Cited by 297Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeWomen's cancer prevention and management

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Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

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Costanzo, E S, Lutgendorf, S K, Mattes, M L, Trehan, S, Robinson, C B, Tewfik, F, Roman, S L·2007·British Journal of Cancer

DOI 10.1038/sj.bjc.6604091PMC PMC2360272

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Abstract

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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“Available retrospective data suggest that a past history of major depressive disorder is associated with greater depressive symptomatology after treatment [12] and increased rates of psychiatric disorders during breast cancer recurrence [13–15].”
Background
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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
Publisher: Springer Science and Business Media LLC
Published: 2007-11-13
Volume: 97
Issue: 12
Pages: 1625-1631
ISSN: 0007-0920 (ISSN-L)
1532-1827
DOI: 10.1038/sj.bjc.6604091
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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Adjusting to life after treatment: distress and quality of life following treatment for breast cancer

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