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Traumatic Stress Symptoms Among Women with Recently Diagnosed Primary Breast Cancer

  • Published:
Journal of Traumatic Stress

Abstract

This study examined the concurrent and longitudinal relationships between traumatic stress symptoms and demographic, medical, and psychosocial variables among women recently diagnosed with primary breast cancer. Participants were 117 women drawn from a parent study for women recently diagnosed with primary breast cancer. At baseline, the Impact of Event Scale (IES) total score was related to intensity of postsurgical treatment and lower emotional self-efficacy. At the 6-month follow-up, the IES total score was significantly related to younger age, to the increased impact of the illness on life, and to the baseline IES total score assessment. These results suggest that it is important to intervene for traumatic stress symptoms soon after the diagnosis of breast cancer. Furthermore, these results suggest women at greatest risk are those who are younger, who receive postsurgical cancer treatment, who are low in emotional self-efficacy and whose lives are most affected by having cancer.

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References

  • Alter, C. L., Pelcovitz, D., Axelrod, A., Goldenberg, B., Harris, H., Meyers, B., et al. (1996). Identification of PTSD in cancer survivors. Psychosomatics, 37, 137–143.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Andersen, B. L., Farrar, W. B., Golden-Kreutz, D., Kutz, L. A., MacCallum, R., Courtney, M. E., et al. (1998). Stress and immune responses after surgical treatment for regional breast cancer [see comments]. Journal of the National Cancer Institute, 90, 30–36.

    Google Scholar 

  • Andrykowski, M. A., & Cordova, M. J. (1998). Factors associated with PTSD symptoms following treatment for breast cancer: Test of the Andersen Model. Journal of Traumatic Stress, 11, 189–203.

    Google Scholar 

  • Andrykowski, M. A., Cordova, M. J., McGrath, P. C., Sloan, D. A., & Kenady, D. E. (2000). Stability and change in posttraumatic stress disorder symptoms following breast cancer reatment: A1-year follow-up. Psycho-Oncology, 9, 69–78.

    Google Scholar 

  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 112–147.

    Google Scholar 

  • Bryant, R. A., & Harvey, A. G. (1996). Initial posttraumatic stress responses following motor vehicle accidents. Journal of Traumatic Stress, 9, 223–234.

    Google Scholar 

  • Butler, L. D., Koopman, C., Classen, C., & Spiegel, D. (1999). Traumatic stress, life events, and emotional support among women with advanced breast cancer. Health Psychology, 18, 555–560.

    Google Scholar 

  • Cella, D. F., & Tross, S. (1986). Psychological adjustment to survival from Hodgkin's disease. Journal of Consulting and Clinical Psychiatry, 54, 616–622.

    Google Scholar 

  • Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., et al. (2001). Supportive-expressive group therapy and distress in metastatic breast cancer patients. Archives of General Psychiatry, 58, 494–500.

    Google Scholar 

  • Cordova, M. J., Andrykowski, M. A., Redd, W. H., Kenady, D. E., McGrath, P. C., & Sloan, D. A. (1995). Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. Journal of Consulting and Clinical Psychology, 63, 981–986.

    Google Scholar 

  • Cordova, M. J., Studts, J. L., Hann, D. M., Jacobsen, P. B., & Andrykowski, M. A. (2000). Symptom structure of PTSD following breast cancer. Journal of Traumatic Stress, 13, 301–319.

    Google Scholar 

  • Cunningham, A. J., Lockwood, G. A., & Cunningham, J. A. (1991). A relationship between perceived self-efficacy and quality of life in cancer patients. Patient Education and Counseling, 17, 71–78.

    Google Scholar 

  • Devins, G. M., Binik, Y. M., Hutchinson, T. A., Hollomby, D. J., Barre, P. E., & Guttmann, R. D. (1983–84). The emotional impact of end-stage renal disease: Importance of patients' perception of intrusiveness and control. International Journal of Psychiatry in Medicine, 13, 327–343.

    Google Scholar 

  • Devins, G. M., Edworthy, S. M., Leendert, C. P., Mandin, H., Seland, T. P., & Klein, G. M. (1993). Illness intrusiveness and depressive symptoms over the adult years: Is there a differential impact across chronic conditions? Canadian Journal of Behavioral Science, 25, 400–413.

    Google Scholar 

  • Ditto, P. H., Druley, J. A., Moore, K. A., Danks, J. H., & Smucker, W. D. (1996). Fates worse than death: The role of valued activities in health-state evaluations. Health Psychology, 15, 332–343.

    Google Scholar 

  • Fallowfield, L. J., & Hall, A. (1991). Psychosocial and sexual impact of diagnosis and treatment of breast cancer. British Medical Bulletin, 47, 388–399.

    Google Scholar 

  • Freedy, J. R., Saladin, M. E., Kilpatrick, D. G., Resnick, H. S., & Saunders, B. E. (1994). Understanding acute psychological distress following natural disasters. Journal of Traumatic Stress, 7, 257–273.

    Google Scholar 

  • Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Roberts, J., Rosenbluth, R., et al. (in press). The Stanford Self-Efficacy Scale for Serious Illness: Reliability, validity, and generalizability. In L. R. Temoshok (Series Ed.), Biobehavioral perspectives on health and disease prevention. New York: Harwood Academic Publishers.

  • Green, B. L., Epstein, S. A., Krupnick, J. L., & Roland, J. H. (1997). Trauma and medical illness: Assessing trauma-related disorders in medical settings In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 160–191). New York: Guilford Press.

    Google Scholar 

  • Green, B. L., Rowland, J. H., Krupnick, J. L., Epstein, S. A., Stockton, P., Stern, N. M., et al. (1998). Prevalence of posttraumatic stress disorder in women with breast cancer. Psychosomatics, 39(2), 102–111.

    Google Scholar 

  • Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.

    Google Scholar 

  • Hobfoll, S. E., Freedy, J., Lane, C., & Geller, P. (1990). Conservation of social resources: Social support resource theory. Journal of Social and Personal Relationships, 7, 465–478.

    Google Scholar 

  • Horowitz, M. J. (1982). Stress response syndromes and their treatment. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects (pp. 711–732). New York: Free Press.

    Google Scholar 

  • Horowitz, M. J., Field, N. P., & Classen, C. (1993). Stress response syndromes and their treatment. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress (2nd ed., pp. 757–773). New York: The Free Press.

    Google Scholar 

  • Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.

    Google Scholar 

  • Hunter, J., Leszcz, M., McLachlan, S. A., Butler, L., Esplen, M. J., Gao, J., et al. (1996, October). Psychological stress response in breast cancer. Paper presented at the Third World Congress of Psycho-Oncology, New York.

  • Jacobsen, P. B., Widows, M. R., Hann, D. M., Andrykowski, M. A., Kronish, L. E., & Fields, K. K. (1998). Posttraumatic Stress Disorder symptoms after bone marrow transplantation for breast cancer. Psychosomatic Medicine, 60, 366–371.

    Google Scholar 

  • Koocher, G. P., & O'Malley, J. E. (1981). The Damocles Syndrome: Psychosocial consequences of surviving childhood cancer. In Psychological consequences of surviving childhood cancer. New York: McGraw Hill.

    Google Scholar 

  • Levy, S. M., Haynes, L. T., Herberman, R. B., Lee, J., McFeeley, S., & Kirkwood, J. (1992). Mastectomy versus breast conservation surgery: Mental health effects at long-term follow-up [see comments]. Health Psychology, 11, 349–354.

    Google Scholar 

  • Massie, M. J., & Holland, J. C. (1987). The cancer patient with pain: Psychiatric complications and their management. Medical Clinics of North America, 71, 243–258.

    Google Scholar 

  • McGarvey, E. L., Canterbury, R. J., Koopman, C., Clavet, G., Cohen, R., Largay, K., et al. (1998). Acute Stress Disorder following diagnosis of cancer. International Journal of Rehabilitation and Health, 4, 1–15.

    Google Scholar 

  • Neal, L. A., Busuttil, W., Rollins, J., Herepath, R., Strike, P., & Turnbull, G. (1994). Convergent validity of measures of posttraumatic stress disorder in a mixed military and civilian population. Journal of Traumatic Stress, 7, 447–455.

    Google Scholar 

  • Nelson, D. V., Friedman, L. C., Baer, P. E., Lane, M., & Smith, F. E. (1994). Subtypes of psychosocial adjustment to breast cancer. Journal of Behavioral Medicine, 17, 127–141.

    Google Scholar 

  • O'Leary, A. (1985). Self-efficacy and health. Behaviour Research and Therapy, 23, 437–451.

    Google Scholar 

  • Ozer, E. M., & Bandura, A. (1990). Mechanisms governing empowerment effects: A self-efficacy analysis. Journal of Personality and Social Psychology, 58, 472–486.

    Google Scholar 

  • Shalev, A. Y., Schreiber, S., Galai, T., & Melmed, R. N. (1993). Post-traumatic stress disorder following medical events. British Journal of Clinical Psychology, 32(Pt. 2), 247–253.

    Google Scholar 

  • Silberfarb, P. M., Maurer, L. H., & Crouthamel, C. S. (1980). Psychosocial aspects of neoplastic disease: I. Functional status of breast cancer patients during different treatment regimens. American Journal of Psychiatry, 137, 450–455.

    Google Scholar 

  • Spiegel, D., Sands, S., & Koopman, C. (1994). Pain and depression in patients with cancer. Cancer, 74, 2570–2578.

    Google Scholar 

  • Stuber, M. L., Nader, K., Yasuda, P., Pynoos, R. S., & Cohen, S. (1991). Stress responses after pediatric bone marrow transplantation: Preliminary results of a prospective longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 952–957.

    Google Scholar 

  • Vinokur, A. D., Threatt, B. A., Vinokur-Kaplan, D., & Satariano, W. A. (1990). The process of recovery from breast cancer for younger and older patients. Changes during the first year. Cancer, 65, 1242–1254.

    Google Scholar 

  • Wilson, J. P., Smith, W. K., & Johnson, S. K. (1985). A comparative analysis of PTSD among various survivor groups. In C. R. Figley (Ed.), Trauma and its wake—The study and treatment of post-traumatic stress disorder (pp. 142–172). New York: Brunner/Mazel.

    Google Scholar 

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Koopman, C., Butler, L.D., Classen, C. et al. Traumatic Stress Symptoms Among Women with Recently Diagnosed Primary Breast Cancer. J Trauma Stress 15, 277–287 (2002). https://doi.org/10.1023/A:1016295610660

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