Psychological Morbidity in Chinese Women With Breast Cancer: A Prospective Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/156560
Type:
Presentation
Title:
Psychological Morbidity in Chinese Women With Breast Cancer: A Prospective Study
Abstract:
Psychological Morbidity in Chinese Women With Breast Cancer: A Prospective Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Lam, Wendy W.T., PhD, RN
P.I. Institution Name:The University of Hong Kong
Title:Dr.
Co-Authors:Richard Fielding, PhD
Objective: To examine predictors of short- and medium-term psychological morbidity (Distress) among Chinese women following breast cancer surgery. Method: Three hundred and three Chinese women were interviewed at 1 week (baseline), 1, 4 and 8 months following surgery. Participants were assessed for baseline Distress (Chinese Health Questionnaire-12) and completed a retrospective assessment of treatment decision making (TDM) difficulties, treatment outcome expectations and satisfaction with TDM involvement. Perceived treatment outcome, Distress, optimism, perceived self-efficacy (SE), and physical symptom distress (PSD) were assessed at each follow-up. Stepwise multivariate regression examined impact of TDM-related and other factors on Distress over time after adjustment for clinical and treatment differences. Results: At baseline, 38% of women had mild, and 40% moderate/severe Distress. Outcome expectation, TDM difficulties and SE predicted baseline CHQ12 scores (adjusted R2=.312). Distress declined significantly over follow-up assessments (p<.001). At one-month post-surgery (adjusted R2= 0.59) Distress was predicted by PSD (p<.001), baseline Distress (p<.001), Expectancy-Outcome incongruence (p<.001), and over-involvement in TDM (p=.003). Three-months post-surgery Distress (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), Expectancy-Outcome Incongruence (p=.001), and low SE (p<.001). Distress at eight-months post-surgery (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p<.001), PSD (p<.001), and low optimism (p<.001). Conclusion: Distress declines throughout the first year after breast cancer surgery. One-month post-surgery Distress is a significant predictor of subsequent Distress. This in turn is predicted by consultation involvement and expectations. The early post-surgical period should be considered as a critical time to assess delay Distress.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePsychological Morbidity in Chinese Women With Breast Cancer: A Prospective Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156560-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychological Morbidity in Chinese Women With Breast Cancer: A Prospective Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lam, Wendy W.T., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Hong Kong</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Dr.</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">wwtlam@hkucc.hku.hk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Richard Fielding, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: To examine predictors of short- and medium-term psychological morbidity (Distress) among Chinese women following breast cancer surgery. Method: Three hundred and three Chinese women were interviewed at 1 week (baseline), 1, 4 and 8 months following surgery. Participants were assessed for baseline Distress (Chinese Health Questionnaire-12) and completed a retrospective assessment of treatment decision making (TDM) difficulties, treatment outcome expectations and satisfaction with TDM involvement. Perceived treatment outcome, Distress, optimism, perceived self-efficacy (SE), and physical symptom distress (PSD) were assessed at each follow-up. Stepwise multivariate regression examined impact of TDM-related and other factors on Distress over time after adjustment for clinical and treatment differences. Results: At baseline, 38% of women had mild, and 40% moderate/severe Distress. Outcome expectation, TDM difficulties and SE predicted baseline CHQ12 scores (adjusted R2=.312). Distress declined significantly over follow-up assessments (p&lt;.001). At one-month post-surgery (adjusted R2= 0.59) Distress was predicted by PSD (p&lt;.001), baseline Distress (p&lt;.001), Expectancy-Outcome incongruence (p&lt;.001), and over-involvement in TDM (p=.003). Three-months post-surgery Distress (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p&lt;.001), PSD (p&lt;.001), Expectancy-Outcome Incongruence (p=.001), and low SE (p&lt;.001). Distress at eight-months post-surgery (adjusted R2 = 0.52) was predicted by one-month post-surgery Distress (p&lt;.001), PSD (p&lt;.001), and low optimism (p&lt;.001). Conclusion: Distress declines throughout the first year after breast cancer surgery. One-month post-surgery Distress is a significant predictor of subsequent Distress. This in turn is predicted by consultation involvement and expectations. The early post-surgical period should be considered as a critical time to assess delay Distress.</td></tr></table>en_GB
dc.date.available2011-10-26T14:54:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:54:08Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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