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Verfasst von:Kant, Janina [VerfasserIn]   i
 Czisch, Agnieszka [VerfasserIn]   i
 Schott, Sarah [VerfasserIn]   i
 Siewerdt-Werner, Daniela [VerfasserIn]   i
 Birkenfeld, Frauke [VerfasserIn]   i
 Keller, Monika [VerfasserIn]   i
Titel:Identifying and predicting distinct distress trajectories following a breast cancer diagnosis - from treatment into early survival
Verf.angabe:Janina Kant, Agnieszka Czisch, Sarah Schott, Daniela Siewerdt-Werner, Frauke Birkenfeld, Monika Keller
E-Jahr:2018
Jahr:1 October 2018
Umfang:8 S.
Fussnoten:Gesehen am 04.11.2019
Titel Quelle:Enthalten in: Journal of psychosomatic research
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1956
Jahr Quelle:2018
Band/Heft Quelle:115(2018), Seite 6-13
ISSN Quelle:1879-1360
Abstract:Objective - Most longitudinal studies on distress in breast cancer (BC) patients reported a continuous decrease after diagnosis, however masking individual variations in patterns of adjustment. We sought to identify distinct trajectories of distress during primary treatment into survivorship and to identify variables that are determinants of which patient follows which type of adjustment trajectory. - Methods - Psychological distress was measured at four significant time points (after surgery/biopsy, at treatment completion, two and six months thereafter) among 181 newly diagnosed BC patients. A latent growth mixture modeling approach was used to identify distinct distress trajectories. - Results - Four distress trajectories were identified: a ‘resilient’ pattern (73.1%), a ‘high-remitting’ (7.7%) trajectory, a ‘delayed’ increase in distress (7.9%), and a constantly high ‘chronic’ distress (11.3%) pattern. High perceived burden from physical symptoms at treatment completion encompassed a higher chance for the ‘high-remitting’ and ‘chronic’ distress trajectory. High self-efficacy at baseline increased chances for the ‘high-remitting’ pattern. Neither type of treatment, demographic or medical characteristics, nor baseline distress reliably predicted distress trajectories. - Conclusion - The majority of BC patients adjust well through a demanding treatment period. High patient-perceived burden from physical symptoms, and high coping self-efficacy is suggesting a transient, self-limiting distress trajectory, while patients experiencing constant ‘chronic’ distress, and those developing distress following treatment completion only cannot be identified by a single, initial assessment. Only systematic tracking with repeated measurement extending into survivorship can eliminate this problem. Interventions should aim at reducing the impact of symptom burden on women's every-day life and on strengthening coping-self efficacy.
DOI:doi:10.1016/j.jpsychores.2018.09.012
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.jpsychores.2018.09.012
 Volltext: http://www.sciencedirect.com/science/article/pii/S0022399918304665
 DOI: https://doi.org/10.1016/j.jpsychores.2018.09.012
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Breast cancer
 Distress trajectories
 Growth mixture modeling
 Physical symptom burden
 Self-efficacy
K10plus-PPN:1680955721
Verknüpfungen:→ Zeitschrift

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