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Psychological adjustment and quality...

Washington University in St. Louis.

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Psychological adjustment and quality of life among women completing radiation treatment for breast cancer.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Psychological adjustment and quality of life among women completing radiation treatment for breast cancer./
Author:	Tibbs, Tiffany Lynn.
Description:	143 p.
Notes:	Chair: Edwin B. Fisher, Jr.
Contained By:	Dissertation Abstracts International64-03B.
Subject:	Health Sciences, Oncology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3083593
ISBN:	9780496314010

Psychological adjustment and quality of life among women completing radiation treatment for breast cancer.
Tibbs, Tiffany Lynn.

Psychological adjustment and quality of life among women completing radiation treatment for breast cancer. - 143 p.

Chair: Edwin B. Fisher, Jr.

Thesis (Ph.D.)--Washington University in St. Louis, 2002.

The purpose of this study was to investigate the psychological adjustment and quality of life during the re-entry phase of survival among breast cancer patients completing radiation therapy. Seventy-nine patients were assessed at the conclusion of radiation therapy, at two weeks post-treatment, and at the time of radiation oncology follow-up appointment, approximately six weeks post-treatment. Measures of adjustment included depression, anxiety, hope, and quality of life. Age, stage of cancer, and type of treatment, and psychosocial factors, including coping, social support, and health locus of control, were investigated for associations with measures of adjustment. At the end of treatment, participants reported heightened depression, mild levels of anxiety, relatively high levels of hope, and moderate quality of life. Significant changes were seen across time, such that depression decreased at two weeks post-treatment but increased as the follow-up appointment approached. A substantial number of patients were above the criterion for clinically significant depression, both at the end of treatment (29%) and at the follow-up visit, six weeks later (28%). Quality of life significantly improved over time. Older age was related to better adjustment, such that, at each assessment, women over fifty-five reported lower depression and anxiety and higher quality of life compared to younger women. Stage of cancer was not significantly related to psychological outcomes. Active coping was associated with better adjustment at the end of treatment, while avoidant coping was related to poorer adjustment at the end of treatment and reduced hope and quality of life across time. Social support, and particularly Nondirective emotional support, was consistently related to positive outcomes at the end of treatment. Outcome variables were highly correlated, and combining them into a general measure of distress revealed similar patterns with regard to age and psychosocial variables. In predictive models, avoidant coping and Nondirective emotional support frequently accounted for variability in outcomes. Results illustrate the psychological challenges and improvements that occur among breast cancer patients immediately following the conclusion of cancer treatment.

ISBN: 9780496314010Subjects--Topical Terms:

1018566
Health Sciences, Oncology.

Psychological adjustment and quality of life among women completing radiation treatment for breast cancer.
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500 $a Source: Dissertation Abstracts International, Volume: 64-03, Section: B, page: 1509.
502 $a Thesis (Ph.D.)--Washington University in St. Louis, 2002.
520 $a The purpose of this study was to investigate the psychological adjustment and quality of life during the re-entry phase of survival among breast cancer patients completing radiation therapy. Seventy-nine patients were assessed at the conclusion of radiation therapy, at two weeks post-treatment, and at the time of radiation oncology follow-up appointment, approximately six weeks post-treatment. Measures of adjustment included depression, anxiety, hope, and quality of life. Age, stage of cancer, and type of treatment, and psychosocial factors, including coping, social support, and health locus of control, were investigated for associations with measures of adjustment. At the end of treatment, participants reported heightened depression, mild levels of anxiety, relatively high levels of hope, and moderate quality of life. Significant changes were seen across time, such that depression decreased at two weeks post-treatment but increased as the follow-up appointment approached. A substantial number of patients were above the criterion for clinically significant depression, both at the end of treatment (29%) and at the follow-up visit, six weeks later (28%). Quality of life significantly improved over time. Older age was related to better adjustment, such that, at each assessment, women over fifty-five reported lower depression and anxiety and higher quality of life compared to younger women. Stage of cancer was not significantly related to psychological outcomes. Active coping was associated with better adjustment at the end of treatment, while avoidant coping was related to poorer adjustment at the end of treatment and reduced hope and quality of life across time. Social support, and particularly Nondirective emotional support, was consistently related to positive outcomes at the end of treatment. Outcome variables were highly correlated, and combining them into a general measure of distress revealed similar patterns with regard to age and psychosocial variables. In predictive models, avoidant coping and Nondirective emotional support frequently accounted for variability in outcomes. Results illustrate the psychological challenges and improvements that occur among breast cancer patients immediately following the conclusion of cancer treatment.
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