Effects of pessimism, depression, fatigue, and pain on functional health-related quality of life in patients with resected non-advanced breast cancer

Copyright © 2019 Elsevier Ltd. All rights reserved..

INTRODUCTION: The aim was to analyze the effects of pessimism, depression, fatigue, and pain on functional health-related quality of life (HRQoL) in patients with resected, non-advanced breast cancer.

METHODS: A prospective, multicenter study was conducted in 440 breast cancer patients. They completed the Brief Symptom Inventory (BSI), the European Organization for Research and Treatment of Cancer QoL-Questionnaire-Core-30 (EORTC-QLQ-C30), and the Revised Life Orientation Test (LOT-R).

RESULTS: Prevalence rates of pessimism and depression were 23.3% and 40.0%, respectively. Fatigue and pain were the most common symptoms, 8.8% and 4.2%, respectively. Patients without a partner were more pessimistic that partnered ones; those with a lower level of education and subjects without a partner exhibited more depression. Depression was a major factor that proved to have the greatest explanatory power for HRQoL (physical, role, emotional, cognitive, and social functioning) and global health status (R2 range: 0.13 to 0.39). Of the five domains, fatigue had a significant effect on four and pain, on two.

CONCLUSION: This study reveals the impact of depression and pessimism on physical, psychological, social, and quality-of-life aspects and the importance of evaluating them in patients who are going to initiate adjuvant chemotherapy for breast cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Breast (Edinburgh, Scotland) - 44(2019) vom: 22. Apr., Seite 108-112

Sprache:

Englisch

Beteiligte Personen:

Calderon, Caterina [VerfasserIn]
Carmona-Bayonas, Alberto [VerfasserIn]
Hernández, Raquel [VerfasserIn]
Ghanem, Ismael [VerfasserIn]
Castelo, Beatriz [VerfasserIn]
Martinez de Castro, Eva [VerfasserIn]
Ferreira, Estrella [VerfasserIn]
Ciria, Laura [VerfasserIn]
Muñiz, María [VerfasserIn]
Jimenez-Fonseca, Paula [VerfasserIn]

Links:

Volltext

Themen:

Adjuvant
BSI
Chemotherapy
EORTC-QLQ-C30
Journal Article
LOT-R
Psycho-oncology

Anmerkungen:

Date Completed 24.06.2019

Date Revised 24.06.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.breast.2019.01.012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM293618380