Stressful Life Events and Distress in Breast Cancer: A 5-Years Follow-Up.

Autor:	Ochoa-Arnedo C; Psycho-oncology and ICOnnecta't digital Health sevices, Institut Català d'Oncologia, Spain.; Clinical Psychology and Psicobiology Department. University of Barcelona, Spain.; Psycho-Oncology and Digital Health, Research in health services in cancer, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Hospitalet del Llobregat, Spain., Prats C; Barcelona Biomedical Research Park, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Spain.; Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Spain., Travier N; Cancer Screening Unit, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Spain., Marques-Feixa L; Department of Evolutionary Biology, Ecology and Environmental Sciences, Faculty of Biology, University of Barcelona. Biomedicine Institute of the University of Barcelona (IBUB), Spain.; Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Spain., Flix-Valle A; Psycho-oncology and ICOnnecta't digital Health sevices, Institut Català d'Oncologia, Spain.; Clinical Psychology and Psicobiology Department. University of Barcelona, Spain.; Psycho-Oncology and Digital Health, Research in health services in cancer, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Hospitalet del Llobregat, Spain., de Frutos ML; Psycho-oncology and ICOnnecta't digital Health sevices, Institut Català d'Oncologia, Spain., Domingo-Gil E; Brain Research Institute, Center for Cognitive Science, University of Bremen, Germany., Medina JC; Psycho-oncology and ICOnnecta't digital Health sevices, Institut Català d'Oncologia, Spain.; Clinical Psychology and Psicobiology Department. University of Barcelona, Spain.; Department of Psychology and Education Sciences, Open University of Catalonia, Barcelona, Spain., Serra-Blasco M; Psycho-oncology and ICOnnecta't digital Health sevices, Institut Català d'Oncologia, Spain.; Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Spain.; Department of Psychology, Universitat Abat Oliba CEU, Spain.
Jazyk:	angličtina
Zdroj:	International journal of clinical and health psychology : IJCHP [Int J Clin Health Psychol] 2022 May-Aug; Vol. 22 (2), pp. 100303. Date of Electronic Publication: 2022 Apr 01.
DOI:	10.1016/j.ijchp.2022.100303
Abstrakt:	Background/objective: Environmental factors such as psychosocial stress have demonstrated to have an impact on the breast cancer (BC) course. This study aims to explore the impact of psychotherapy and stressful life events (SLE) on BC survivors' illness trajectories. Method: 68 women with BC underwent Positive Psychotherapy or Cognitive-Behavioral Stress Management and 37 patients were included as a control group. The effects of distress reduction and SLE on their 5-year recurrence were investigated. Additional analyses examined the effect of receiving vs. not receiving psychotherapy and of the type of therapy on survival and disease-free interval, DFI. Results: A one-point decrease of the Hospital Anxiety and Depression Scale (HADS) after psychotherapy predicted a lower risk of 5-year recurrence, OR  = 0.84, p  = .037, 95% CI  = 0.71-0.99). Also, a one point-increase in the number threatening SLE ( OR  = 1.92; p  = .028, 95% CI  = 1.07-3.43) was related to higher 5-year recurrence. Conclusions: The findings highlight the necessity of studying not only a given situation (i.e., psychotherapy, SLE) but its specific impact on individuals. (© 2022 The Author(s).)
Databáze:	MEDLINE
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