The Psychosocial Impact of Lymphedema-related Distress among Breast Cancer Survivors in the WHEL Study
Identifieur interne : 002444 ( Main/Exploration ); précédent : 002443; suivant : 002445The Psychosocial Impact of Lymphedema-related Distress among Breast Cancer Survivors in the WHEL Study
Auteurs : Sally A. Dominick [États-Unis] ; Loki Natarajan [États-Unis] ; John P. Pierce [États-Unis] ; Hala Madanat [États-Unis] ; Lisa Madlensky [États-Unis]Source :
- Psycho-oncology [ 1057-9249 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Dépression (diagnostic), Dépression (psychologie), Enquêtes de santé, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème (psychologie), Lymphoedème (étiologie), Modèles logistiques, Profil d'impact de la maladie, Qualité de vie, Santé mentale, Soutien social, Sujet âgé, Survivants (psychologie), Tumeurs du sein (), Tumeurs du sein (psychologie), État de santé, États-Unis d'Amérique, Études transversales.
- MESH :
- diagnostic : Dépression.
- psychologie : Dépression, Lymphoedème, Survivants, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Enquêtes de santé, Enquêtes et questionnaires, Femelle, Humains, Modèles logistiques, Profil d'impact de la maladie, Qualité de vie, Santé mentale, Soutien social, Sujet âgé, Tumeurs du sein, État de santé, États-Unis d'Amérique, Études transversales.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (complications), Breast Neoplasms (psychology), Cross-Sectional Studies, Depression (diagnosis), Depression (psychology), Female, Health Status, Health Surveys, Humans, Logistic Models, Lymphedema (etiology), Lymphedema (psychology), Mental Health, Middle Aged, Quality of Life, Sickness Impact Profile, Social Support, Surveys and Questionnaires, Survivors (psychology), United States.
- MESH :
- geographic : United States.
- complications : Breast Neoplasms.
- diagnosis : Depression.
- etiology : Lymphedema.
- psychology : Breast Neoplasms, Depression, Lymphedema, Survivors.
- Adult, Aged, Cross-Sectional Studies, Female, Health Status, Health Surveys, Humans, Logistic Models, Mental Health, Middle Aged, Quality of Life, Sickness Impact Profile, Social Support, Surveys and Questionnaires.
Abstract
Lymphedema is a distressing and chronic condition affecting up to 30% of breast cancer survivors. Using a cross-sectional study design, we examined the impact of self-reported lymphedema-related distress on psychosocial functioning among breast cancer survivors in the Women’s Healthy Eating and Living (WHEL) Study. The WHEL Study has a dataset that includes self-report data on lymphedema status, symptoms and distress.
Chi-square tests and binary logistic regression models were used to examine how specific participant characteristics, including lymphedema-related distress, were associated with physical health and mental health as measured by the SF-36 and depressive symptoms assessed by the CES-Dsf.
Of the 2,431 participants included in the current study population, 692 (28.5%) self-reported ever having lymphedema. A total of 335 (48.9%) women reported moderate to extreme distress as a result of their lymphedema and were classified as having lymphedema-related distress. The logistic regression models showed that women with lymphedema-related distress had 50% higher odds of reporting poor physical health (
Breast cancer survivors with lymphedema-related distress had worse physical and mental health outcomes than women with lymphedema who were not distressed and women with no lymphedema. Our findings provide further evidence of the relationship between lymphedema and psychosocial outcomes in breast cancer survivors.
Url:
DOI: 10.1002/pon.3510
PubMed: 24615880
PubMed Central: 4145047
Affiliations:
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xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (psychology)</term><term>Cross-Sectional Studies</term><term>Depression (diagnosis)</term><term>Depression (psychology)</term><term>Female</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Lymphedema (etiology)</term><term>Lymphedema (psychology)</term><term>Mental Health</term><term>Middle Aged</term><term>Quality of Life</term><term>Sickness Impact Profile</term><term>Social Support</term><term>Surveys and Questionnaires</term><term>Survivors (psychology)</term><term>United States</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dépression (diagnostic)</term><term>Dépression (psychologie)</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (psychologie)</term><term>Lymphoedème (étiologie)</term><term>Modèles logistiques</term><term>Profil d'impact de la maladie</term><term>Qualité de vie</term><term>Santé mentale</term><term>Soutien social</term><term>Sujet âgé</term><term>Survivants (psychologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (psychologie)</term><term>État de santé</term><term>États-Unis d'Amérique</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Depression</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dépression</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dépression</term><term>Lymphoedème</term><term>Survivants</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term><term>Depression</term><term>Lymphedema</term><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Mental Health</term><term>Middle Aged</term><term>Quality of Life</term><term>Sickness Impact Profile</term><term>Social Support</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Modèles logistiques</term><term>Profil d'impact de la maladie</term><term>Qualité de vie</term><term>Santé mentale</term><term>Soutien social</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>État de santé</term><term>États-Unis d'Amérique</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">Lymphedema is a distressing and chronic condition affecting up to 30% of breast cancer survivors. Using a cross-sectional study design, we examined the impact of self-reported lymphedema-related distress on psychosocial functioning among breast cancer survivors in the Women’s Healthy Eating and Living (WHEL) Study. The WHEL Study has a dataset that includes self-report data on lymphedema status, symptoms and distress.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Chi-square tests and binary logistic regression models were used to examine how specific participant characteristics, including lymphedema-related distress, were associated with physical health and mental health as measured by the SF-36 and depressive symptoms assessed by the CES-Dsf.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 2,431 participants included in the current study population, 692 (28.5%) self-reported ever having lymphedema. A total of 335 (48.9%) women reported moderate to extreme distress as a result of their lymphedema and were classified as having lymphedema-related distress. The logistic regression models showed that women with lymphedema-related distress had 50% higher odds of reporting poor physical health (<italic>p</italic>=0.01) and 73% higher odds of having poor mental health (<italic>p</italic><0.01) when compared to women without lymphedema. In contrast, even though lymphedema-related distress was significantly associated (<italic>p</italic>=0.03) with elevated depressive symptoms in the bivariate analyses, it was not significant in the logistic regression models.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Breast cancer survivors with lymphedema-related distress had worse physical and mental health outcomes than women with lymphedema who were not distressed and women with no lymphedema. Our findings provide further evidence of the relationship between lymphedema and psychosocial outcomes in breast cancer survivors.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Dominick, Sally A" sort="Dominick, Sally A" uniqKey="Dominick S" first="Sally A." last="Dominick">Sally A. Dominick</name></noRegion><name sortKey="Madanat, Hala" sort="Madanat, Hala" uniqKey="Madanat H" first="Hala" last="Madanat">Hala Madanat</name><name sortKey="Madanat, Hala" sort="Madanat, Hala" uniqKey="Madanat H" first="Hala" last="Madanat">Hala Madanat</name><name sortKey="Madlensky, Lisa" sort="Madlensky, Lisa" uniqKey="Madlensky L" first="Lisa" last="Madlensky">Lisa Madlensky</name><name sortKey="Natarajan, Loki" sort="Natarajan, Loki" uniqKey="Natarajan L" first="Loki" last="Natarajan">Loki Natarajan</name><name sortKey="Pierce, John P" sort="Pierce, John P" uniqKey="Pierce J" first="John P." last="Pierce">John P. Pierce</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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