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Psychosocial distress among young breast cancer survivors: implications for healthcare providers

  • Special Feature
  • Breast cancer in young women: Issues and perspectives regarding patients' and survivors' care
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Abstract

Breast cancer (BC) experiences foster serious psychosocial problems among young survivors. Previous studies have repeatedly discussed younger age as a factor that puts women with BC at higher risk of psychosocial distress. Although most BC survivors receive the necessary information from healthcare providers on treatment options and procedures at diagnosis, they often fail to receive support and guidance after acute treatment has completed in dealing with the possible physical, emotional, social, and psychological effects of cancer. This article discusses common psychosocial problems experienced by young BC survivors, such as issues related to interpersonal relationships, sexuality, fertility, and employment. In particular, it examines influences of the Japanese sociocultural background on young survivors’ distress and considers the clinical implications for Japanese healthcare. The importance of integrating psychosocial care with routine oncology care cannot be overemphasized.

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References

  1. Ganz PA. Psychological and social aspects of breast cancer. Oncology. 2008;22:642–6.

    PubMed  Google Scholar 

  2. Schag CA, Ganz PA, Polinsky ML, Fred C, Hirji K, Petersen L. Characteristics of women at risk for psychosocial distress in the year after breast cancer. J Clin Oncol. 1993;11:783–93.

    PubMed  CAS  Google Scholar 

  3. Maunsell E, Brisson J, Deschênes L. Psychological distress after initial treatment of breast cancer. Assessment of potential risk factors. Cancer. 1992;70:120–5.

    Article  PubMed  CAS  Google Scholar 

  4. Maunsell E, Brisson J, Deschênes L. Social support and survival among women with breast cancer. Cancer. 1995;6:631–7.

    Article  Google Scholar 

  5. Ganz PA, Hirji K, Sim MS, Schag CA, Fred C, Polinsky ML. Predicting psychosocial risk in patients with breast cancer. Med Care. 1993;1:419–31.

    Article  Google Scholar 

  6. Shimozuma K, Ganz PA, Petersen L, Hirji K. Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Res Treat. 1999;6:45–57.

    Article  Google Scholar 

  7. Schover LR. Sexuality and body image in younger women with breast cancer. J Natl Cancer Inst Monogr. 1994;6:177–82.

    Google Scholar 

  8. Ganz PA, Lee JJ, Sim MS, Polinsky ML, Schag CA. Exploring the influence of multiple variables on the relationship of age to quality of life in women with breast cancer. J Clin Epidemiol. 1992;5:473–85.

    Article  Google Scholar 

  9. Gorman JR, Malcarne VL, Roesch SC, Madlensky L, Pierce JP. Depressive symptoms among young breast cancer survivors: the importance of reproductive concerns. Breast Cancer Res Treat. 2010;23:477–85.

    Article  Google Scholar 

  10. Dunn J, Steginga SK. Young women’s experience of breast cancer: defining young and identifying concerns. Psychooncology. 2000;9:137–46.

    Article  PubMed  CAS  Google Scholar 

  11. Wong-Kim EC, Bloom JR. Depression experienced by young women newly diagnosed with breast cancer. Psychooncology. 2005;4:564–73.

    Article  Google Scholar 

  12. Bloom JR, Kessler L. Risk and timing of counseling and support interventions for younger women with breast cancer. J Natl Cancer Inst Monogr. 1994;6:199–206.

    Google Scholar 

  13. Bloom JR, Stewart SL, Johnston M, Banks P, Fobair P. Sources of support and the physical and mental well-being of young women with breast cancer. Soc Sci Med. 2001;3:1513–24.

    Article  Google Scholar 

  14. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: 5 year observational cohort study. BMJ. 2005;330:702.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Takahashi M, Miyashita M. Psychosocial distress and support needs among young women with breast cancer. Paper presented at the 16th Annual Meeting of the Japanese Breast Cancer Society, Osaka, 26 Sept 2008.

  16. Northouse LL, Peters-Golden H. Cancer and the Family: strategies to assist spouses. Semin Oncol Nurs. 1993;2:74–82.

    Article  Google Scholar 

  17. Wellisch DK, Jamison KR, Pasnau RO. Psychosocial aspects of mastectomy: II. The man’s perspective. Am J Psychiatry. 1978;35:543–6.

    Google Scholar 

  18. Saeki T, Yamawaki S. Psychological care for breast cancer patients and their families. Rinsho Kango. 2003;9:1051–7.

    Google Scholar 

  19. Takahashi M, Tagaya N, Muto T, Kai I, Kakuta M, Yoshino M. Psychosocial adjustment among breast cancer survivors: interrelationship of a couple. Research report of The Grant-in-Aid for cancer Research (H22-Ippan-008) Building a comprehensive employment support system for working patients with cancer and their family members. 2012, p 89–137.

  20. Baider L, Kaplan De-Nour A. Adjustment to cancer: who is the patient—the husband or the wife? Isr J Med Sci. 1988;4:631–6.

    Google Scholar 

  21. Oberst MT, Scott DW. Postdischarge distress in surgically treated cancer patients and their spouses. Res Nurs Health. 1988;1:223–33.

    Article  Google Scholar 

  22. Dorval M, Maunsell E, Taylor-Brown J, Kilpatrick M. Marital stability after breast cancer. J Nat Cancer Inst. 1999;1:54–9.

    Article  Google Scholar 

  23. Dorval M, Guay S, Mondor M, Masse B, Falardeau M, Robidoux A, et al. Couples who get closer after breast cancer: frequency and predictors in a prospective investigation. J Clin Oncol. 2005;315:3588–96.

    Article  Google Scholar 

  24. Takahashi M, Ohno S, Inoue H, Kataoka A, Yamaguchi H, Uchida Y, et al. Impact of breast cancer diagnosis and treatment on women’s sexuality: a survey of Japanese patients. Psychooncology. 2008;7:901–7.

    Article  Google Scholar 

  25. Visser A, Huizinga GA, van der Graaf WTA, Hoekstra HJ, Hoekstra-Weebers J. The impact of parental cancer on children and the family: a review of the literature. Cancer Treat Rev. 2004;30:683–94.

    Article  PubMed  Google Scholar 

  26. Ozawa M. Current situation of cancer patients and their children. Shoni Hoken Kenkyu. 2013;72:217–9.

    Google Scholar 

  27. Takahashi M. How mothers with breast cancer explain the illness to their children—a qualitative study. Research report of The Grant-in-Aid for Third Term Comprehensive 10-year Strategy for Cancer Control (H19-Ippan-035) 2009, p 24–39.

  28. Kobayashi M. How to explain children about parental cancer. Gan Kango. 2013;18:57–61.

    Google Scholar 

  29. Takahashi M, Kai I. Sexuality after breast cancer treatment; changes and coping among Japanese survivors. Soc Sci Med. 2005;61:1278–90.

    Article  PubMed  Google Scholar 

  30. Schover LR. Sexuality and fertility after cancer. New York: Wiley; 1997.

    Google Scholar 

  31. Takahashi M, Kai I, Kai I, Hisata M, Higashi Y. Attitudes and practices of breast cancer consultations regarding sexual issues: a nationwide survey of Japanese breast surgeons. J Clin Oncol. 2006;24:5763–8.

    Article  PubMed  Google Scholar 

  32. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012;104:386–405.

    Article  PubMed  Google Scholar 

  33. Shimizu C, Bando H, Kato T, Mizota Y, Yamamoto S, Fujiwara Y. Physicians’ knowledge, attitude, and behavior regarding fertility issues for young breast cancer patients: a national survey for breast care specialists. Breast Cancer. 2013;20:230–40.

    Article  PubMed  Google Scholar 

  34. Park J-H, Park E-C, Park J-H, Kim S-G, Lee S-Y. Job loss and re-employment of cancer patients in Korean employees: a nationwide retrospective cohort study. J Clin Oncol. 2008;26:1302–9.

    Article  PubMed  Google Scholar 

  35. Peuckmann V, Ekholm O, Sjøgren P, Rasmussen NK, Christiansen P, Møller S, et al. Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark. Eur J Cancer. 2009;45:625–33.

    Article  PubMed  CAS  Google Scholar 

  36. Cancer incidence by age and site. Center for Cancer Control and Information Services, National Cancer Center, Japan (Estimates based on population-based cancer registry). http://ganjoho.jp/professional/statistics/statistics.html. Accessed 3 Dec 2013.

  37. Saito N, Takahashi M, Sairenchi T, Muto T. The impact of breast cancer on employment among Japanese women. J Occup Health. 2013 (in press).

  38. Ahn E, Cho J, Shin DW, Park BW, Ahn SH, Noh DY, et al. Impact of breast cancer diagnosis and treatment on work-related life and factors affecting them. Breast Cancer Res Treat. 2009;116:609–16.

    Article  PubMed  Google Scholar 

  39. Hoving JL, Broekhuizen ML, Frings-Dresen MH. Return to work of breast cancer survivors: a systematic review of intervention studies. BMC Cancer. 2009;9:117.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  40. de Boer AG, Taskila T, Ojajärvi A, van Dijk FJ, Verbeek JH. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009;301:753–62.

    Article  PubMed  Google Scholar 

  41. Ministry of Internal Affairs and Communications. Labour force survey. http://www.stat.go.jp/english/data/roudou/index.htm. Accessed 3 Dec 2013.

  42. Mehnert A. Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol. 2011;77:109–30.

    Article  PubMed  Google Scholar 

  43. Avis NE, Crawford S, Manuel J. Quality of life among younger women with breast cancer. J Clin Oncol. 2005;23:3322–30.

    Article  PubMed  Google Scholar 

  44. Easley J, Miedema B. Rehabilitation after breast cancer: recommendations from young survivors. Rehabil Nurs. 2012;37:163–70.

    Article  PubMed  Google Scholar 

  45. Portal site for young survivors with breast cancer in Japan. http://www.jakunen.com/index.html. Accessed 3 Dec 2013.

  46. Frequently asked questions for working cancer survivors. http://www.cancer-work.jp/tool/index.html. Accessed 3 Dec 2013.

  47. Japan Society for Fertility Preservation website. http://www.j-sfp.org/. Accessed 3 Dec 2013.

  48. Cancer Survivorship Recruiting Project website. http://workingsurvivors.org/. Accessed 3 Dec 2013.

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Authors and Affiliations

  1. Cancer Survivorship Research Division, Center for Cancer Control and Information Services, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Miyako Takahashi

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  1. Miyako Takahashi
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Correspondence to Miyako Takahashi.

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Takahashi, M. Psychosocial distress among young breast cancer survivors: implications for healthcare providers. Breast Cancer 21, 664–669 (2014). https://doi.org/10.1007/s12282-013-0508-9

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  • DOI: https://doi.org/10.1007/s12282-013-0508-9

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