Universität zu Köln

Tschuschke, Volker, Karadaglis, Georgios, Evangelou, Kalliopi, von Schweinitz, Clara Graefin and Schwickerath, Juergen (2017). Psychological Stress and Coping Resources during Primary Systemic Therapy for Breast Cancer. Results of a Prospective Study. Geburtshilfe Frauenheilkd., 77 (2). S. 158 - 169. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8804

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Abstract

Introduction This prospective study reports on the impact of psychological factors on women with primary breast cancer undergoing neoadjuvant chemotherapy. These women are in a special situation, where they not only have to deal with the shock of the cancer diagnosis but also with the fact that themalignant tumor will not be removed immediately but only after completing chemotherapy. A situation like this is stressful and requires a personal strength which not every woman may have. Methods In a prospective study 53 patients were assessed using various psychological and psycho-oncological questionnaires which aimed to evaluate their psychological stress and their coping resources. The women were evaluated before starting systemic treatment (t-1) and again immediately after completing chemotherapy but prior to surgery (t-2). The patients were also asked about their coping strategies at t-1 and t-2. Using the Ulm Coping Manual (UCM) the interviews were rated by independent assessors blinded to the respective patient's medical data. Patients were followed up for 3.7-5.5 years after completing chemotherapy. Results Patients with poor psychosocial adjustment to the situation were identified prior to starting treatment (at t-1). The social coping strategies of these women were found to be inadequate. Their coping behavior was characterized by resignation and they did not attempt to seek social support. This was found to increase their overall risk of recurrence or of developing another type of malignancy during the follow-up period. The study also identified patients who coped significantly better with primary systemic treatment by strengthening their coping strategies. Conclusion Careful psychological screening of women's vulnerabilities or strengths immediately after the diagnosis and prior to any oncological treatment is strongly recommended. This would help to identify those patients early on who will require additional psycho-oncological support due to their psychological vulnerability.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Tschuschke, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Karadaglis, Georgios UNSPECIFIED UNSPECIFIED UNSPECIFIED Evangelou, Kalliopi UNSPECIFIED UNSPECIFIED UNSPECIFIED von Schweinitz, Clara Graefin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwickerath, Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-240737
DOI:	10.1055/s-0043-101237
Journal or Publication Title:	Geburtshilfe Frauenheilkd.
Volume:	77
Number:	2
Page Range:	S. 158 - 169
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8804
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BONE-MARROW TRANSPLANTATION; RANDOMIZED CONTROLLED-TRIAL; BRIEF FATIGUE INVENTORY; QUALITY-OF-LIFE; GYNECOLOGIC CANCER; PSYCHOSOCIAL ADJUSTMENT; SOCIAL SUPPORT; FOLLOW-UP; SURVIVAL; WOMEN Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24073