Psychological Wellbeing in Cervical and Breast Cancer Survivors: Differences in Each Stage of Survivorship
DOI:
https://doi.org/10.12928/jehcp.v9i1.13108Abstract
Being diagnosed with cancer in some females results in impaired psychological wellbeing (PWB). This study aimed to compare and analyze the PWB between cervical and breast cancer survivors (CCS and BCS) especially in each stage of survivorship. This cross-sectional study involved 47 CCS and 58 BCS (n=105) from three districts in Surabaya, Indonesia. QOL-CS was used for collecting data. Independent sample T test, one way ANOVA test, and linear regression test were used in data analysis (α<0.05). Results showed that most respondents had sufficient PWB. PWB between cases and survivorship stages was not significantly different (p=0.067 overall, p=0.425 in CCS, and p=0.135 in BCS). In CCS, appearances and self-concept were significantly changing over time (p=0.032 and p=0.007 respectively); meanwhile in BCS, life acceptance, happiness, memory/concentration, and usefulness were continuously changed (p=0.044, p=0.019, p=0.020, and p=0.018 respectively). Appearances were the best predictor of PWB in both cases (p=0.000), but it gave more influences in BCS than CCS (52.6% vs. 29.7%).
Keywords: breast cancer, cancer, cancer survivorship, cervical cancer, psychological wellbeing
References
Arafah, A. B. R., & Notobroto, H. B. (2017). Factors associated with housewives behavior in doing breast self-assessment (in Bahasa Indonesia). The Indonesian Journal of Public Health, 12(2), 143-153.
Bell, R. J., Lijovic, M., China, M. L., Schwarz, M., Fradkin, P., Bradbury, J., & Davis, S. R. (2010). Psychological well-being in a cohort of women with invasive breast cancer nearly 2 years after diagnosis. Support Care Cancer, 18, 921–929.
Calhoun, L. G., & Tedeschi, R. G. (1989). Positive aspects of critical life problems: recollections of grief. Journal of Death & Dying, 20(4), 265–272.
Camp-Sorrell, D. (2018). Chemotherapy toxicities and management. In Yarbro, C. H., Wujcki D., & Holmes, G. B. (Eds.), Cancer Nursing: Principles and Practice, 8th Edition (pp. 497-554). Burlington, MA: Jones and Bartlett Learning.
Campo, R. A., Lenjek, K. L., Gaylord-Scott, N., Faurot, K. R., Smith, S., Asher, G., Porterfield, D., & Gaylord S. A. (2016). Weathering the seasons of cancer survivorship: mind-body therapy use and reported reasons and outcomes by stages of cancer survivorship. Supportive Care in Cancer Survivorship, 24(9), 3783-3791.
Cook, N.F. (1999). Self-concept and cancer: understanding the nursing role. British Journal of Nursing, 8(5), 318.
Demiray, B., & Bluck, S. (2014). Time since birth and time left to live: opposing forces in constructing psychological wellbeing. Ageing and Society, 34(7), 1193-1218.
Dest, V. M. (2018). Radiation therapy: toxicities and management. In Yarbro, C. H., Wujcki, D., & Holmes, G. B. (Eds.). Cancer Nursing: Principles and Practice, 8th Edition (pp. 333-374). Burlington, MA: Jones and Bartlett Learning.
Ferrel, B. R., Hassey-Dow, K., & Grant, M. (1995). Measurement of The Quality of Life in Cancer Survivors. Quality of Life Research, 4, 523-531.
Forounzafar, M. H., Foreman, K. J., Delossantos, A. M., Lozano, R., Lopez, A. D., Murray, C. J. L., & Naghavi, M. (2011). Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis. The Lancet, 378(9801), 1461-1484.
Harrington, C. B., Hansen, J. A., Moskowitz, M., Todd, B. L., & Feuerstein, M. (2010). It’s not over when it’s over: long-term symptoms in cancer survivors-a systematic review. Internal Journal of Psychiatry in Medicine, 40(2), 163–181.
Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797–816.
Jhanwar, S. M. (2010). Influence of body image on intentions for prophylactic mastectomy. Dissertation. New York: Yeshiva University.
Kaplan, M. (2008). The Hispanic outlook in higher education. Paramus, 18(17), 42-44.
La Placa, V., McNaught, A., & Knight, A. (2013). Discourse on wellbeing in research and practice. International Journal of Wellbeing, 3(1), 116–125.
Lara, S. K., Morales, U. E., Kuba, M. D., & Green, D. (2013). Gastrointestinal symptoms and weight loss in cancer patients receiving chemotherapy. Br J Nutr, 109(5), 894-897.
Lee, M. K., Park, S., Lee, E. S., Ro, J., Kang, H. S., Shin, K. H., Lee, K. S., Chung, K. W., Kim, S. W., & Yun, Y. H. (2011). Social support and depressive mood 1 year after diagnosis of breast cancer compared with the general female population: a prospective cohort study. Support Care Cancer, 19, 1379-1392.
Malinowska, E., Dzwonkowska-Godula, K., Garncarek, E., Czernecka, J., & BrzeziÅ„ska, J. (2017). Kulturowe Koncepcje PÅ‚ci I Wieku A Postawy Kobiet I Mężczyzn Wobec Swego Zdrowia I WyglÄ…du [Cultural Concepts of Gender and Age and The Attitudes of Women and Men towards Their Health and Appearance]. Poland: Wydawnictwo Uniwersytetu Åódzkiego [The University of Lodz].
Ministry of Health, Republic of Indonesia. (2015). Situasi Penyakit Kanker [National Cancer Situation in 2013]. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-kanker.pdf
Morse, L. (2014). Skin and nail bed changes. In Yarbro, C. H., Wujcik, D., & Holmes, G. B. (Eds.). Cancer Symptom Management, 4th Edition (pp. 587-616). Burlington, MA: Jones & Bartlett Learning.
Paus, R., Haslam, I. S., Sharov A. A., & Botchkarev, V. A. (2013). Pathobiology of chemotherapy-induced hair loss. Lancet Oncol., 14, e50.
Quesnel, C., Savard, J., & Ivers, H. (2009). Cognitive impairments associated with breast cancer treatments: results from a longitudinal study. Breast Cancer Res Treat, 116, 113–123.
Rika, Y. (2010). Spirituality and psychological well-being among Asian American breast cancer survivors. Dissertation. Los Angeles: Alliant International University.
Rojas, K., Onstad, M., Raker, C., Clark, M. A., Stuckey, A., & Gass, J. (2017). The impact of mastectomy type on the Female Sexual Function Index (FSFI), satisfaction with appearance, and the reconstructed breast’s role in intimacy. Breast Cancer Res Treat, 163, 273–279.
Rozi, M. F. (2013). Kiat Mudah Mengatasi Kanker Serviks [Easy Tips for Managing Cervical Cancer]. Yogyakarta: Aulia Publisher.
Ruini, C., & Vescovelli, F. (2013). The role of gratitude in breast cancer: its relationships with post-traumatic growth, psychological well-being and distress. J Happiness Stud, 14, 263–274.
Sari, N. P. W. P. (2018). Women living with breast and cervical cancer in the community: the face of Surabaya nowadays. Indonesian Journal of Cancer, 12(4), 116-122.
Scholten, C., Weinlader, G., Krainer, M., Frischenschlager, O., & Zielinski, C. C. (2001). Difference in patient’s acceptance of early versus late initiation of psychosocial support in breast cancer. Supportive Care in Cancer, 9(6), 459-464.
Sutandyo, N. (2007). Nutrisi pada pasien kanker yang mendapat kemoterapi [Nutrition in cancer patients receiving chemotherapy]. Indonesian Journal of Cancer (4), 144-148.
Tejawinata S. (2012). Surabaya Kota Paliatif: Citra dan Pesonanya [Surabaya, the City of Palliative: Its Image and Charm]. Surabaya: Airlangga University Press.
Trijayanti, E., & Probosari, E. (2016). Hubungan asupan makan dan status gizi pada pasien kanker serviks post kemoterapi [Correlation between food intake and nutritional status in cervical cancer patients after chemotherapy]. Jurnal Kedokteran Diponegoro, 5(4), 751-760.
Vitry, A. (2010). The imperative of happiness for women living with breast cancer. Canadian Woman Studies, 28(2/3): 30-33.
Yamada, R. (2010). Spirituality and psychological well-being among Asian American breast cancer survivors. Dissertation. Los Angeles: Alliant International University.
Zheng, Y., Luo, J., Bao, P., Cai, H., Hong, Z., Ding, D., Jackson, J. C., Shu, X. O., & Dai, Q. (2014). Long-term cognitive function change among breast cancer survivors. Breast Cancer Res Treat, 146, 599–609.
