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Breast cancer survivors' supportive care needs 2–10 years after diagnosis
Abstract
Goals of the work A significant proportion of breast cancer patients experience psychosocial morbidity after treatment, although their longer-term outcomes and supportive care service needs have not been comprehensively documented. The aim of this study was to identify longer-term outcomes and supportive care needs in disease-free breast cancer survivors.Materials and methods One hundred seventeen patients who had been diagnosed with breast cancer 2-10 years earlier completed questionnaires to assess psychosocial outcomes including supportive care needs, psychological distress, and quality of life (QoL).Main results QoL and depression scores were consistent with community rates although anxiety scores were higher. Approximately two thirds of survivors reported at least one unmet need, most frequently concerning existential survivorship issues, thereby highlighting the unique needs of survivors. Years since diagnosis was not correlated with need levels. Survivors classified as clinically anxious reported over three times as many unmet needs and survivors classified as depressed reported over two and a half times as many unmet needs. Positive outcomes were frequently reported.Conclusions The findings have direct clinical relevance: irrespective of years since diagnosis, comprehensive and extended supportive care services are required to identify breast cancer survivors in need of supportive care interventions and remediate high levels of anxiety.
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“On the contrary, a study by Hodgkinson et al. (2007) aiming at identifying long-term outcomes and supportive care needs in disease-free breast cancer survivors, documented higher rates of anxiety 2–10 years after diagnosis, but depression scores consistent with age-adjusted community prevalence rates.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Hodgkinson et al., 2007
In the citing paper
“The field of most frequently reported unmet needs was existential issues and the most prevalent unmet need identified in this research was related to managing concerns about the cancer coming back, which is consistent with literature findings focusing on fear of cancer recurrence (Ellegaard et al., 2017).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Hodgkinson et al., 2007
In the citing paper
“Moreover, clinically anxious survivors reported over three times as many unmet needs as those with no anxiety.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Hodgkinson et al., 2007
In the citing paper
“Given the above, addressing breast cancer survivors' supportive care needs is key to improve their adjustment and well-being (Hodgkinson et al., 2007).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Hodgkinson et al., 2007
In the citing paper
“Additionally, many survivors will no longer attend follow-up appointments as often as in the initial stages of survivorship and innovative intervention strategies capable of reaching those in need and controlling costs without diminishing quality of service such as, interventions delivered by primary care workers, the Internet and self-help groups may be required (Hodgkinson et al., 2007).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Hodgkinson et al., 2007
In the citing paper
“representing the largest psychological difference between long-term cancer survivors and controls [3, 24–26].”
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Self-citation
Metadata
- Authors
- Hodgkinson, K., Butow, P., Hunt, G. E., Pendlebury, S., Hobbs, K. M., & Wain, G.
- Affiliations
- The University of Sydney (AU)
- Westmead Hospital (AU)
- Corresponding author
- Hodgkinson, Katharine
- Venue
- Supportive Care in Cancer
- Published
- 2006-11-21
- Volume
- 15
- Issue
- 5
- Pages
- 515-523
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2046764233
- Cited by
- 295
- References
- 70
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 8 · 2023: 17 · 2022: 8 · 2021: 11 · 2020: 16 · 2019: 23 · 2018: 17 · 2017: 22 · 2016: 14 · 2015: 19 · 2014: 29 · 2013: 30 · 2012: 22
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- New South Wales Institute of Psychiatry
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer survivors, supportive care needs, unmet needs, psychosocial morbidity, anxiety, depression, quality of life, existential concerns, long-term outcomes, survivorship
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Humans, Middle Aged, New South Wales, Surveys and Questionnaires, Social Support, Survivors
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