Persistence of Restrictions in Quality of Life From the First to the Third Year After Diagnosis in Women With Breast Cancer
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Purpose: To assess whether detriments in quality of life (QOL) among women with breast cancer persist over years. Patients and Methods: QOL was assessed in a population-based cohort of 314 women with breast cancer from Saarland (Germany) 1 and 3 years after diagnosis and compared internally and with reference data from the general population. Results: Three years after diagnosis, deficits in QOL were still apparent for role, emotional, cognitive, and social functioning and for the symptoms of insomnia, fatigue, dyspnea, and financial difficulties. Differences between breast cancer patients and women from the general population were predominantly found in younger ages. Compared with the QOL scores measured 1 year after diagnosis, only minor functional changes were observed, but recurrence of breast cancer during the follow-up interval had a deleterious effect on QOL. Conclusion: Deficits in role, emotional, cognitive, and social functioning persist over years in women with breast cancer and predominantly affect younger patients.
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Diagnosis and treatment of breast and gynaecologic cancers are associated with high rates of often persistent psychological distress and ongoing challenges to quality of life.
“Diagnosis and treatment of these cancers are associated with high rates of often persistent psychological distress and ongoing challenges to quality of life (QOL) [1,6,9,10,12].”
From Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study (2015) · cites this paper as [1]
The Discussion reports that deficits in emotional and social functioning persist for years after breast cancer diagnosis, supporting ongoing psychological and quality-of-life challenges in that population. The paper does not address gynaecologic cancers or establish a high rate of psychological distress across both cancer groups. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe DASS-21 has confirmed internal consistency and concurrent validity.
“Internal consistency and concurrent validity of the DASS-21 have been confirmed [1,13].”
From Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study (2015) · cites this paper as [1]
The QOL Questionnaire section identifies the instruments used as the EORTC QLQ-C30 and BR-23, not the DASS-21. Searches for DASS-21, internal consistency, and concurrent validity found no passage in our copy addressing the DASS-21’s psychometric properties; the paper is not truncated. No page number is available for the cited section. (LLM, conf=0.76)
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- Authors
- Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H.
- Affiliations
- Universität Ulm (DE)
- Venue
- Journal of Clinical Oncology
- Published
- 2005-08-01
- Volume
- 23
- Issue
- 22
- Pages
- 4945-4953
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2162083820
- Cited by
- 159
- References
- 44
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 8 · 2019: 10 · 2018: 7 · 2017: 6 · 2016: 9 · 2015: 5 · 2014: 10 · 2013: 14 · 2012: 10
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- German Medical Science (German Research Foundation) (publishedVersion, cc-by-nc-nd)
- Funders
- Deutsche Krebshilfe
- 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 › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- breast cancer, quality of life, long-term follow-up, role functioning, emotional functioning, cognitive function, social functioning, fatigue, insomnia, dyspnea, financial hardship, tumor recurrence, age differences, women
- MeSH terms
- Adult, Aged, Breast Neoplasms, Cognition, Emotions, Female, Humans, Male, Middle Aged, Quality of Life, Social Behavior, Reproducibility of Results, Cohort Studies
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