Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment
Abstract Background The aim of this study was to analyze biopsychosocial factors affecting how patients cope with cancer and adjuvant treatment and to appraise psychological distress, coping, perceived social support, quality of life and SDM before and after adjuvant treatment in breast cancer patie...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Cancer |
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| Online Access: | http://link.springer.com/article/10.1186/s12885-019-6358-x |
| _version_ | 1818217146572865536 |
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| author | Teresa García-García Alberto Carmona-Bayonas Paula Jimenez-Fonseca Carlos Jara Carmen Beato Beatriz Castelo Montserrat Mangas Eva Martínez de Castro Avinash Ramchandani David Gomez Caterina Calderón |
| author_facet | Teresa García-García Alberto Carmona-Bayonas Paula Jimenez-Fonseca Carlos Jara Carmen Beato Beatriz Castelo Montserrat Mangas Eva Martínez de Castro Avinash Ramchandani David Gomez Caterina Calderón |
| author_sort | Teresa García-García |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to analyze biopsychosocial factors affecting how patients cope with cancer and adjuvant treatment and to appraise psychological distress, coping, perceived social support, quality of life and SDM before and after adjuvant treatment in breast cancer patients compared to colon cancer patients. Methods NEOcoping is a national, multicenter, cross-sectional, prospective study. The sample comprised 266 patients with colon cancer and 231 with breast cancer. The instruments used were the Brief Symptom Inventory (BSI), Mini-Mental Adjustment to Cancer (Mini-MAC), Multidimensional Scale of Perceived Social Support (MSPSS), Shared Decision-Making Questionnaire-Patient (SDM-Q-9) and Physician’s (SDM-Q-Doc), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ). Results Breast cancer patients reacted worse to the diagnosis of cancer with more symptoms of anxiety, depression, and somatization, and were less satisfied with their involvement than those with colon cancer (p = 0.003). Participants with colon cancer were older and had more physical symptoms and functional limitations at the beginning of adjuvant treatment, while there were scarcely any differences between the two groups at the end of adjuvancy, at which time both groups suffered greater psychological and physical effects and scored lower on coping strategies, except for anxious preoccupation. Conclusions Breast cancer patients need more information and involvement of the oncologist in shared decision-making, as well as and more medical and psychological support when beginning adjuvant treatment. Both breast and colon cancer patients may require additional psychological care at the end of adjuvancy. |
| first_indexed | 2024-12-12T07:03:14Z |
| format | Article |
| id | doaj.art-83e18b0cd8d6422f96cda30d22ea9455 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-12T07:03:14Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-83e18b0cd8d6422f96cda30d22ea94552022-12-22T00:33:48ZengBMCBMC Cancer1471-24072019-11-0119111010.1186/s12885-019-6358-xBiopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatmentTeresa García-García0Alberto Carmona-Bayonas1Paula Jimenez-Fonseca2Carlos Jara3Carmen Beato4Beatriz Castelo5Montserrat Mangas6Eva Martínez de Castro7Avinash Ramchandani8David Gomez9Caterina Calderón10Department of Medical Oncology, Hospital Santa LucíaDepartment of Medical Oncology, Hospital Universitario Morales MessengerDepartment of Medical Oncology, Hospital Universitario Central de AsturiasDepartment of Medical Oncology, Hospital Universitario Fundación Alcorcón- Universidad Rey Juan CarlosDepartment of Medical Oncology, Hospital Universitario Virgen de la MacarenaDepartment of Medical Oncology, Hospital Universitario La PazDepartment of Medical Oncology, Hospital Galdakao-UsansoloDepartment of Medical Oncology, Hospital Universitario Marqués de ValdecillaDepartment of Medical Oncology, Hospital Universitario Insular de Gran CanariaDepartment of Medical Oncology, Hospital Universitario Central de AsturiasDepartment of Clinical Psychology and Psychobiology, Faculty of Psychology, University of BarcelonaAbstract Background The aim of this study was to analyze biopsychosocial factors affecting how patients cope with cancer and adjuvant treatment and to appraise psychological distress, coping, perceived social support, quality of life and SDM before and after adjuvant treatment in breast cancer patients compared to colon cancer patients. Methods NEOcoping is a national, multicenter, cross-sectional, prospective study. The sample comprised 266 patients with colon cancer and 231 with breast cancer. The instruments used were the Brief Symptom Inventory (BSI), Mini-Mental Adjustment to Cancer (Mini-MAC), Multidimensional Scale of Perceived Social Support (MSPSS), Shared Decision-Making Questionnaire-Patient (SDM-Q-9) and Physician’s (SDM-Q-Doc), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ). Results Breast cancer patients reacted worse to the diagnosis of cancer with more symptoms of anxiety, depression, and somatization, and were less satisfied with their involvement than those with colon cancer (p = 0.003). Participants with colon cancer were older and had more physical symptoms and functional limitations at the beginning of adjuvant treatment, while there were scarcely any differences between the two groups at the end of adjuvancy, at which time both groups suffered greater psychological and physical effects and scored lower on coping strategies, except for anxious preoccupation. Conclusions Breast cancer patients need more information and involvement of the oncologist in shared decision-making, as well as and more medical and psychological support when beginning adjuvant treatment. Both breast and colon cancer patients may require additional psychological care at the end of adjuvancy.http://link.springer.com/article/10.1186/s12885-019-6358-xHealthcarePatient-centered careBreast cancerAdjuvant therapyPsycho-oncology |
| spellingShingle | Teresa García-García Alberto Carmona-Bayonas Paula Jimenez-Fonseca Carlos Jara Carmen Beato Beatriz Castelo Montserrat Mangas Eva Martínez de Castro Avinash Ramchandani David Gomez Caterina Calderón Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment BMC Cancer Healthcare Patient-centered care Breast cancer Adjuvant therapy Psycho-oncology |
| title | Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| title_full | Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| title_fullStr | Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| title_full_unstemmed | Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| title_short | Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| title_sort | biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment |
| topic | Healthcare Patient-centered care Breast cancer Adjuvant therapy Psycho-oncology |
| url | http://link.springer.com/article/10.1186/s12885-019-6358-x |
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