Predictors of Initial Levels and Trajectories of Anxiety in Women Prior to and For Six Months Following Breast Cancer Surgery
Identifieur interne : 002666 ( Main/Exploration ); précédent : 002665; suivant : 002667Predictors of Initial Levels and Trajectories of Anxiety in Women Prior to and For Six Months Following Breast Cancer Surgery
Auteurs : Marianna Kyranou ; Kathleen Puntillo ; Laura B. Dunn ; Bradley E. Aouizerat ; Steven M. Paul ; Bruce A. Cooper ; John Neuhaus ; Claudia West ; Marylin Dodd ; Christine MiaskowskiSource :
- Cancer nursing [ 0162-220X ] ; 2014.
Abstract
The diagnosis of breast cancer in combination with the anticipation of surgery evokes fear, uncertainty, and anxiety in most women.
In patients who underwent breast cancer surgery, study purposes were to examine how ratings of state anxiety changed from the time of the preoperative assessment to 6 months after surgery and to investigate whether specific demographic, clinical, symptom, and psychosocial adjustment characteristics predicted the preoperative levels of state anxiety and/or characteristics of the trajectories of state anxiety.
Patients (n=396) were enrolled preoperatively and completed the Spielberger State Anxiety inventory monthly for six months. Using hierarchical linear modeling, demographic, clinical, symptom, and psychosocial adjustment characteristics were evaluated as predictors of initial levels and trajectories of state anxiety.
Patients experienced moderate levels of anxiety prior to surgery. Higher levels of depressive symptoms and uncertainty about the future, as well as lower levels of life satisfaction, less sense of control, and greater difficulty coping predicted higher preoperative levels of state anxiety. Higher preoperative state anxiety, poorer physical health, decreased sense of control, and more feelings of isolation predicted higher state anxiety scores over time.
Moderate levels of anxiety persist in women for six months following breast cancer surgery.
Clinicians need to implement systematic assessments of anxiety to identify high risk women who warrant more targeted interventions. In addition, ongoing follow-up is needed in order to prevent adverse postoperative outcomes and to support women to return to their preoperative levels of function.
Url:
DOI: 10.1097/NCC.0000000000000131
PubMed: 24633334
PubMed Central: 4162864
Affiliations:
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Paul</name></author><author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name></author><author><name sortKey="Neuhaus, John" sort="Neuhaus, John" uniqKey="Neuhaus J" first="John" last="Neuhaus">John Neuhaus</name></author><author><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name></author><author><name sortKey="Dodd, Marylin" sort="Dodd, Marylin" uniqKey="Dodd M" first="Marylin" last="Dodd">Marylin Dodd</name></author><author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24633334</idno><idno type="pmc">4162864</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4162864</idno><idno type="RBID">PMC:4162864</idno><idno type="doi">10.1097/NCC.0000000000000131</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003708</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003708</idno><idno type="wicri:Area/Pmc/Curation">003707</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003707</idno><idno type="wicri:Area/Pmc/Checkpoint">001877</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001877</idno><idno type="wicri:Area/Ncbi/Merge">006427</idno><idno type="wicri:Area/Ncbi/Curation">006427</idno><idno type="wicri:Area/Ncbi/Checkpoint">006427</idno><idno type="wicri:doubleKey">0162-220X:2014:Kyranou M:predictors:of:initial</idno><idno type="wicri:Area/Main/Merge">002670</idno><idno type="wicri:Area/Main/Curation">002666</idno><idno type="wicri:Area/Main/Exploration">002666</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Predictors of Initial Levels and Trajectories of Anxiety in Women Prior to and For Six Months Following Breast Cancer Surgery</title><author><name sortKey="Kyranou, Marianna" sort="Kyranou, Marianna" uniqKey="Kyranou M" first="Marianna" last="Kyranou">Marianna Kyranou</name></author><author><name sortKey="Puntillo, Kathleen" sort="Puntillo, Kathleen" uniqKey="Puntillo K" first="Kathleen" last="Puntillo">Kathleen Puntillo</name></author><author><name sortKey="Dunn, Laura B" sort="Dunn, Laura B" uniqKey="Dunn L" first="Laura B." last="Dunn">Laura B. Dunn</name></author><author><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name></author><author><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name></author><author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name></author><author><name sortKey="Neuhaus, John" sort="Neuhaus, John" uniqKey="Neuhaus J" first="John" last="Neuhaus">John Neuhaus</name></author><author><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name></author><author><name sortKey="Dodd, Marylin" sort="Dodd, Marylin" uniqKey="Dodd M" first="Marylin" last="Dodd">Marylin Dodd</name></author><author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name></author></analytic><series><title level="j">Cancer nursing</title><idno type="ISSN">0162-220X</idno><idno type="eISSN">1538-9804</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">The diagnosis of breast cancer in combination with the anticipation of surgery evokes fear, uncertainty, and anxiety in most women.</p></sec><sec id="S2"><title>Objective</title><p id="P2">In patients who underwent breast cancer surgery, study purposes were to examine how ratings of state anxiety changed from the time of the preoperative assessment to 6 months after surgery and to investigate whether specific demographic, clinical, symptom, and psychosocial adjustment characteristics predicted the preoperative levels of state anxiety and/or characteristics of the trajectories of state anxiety.</p></sec><sec id="S3"><title>Interventions/Methods</title><p id="P3">Patients (n=396) were enrolled preoperatively and completed the Spielberger State Anxiety inventory monthly for six months. Using hierarchical linear modeling, demographic, clinical, symptom, and psychosocial adjustment characteristics were evaluated as predictors of initial levels and trajectories of state anxiety.</p></sec><sec id="S4"><title>Results</title><p id="P4">Patients experienced moderate levels of anxiety prior to surgery. Higher levels of depressive symptoms and uncertainty about the future, as well as lower levels of life satisfaction, less sense of control, and greater difficulty coping predicted higher preoperative levels of state anxiety. Higher preoperative state anxiety, poorer physical health, decreased sense of control, and more feelings of isolation predicted higher state anxiety scores over time.</p></sec><sec id="S5"><title>Conclusions</title><p id="P5">Moderate levels of anxiety persist in women for six months following breast cancer surgery.</p></sec><sec id="S6"><title>Implications for Practice</title><p id="P6">Clinicians need to implement systematic assessments of anxiety to identify high risk women who warrant more targeted interventions. In addition, ongoing follow-up is needed in order to prevent adverse postoperative outcomes and to support women to return to their preoperative levels of function.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name><name sortKey="Dodd, Marylin" sort="Dodd, Marylin" uniqKey="Dodd M" first="Marylin" last="Dodd">Marylin Dodd</name><name sortKey="Dunn, Laura B" sort="Dunn, Laura B" uniqKey="Dunn L" first="Laura B." last="Dunn">Laura B. Dunn</name><name sortKey="Kyranou, Marianna" sort="Kyranou, Marianna" uniqKey="Kyranou M" first="Marianna" last="Kyranou">Marianna Kyranou</name><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name><name sortKey="Neuhaus, John" sort="Neuhaus, John" uniqKey="Neuhaus J" first="John" last="Neuhaus">John Neuhaus</name><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name><name sortKey="Puntillo, Kathleen" sort="Puntillo, Kathleen" uniqKey="Puntillo K" first="Kathleen" last="Puntillo">Kathleen Puntillo</name><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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