Adjusting to life after treatment: distress and quality of life following treatment for breast cancer
Open accessAbstract
Clinical and anecdotal findings suggest that the completion of cancer treatment may be marked by heightened distress and disrupted adjustment. The present study examined psychological adjustment during the 3 months following treatment among 89 women with stages 0-III breast cancer. Participants completed measures of depression, cancer-related anxiety, cancer concerns, and quality of life at three time points: during treatment, 3 weeks following the end of treatment, and 3 months post-treatment. Post-treatment scores were suggestive of good psychological adjustment among the majority of women. Moreover, distress did not increase following treatment; longitudinal analyses showed no significant changes in depression or recurrence worry, while intrusive thoughts decreased, and quality of life improved. Younger age predicted greater distress across measures. A history of depression or anxiety predicted greater depressive symptomatology, while more extensive treatment predicted greater cancer-related anxiety. Despite the lack of distress endorsed on general depression and anxiety indices, participants reported moderate distress associated with cancer-related concerns, including physical problems, fear of cancer recurrence, and resuming normal life. In sum, while breast cancer survivors demonstrate good adjustment on general distress indices following treatment, some women are at risk for sustained distress. Moreover, significant cancer-related concerns are prevalent and may be important intervention targets.
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Younger age is associated with higher FCR in breast cancer and other cancer types.
“A systematic review by Crist and Grunfeld [5] revealed that younger age was associated in almost every study with higher FCR for different cancer types, including breast cancer [53–55].”
From Fear of cancer recurrence in breast cancer survivors carrying a BRCA1 or 2 genetic mutation : a cross-sectional study (2024) · cites this paper as [54]
Cancer survivors recently discharged from the care of their cancer team and no longer receiving cancer treatment cite a number of unmet needs after completing cancer treatment, including psychosocial and informational support.
“Cancer survivors recently discharged from the care of their cancer team and no longer receiving cancer treatment cite a number of unmet needs after completing cancer treatment [7–9] (e.g., for psychosocial and informational support [7–10]) and describe the first 6–12 months after treatment as the most difficult [7].”
From Coping during COVID-19: A mixed methods study of older cancer survivors (2021) · cites this paper as [9]
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- Authors
- Costanzo, E. S., Lutgendorf, S. K., Mattes, M. L., Trehan, S., Robinson, C. B., Tewfik, F., & Roman, S. L.
- Affiliations
- University of Wisconsin–Madison (US)
- University of Iowa (US)
- Aultman Hospital (US)
- Trinity Medical Center (US)
- Corresponding author
- Costanzo, E S
- ORCID
- Lutgendorf, S K
- Venue
- British Journal of Cancer
- Published
- 2007-11-13
- Volume
- 97
- Issue
- 12
- Pages
- 1625-1631
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- PMC
- PMC2360272
- OpenAlex
- W1968391143
- Cited by
- 297
- References
- 29
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 19 · 2023: 10 · 2022: 14 · 2021: 20 · 2020: 17 · 2019: 17 · 2018: 13 · 2017: 12 · 2016: 19 · 2015: 27 · 2014: 26 · 2013: 22 · 2012: 23
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-sa
- www.springer.com/tdm (unspecified)
- Locations
- British Journal of Cancer (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- American Psychological Foundation
- 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, psychological adjustment, quality of life, depression, cancer-related anxiety, fear of cancer recurrence, intrusive thoughts, age as risk factor, treatment burden
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Breast Neoplasms, Depression, Female, Forecasting, Humans, Middle Aged, Quality of Life, Risk Factors, Time Factors
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