Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: a preliminary research.

The present study is a preliminary study assessing long-term psychological effects in survivors of breast cancer. Thirty-nine long-term female survivors of breast cancer were compared with 39 matched women who had not been exposed to any chronic disease regarding post-traumatic stress disorder (PTSD), quality of life (QoL), emotional distress and coping styles. Survivors revealed significantly higher rates of full and partial PTSD, scored significantly higher on emotional distress, scored significantly lower on physical and psychological QoL and exhibited coping styles significantly different from those of the control group. PTSD was associated with the coping style of suppression. Multiple regression analysis showed that receiving chemotherapy and disease stage, as well as the interaction between chemotherapy and disease stage, were significant predictors of hyperarousal. The findings show that post-traumatic symptoms are a common sequel after recovery from cancer. Furthermore, finding suggest a conceptual distinction between PTSD symptoms and QoL in the study of long-term effects of cancer.

[1]  B. Ferrell,et al.  Quality of life in breast cancer. Part I: Physical and social well-being. , 1997, Cancer nursing.

[2]  B. Green,et al.  Prevalence of posttraumatic stress disorder in women with breast cancer. , 1998, Psychosomatics.

[3]  R. Plutchik Emotion, a psychoevolutionary synthesis , 1980 .

[4]  M. Amir,et al.  Psychological Impact and Prevalence of Traumatic Events in a Student Sample in Israel; The Effect of Multiple Traumatic Events and Physical Injury , 1999, Journal of traumatic stress.

[5]  R. Plutchik MEASURING EMOTIONS AND THEIR DERIVATIVES , 1989 .

[6]  D. Ganster,et al.  Role of social support in the experience of stress at work. , 1986, The Journal of applied psychology.

[7]  B. Andersen Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer , 1993, Cancer.

[8]  L. Derogatis,et al.  The SCL-90 and the MMPI: A Step in the Validation of a New Self-Report Scale , 1976, British Journal of Psychiatry.

[9]  P. Powers,et al.  Posttraumatic stress disorder in patients with burns. , 1994, The Journal of burn care & rehabilitation.

[10]  C. Classen,et al.  Coping styles associated with psychological adjustment to advanced breast cancer. , 1996, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  M. Cordova,et al.  Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. , 1995, Journal of consulting and clinical psychology.

[12]  L. Derogatis,et al.  Confirmation of the dimensional structure of the scl‐90: A study in construct validation , 1977 .

[13]  A. Axelrod,et al.  Identification of PTSD in cancer survivors. , 1996, Psychosomatics.

[14]  M. Power,et al.  Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment , 1998 .

[15]  I. Carlier,et al.  Partial posttraumatic stress disorder (PTSD): the issue of psychological scars and the occurrence of PTSD symptoms. , 1995, The Journal of nervous and mental disease.

[16]  G. Wyatt,et al.  Development and testing of a quality of life model for long-term female cancer survivors , 1996, Quality of Life Research.

[17]  L. Pbert,et al.  Symptoms of posttraumatic stress disorder following myocardial infarction and coronary artery bypass surgery. , 1994, General hospital psychiatry.

[18]  M. Kotler,et al.  Suicide Risk and Coping Styles in Posttraumatic Stress Disorder Patients , 1999, Psychotherapy and Psychosomatics.

[19]  Karni Ginzburg,et al.  Coping with war captivity: The role of sensation seeking , 1995 .

[20]  S. Mulaik,et al.  Single-sample tests for many correlations. , 1977 .

[21]  Francine Mandel,et al.  Posttraumatic Stress Disorder and Family Functioning in Adolescent Cancer , 1998, Journal of traumatic stress.

[22]  J. Benjamin,et al.  Coping styles in post-traumatic stress disorder (PTSD) patients , 1997 .

[23]  M. Watson,et al.  Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients , 1991, Psychological Medicine.

[24]  A. Shalev Posttraumatic Stress Disorder among Injured Survivors of a Terrorist Attack: Predictive Value of Early Intrusion and Avoidance Symptoms , 1992, The Journal of nervous and mental disease.

[25]  B. Meyerowitz Postmastectomy coping strategies and quality of life. , 1983 .

[26]  M. Andrykowski,et al.  Factors Associated with PTSD Symptoms Following Treatment for Breast Cancer: Test of the Andersen Model , 1998, Journal of traumatic stress.