effects on body image over time. Breast Cancer Research And Treatment, 126(1), 167-176. http://dx.doi.org/10.1007/s10549-010-1077-7
Edwards, B., & Clarke, V. (2004). The psychological impact of a cancer diagnosis on families: The influence of family functioning and patients' illness characteristics on depression and anxiety. Psycho-Oncology, 13(8), 562-576. http://dx.doi.org/10.1002/pon.773
Ferlay, J., Steliarova-Foucher, E., Lortet-Tieulent, J., Rosso, S., Coebergh, J., & Comber, H. et al. (2013). Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012. European Journal Of Cancer, 49(6), 1374-1403. http://dx.doi.org/10.1016/j.ejca.2012.12.027
Fobair, P., Stewart, S., Chang, S., D'Onofrio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579-594. http://dx.doi.org/10.1002/pon.991
Gupta, D., Granick, J., Grutsch, J., & Lis, C. (2006). The prognostic association of health-related quality of life scores with survival in breast cancer. Supportive Care In Cancer, 15(4), 387-393. http://dx.doi.org/10.1007/s00520-006-0165-z
Härtl, K., Engel, J., Herschbach, P., Reinecker, H., Sommer, H., & Friese, K. (2010). Personality traits and psychosocial stress: quality of life over 2 years following breast cancer diagnosis and psychological impact factors. Psycho-Oncology, 19(2), 160-169. http://dx.doi.org/10.1002/pon.1536
Helms, R., O'Hea, E., & Corso, M. (2008). Body image issues in women with breast cancer. Psychology, Health & Medicine, 13(3), 313-325. http://dx.doi.org/10.1080/13548500701405509
Ho, S., So, W., Leung, D., Lai, E., & Chan, C. (2013). Anxiety, depression and quality of life in Chinese women with breast cancer during and after treatment: A comparative evaluation. European Journal Of Oncology Nursing, 17(6), 877-882. http://dx.doi.org/10.1016/j.ejon.2013.04.005
Holzner, B., Kemmler, G., Kopp, M., Moschen, R., Rd Schweigkofler, H., & Du Nser, M. et al. (2001). Quality of Life in Breast Cancer Patients—Not Enough Attention for Long-Term Survivors?. Psychosomatics, 42(2), 117-123. http://dx.doi.org/10.1176/appi.psy.42.2.117
Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European Journal Of Cancer, 37(2), 189-197. http://dx.doi.org/10.1016/s0959-8049(00)00353-1
Hudson, W. (1993). Index of Family Relations. In W. Hudson, The Walmyr Assessment Scales Scoring Manual. Tempe: Walmyr Publishing Company.
Kissane, D., Bloch, S., Dowe, D., Snyder, R., Onghena, P., McKenzie, D., & Wallace, C. (1996). The Melbourne Family Grief Study, I: Perceptions of family functioning in bereavement. American Journal Of Psychiatry, 153(5), 650-658. http://dx.doi.org/10.1176/ajp.153.5.650
Laranjeira, C. (2008). Tradução e validação portuguesa do Revised Life Orientation test (LOT-R). Universitas Psychologica, 7(2), 469-476.
Lemieux, J., Maunsell, E., & Provencher, L. (2008). Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review. Psycho-Oncology, 17(4), 317-328. http://dx.doi.org/10.1002/pon.1245
Leung, J., Atherton, I., Kyle, R., Hubbard, G., & McLaughlin, D. (2015). Psychological distress, optimism and general health in breast cancer survivors: a data linkage study using the Scottish Health Survey. Supportive Care In Cancer, 24(4), 1755-1761. http://dx.doi.org/10.1007/s00520-015-2968-2
Livneh, H., & Antonak, R. (2005). Psychosocial Adaptation to Chronic Illness and Disability: A Primer for Counselors. Journal Of Counseling & Development, 83(1), 12-20. http://dx.doi.org/10.1002/j.1556-6678.2005.tb00575.x
Montazeri, A. (2008). Health-related quality of life in breast cancer patients: A bibliographic review of the literature from 1974 to 2007. Journal Of Experimental & Clinical Cancer Research, 27(1), 32. http://dx.doi.org/10.1186/1756-9966-27-32
Moreira, C.B., Fernandes, A.F., Gomes, A.M.; Silva A.M. & Santos, M.C... (2013). Educational Strategy Experimented with Mastectomized Women: Experience Report. Journal of Nursing UFPE On Line, 7 (1), 302-305, 2013. doi: 10.5205/r euol.3049-24704-1-LE.0701201339
Moreira, H., Silva, S., Marques, A., & Canavarro, M. (2010). The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients. European Journal Of Oncology Nursing, 14(2), 111-118. http://dx.doi.org/10.1016/j.ejon.2009.09.007
Northouse, L., Kershaw, T., Mood, D., & Schafenacker, A. (2005). Effects of a family intervention on the quality of life of women with recurrent breast cancer and their family caregivers. Psycho-Oncology, 14(6), 478-491. http://dx.doi.org/10.1002/pon.871
Northouse, L., Mood, D., Kershaw, T., Schafenacker, A., Mellon, S., & Walker, J. et al. (2002). Quality of Life of Women With Recurrent Breast Cancer and Their Family Members. Journal Of Clinical Oncology, 20(19), 4050-4064. http://dx.doi.org/10.1200/jco.2002.02.054
Ogden, J. (2004). Understanding Breast Cancer. Lisboa: Climepsi Editores.
Pais-Ribeiro, J., Silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, Health and Medicine, 12, 225-237. doi: 10.1080/13548500500524088
Pais-Ribeiro, J., Pinto, C., & Santos, C. (2008). Validation study of the Portuguese Version of The QLC-C30-V.3. Psicologia, Saúde e Doenças, 9 (1), 89-102. http://hdl.handle.net/10400.12/1077
Penttinen, H., Saarto, T., Kellokumpu-Lehtinen, P., Blomqvist, C., Huovinen, R., & Kautiainen, H. et al. (2010). Quality of life and physical performance and activity of breast cancer patients after adjuvant treatments. Psycho-Oncology, 20(11), 1211-1220. http://dx.doi.org/10.1002/pon.1837
Pereira, M., & Roncon, J. (2010). Relacionamento familiar em pessoas idosas: Adaptação do Índice de Relações Familiares (IFR). Psicologia, Saúde & Doenças, 11(1), 41-53.
Petersen, L., Clark, M., Novotny, P., Kung, S., Sloan, J., & Patten, C. et al. (2008). Relationship of Optimism–Pessimism and Health-Related Quality of Life in Breast Cancer Survivors. Journal Of Psychosocial Oncology, 26(4), 15-32. http://dx.doi.org/10.1080/07347330802359578
Rabin, E., Heldt, E., Hirakata, V., & Fleck, M. (2008). Quality of life predictors in breast cancer women. European Journal Of Oncology Nursing, 12(1), 53-57. http://dx.doi.org/10.1016/j.ejon.2007.06.003
Rasmussen, H., Scheier, M., & Greenhouse, J. (2009). Optimism and Physical Health: A Meta-analytic Review. Annals Of Behavioral Medicine, 37(3), 239-256. http://dx.doi.org/10.1007/s12160-009-9111-x
Reece, J., Chan, Y., Herbert, J., Gralow, J., & Fann, J. (2013). Course of depression, mental health service utilization and treatment preferences in women receiving chemotherapy for breast cancer. General Hospital Psychiatry, 35(4), 376-381. http://dx.doi.org/10.1016/j.genhosppsych.2013.03.017
Reich, M., Lesur, A., & Perdrizet-Chevallier, C. (2007). Depression, quality of life and breast cancer: a review of the literature. Breast Cancer Research And Treatment, 110(1), 9-17. http://dx.doi.org/10.1007/s10549-007-9706-5
Rosenberg, S., Tamimi, R., Gelber, S., Ruddy, K., Kereakoglow, S., & Borges, V. et al. (2012). Body image in recently diagnosed young women with early breast cancer. Psycho-Oncology, 22(8), 1849-1855. http://dx.doi.org/10.1002/pon.3221
Scheier, M., & Carver, C. (1985). Optimism, coping ad health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4(3), 219-247.
Scheier, M., & Carver, C. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy And Research, 16(2), 201-228. http://dx.doi.org/10.1007/bf01173489
Scheier, M., Carver, C., & Bridges, M. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal Of Personality And Social Psychology, 67(6), 1063-1078. http://dx.doi.org/10.1037/0022-3514.67.6.1063
Schou, I., Ekeberg, Ø., Sandvik, L., Hjermstad, M., & Ruland, C. (2005). Multiple Predictors of Health-Related Quality of Life in Early Stage Breast Cancer. Data from a Year Follow-up Study Compared with the General Population. Quality Of Life Research, 14(8), 1813-1823. http://dx.doi.org/10.1007/s11136-005-4344-z
Seidl, E., & Zannon, C. (2004). Qualidade de vida e saúde: aspectos conceituais e metodológicos. Cadernos De Saúde Pública, 20(2), 580-588. http://dx.doi.org/10.1590/s0102-311x2004000200027
Silva, S., Bettencourt, D., Moreira, H., & Canavarro, M. C. (2011). Qualidade de vida de mulheres com cancro da mama nas diversas fases da doença: O papel de variáveis sociodemográficas, clínicas e das estratégias de coping enquanto fatores de risco/proteção. Revista Portuguesa de Saúde Pública, 29, 64-67.
So, W., Marsh, G., Ling, W., Leung, F., Lo, J., Yeung, M., & Li, G. (2010). Anxiety, depression and quality of life among Chinese breast cancer patients during adjuvant therapy. European Journal Of Oncology Nursing, 14(1), 17-22. http://dx.doi.org/10.1016/j.ejon.2009.07.005
Stanton, A., Revenson, T., & Tennen, H. (2007). Health Psychology: Psychological Adjustment to Chronic Disease. Annual Review Of Psychology, 58(1), 565-592. http://dx.doi.org/10.1146/annurev.psych.58.110405.085615
Thomas, C., Morris, S., & Harman, J. (2002). Companions through cancer:. Social Science & Medicine, 54(4), 529-544. http://dx.doi.org/10.1016/s0277-9536(01)00048-x
Vilhena, E., Pais-Ribeiro, J., Silva, I., Pedro, L., Meneses, R., & Cardoso, H. et al. (2014). Optimism on quality of life in Portuguese chronic patients: moderator/mediator?. Revista Da Associação Médica Brasileira, 60(4), 373-380. http://dx.doi.org/10.1590/1806-9282.60.04.017
White, C. (2000). Body image dimensions and cancer: a heuristic cognitive behavioural model. Psycho-Oncology, 9(3), 183-192.doi: 10.1002/1099-1611(200005/06)9:3<183::aid-pon446>3.0.co;2-l
White, C. A., & Hood, C. (2011). Body image issues in oncology. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 333-341). Guilford Press.
Zenger, M., Brix, C., Borowski, J., Stolzenburg, J., & Hinz, A. (2009). The impact of optimism on anxiety, depression and quality of life in urogenital cancer patients. Psycho-Oncology, 19(8), 879-886. http://dx.doi.org/10.1002/pon.1635
Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada y enviada a la revista) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica. Color RoMEO: verde.
