Exploring Psychological Condition of Breast Cancer Survivor After Mastectomy and Chemotherapy

Yesiana Dwi Wahyu Werdani, Arief Widya Prasetya

Abstract


Breast cancer becomes a frightening disease for women, it is not only physically painful but also causes psychological disorders. This study aimed to explore the psychological condition of breast cancer survivors after mastectomy and chemotherapy. This was a qualitative study with thematic analysis methods. Samples were 20 breast cancer survivors taken by purposive sampling technique based on inclusion criteria from three community health centers in Surabaya Indonesia. Ethical requirements are completed before data collection. Data collection using an in-depth interview technique and recorded by a voice recorder. Content analysis is used to process the data. This study found 2 main themes hopelessness and negative psychological well-being. On the first main theme, there was 4 sub-theme consist of worthlessness, purposeless in life, pessimistic, unhappy. While on the second main theme there were 6 sub-theme consist of worried, negative thought, irritable, negative relationship with others, denial, felt guilty. Breast cancer survivors after mastectomy and chemotherapy experience a variety of sufferings on the psychological condition and could not be able to see other good things in their life.

Keywords


Psychological Condition;Breast Cancer;Mastectomy;Chemotherapy

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References


Abdollahzadeh, R., Moodi, M., & Khanjani, N. (2017). Investigating the Mental Experience of Patients Suffering From Cancer. Jundishapur Journal of Chronic Disease Care, 6(3). https://doi.org/10.5812/jjcdc.57685

Aghaei, M., Ghorbani, N., Rostami, R., & Mahdavi, A. (2015). Comparison of anger management, anxiety and perceived stress in patients with cancer and Coronary Heart Disease (CHD). Journal of Medicine and Life, 8(Spec Iss 4), 97–101. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/28316714

Alavi, S. Z., Amin, F., & Savoji, A. P. (2013). Relationship between Pathological Guilt and God Image with Depression in Cancer Patients. Procedia - Social and Behavioral Sciences, 84, 919–924. https://doi.org/10.1016/j.sbspro.2013.06.674

Aydin, E., Gulluoglu, B. M., & Kuscu, M. K. (2012). A Psychoanalytic Qualitative Study of Subjective Life Experiences of Women With Breast Cancer. Journal of Research Practice, 8(2), 1–15. Retrieved from http://jrp.icaap.org/index.php/jrp/article/

Bakan, A. B., & Özdemir, S. (2017). Effect of Knowing the Diagnosis or Not on Cancer Patients’ Hopelessness Levels. International Journal of Caring Sciences, 10(3), 1319–1328. Retrieved from www.internationaljournalofcaringsciences.org

Bener, A., Alsulaiman, R., Doodson, L., & Agathangelou, T. (2017). Depression, hopelessness and social support among breast cancer patients: In highly endogamous population. Asian Pacific Journal of Cancer Prevention, 18(7), 1889–1896. https://doi.org/10.22034/APJCP.2017.18.7.1889

Berhili, S., Ouabdelmoumen, A., Sbai, A., Kebdani, T., Benjaafar, N., & Mezouar, L. (2019). Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study. Clinical Breast Cancer, 19(1), e160–e165. https://doi.org/10.1016/j.clbc.2018.08.013

Berry, T. R., Stearns, J. A., Courneya, K. S., McGannon, K. R., Norris, C. M., Rodgers, W. M., & Spence, J. C. (2016). Women’s perceptions of heart disease and breast cancer and the association with media representations of the diseases. Journal of Public Health (United Kingdom), 38(4), e496–e503. https://doi.org/10.1093/pubmed/fdv177

Bitsika, V., Sharpley, C. F., & Christie, D. R. H. (2010). “What made me unhappy”. Experiences of, and responses to, lifestyle changes in breast cancer patients. British Journal of Guidance and Counselling, 38(2), 179–189. https://doi.org/10.1080/03069881003601015

Bosco, J. L. F., Lash, T. L., Prout, M. N., Buist, D. S. M., Geiger, A. M., Haque, R., … Silliman, R. A. (2009). Breast cancer recurrence in older women five to ten years after diagnosis. Cancer Epidemiology Biomarkers and Prevention, 18(11), 2979–2983. https://doi.org/10.1158/1055-9965.EPI-09-0607

Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492

Brothers, B. M., & Andersen, B. L. (2009). Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence. Psycho-Oncology, 18(3), 267–275. https://doi.org/10.1002/pon.1394

Bruno, A., Pandolfo, G., Scimeca, G., Leonardi, V., Cedro, C., Racchiusa, S., … Muscatello, M. R. A. (2014). Anger in health, benign breast disease and breast cancer: a prospective case-control study. In Vivo (Athens, Greece), 28(5), 973–977. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25189916

Chang, Y.-C., Hu, W.-Y., Chang, Y.-M., & Chiu, S.-C. (2019). Changes in sexual life experienced by women in Taiwan after receiving treatment for breast cancer. International Journal of Qualitative Studies on Health and Well-Being, 14(1), 1654343. https://doi.org/10.1080/17482631.2019.1654343

Dizon, D. S. (2009). Quality of life after breast cancer: survivorship and sexuality. Breast Journal, 15(5), 500–504. https://doi.org/10.1111/j.1524-4741.2009.00766.x

Dumalaon-Canaria, J. A., Prichard, I., Hutchinson, A. D., & Wilson, C. (2018). Fear of cancer recurrence and psychological well-being in women with breast cancer: The role of causal cancer attributions and optimism. European Journal of Cancer Care, 27(1). https://doi.org/10.1111/ecc.12579

Fradelos, E. C., Papathanasiou, I. V., Veneti, A., Daglas, A., Christodoulou, E., Zyga, S., & Kourakos, M. (2017). Psychological distress and resilience in women diagnosed with breast cancer in Greece. Asian Pacific Journal of Cancer Prevention, 18(9), 2545–2550. https://doi.org/10.22034/APJCP.2017.18.9.2545

Giese-Davis, J., Collie, K., Rancourt, K. M. S., Neri, E., Kraemer, H. C., & Spiegel, D. (2011). Decrease in depression symptoms is associated with longer survival in patients with metastatic breast cancer: A secondary analysis. Journal of Clinical Oncology, 29(4), 413–420. https://doi.org/10.1200/JCO.2010.28.4455

Gil, S., & Gilbar, O. (2001). Hopelessness among cancer patients. Journal of Psychosocial Oncology, 19(1), 21–33. https://doi.org/10.1300/J077v19n01_02

Hadi, H., Amin, S., Issa, H., Jamal, E. Z., & Mina, N. (2017). A comparative study on the meaning in life of patients with cancer and their family members. Journal of Caring Sciences, 6(4), 325–333. https://doi.org/10.15171/jcs.2017.031

Haidinger, R., & Bauerfeind, I. (2019). Long-Term Side Effects of Adjuvant Therapy in Primary Breast Cancer Patients: Results of a Web-Based Survey. Breast Care, 14(2), 111–116. https://doi.org/10.1159/000497233

Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., … Freedman-Cass, D. A. (2013). Distress Management: Clinical practice guidelines in oncology. JNCCN Journal of the National Comprehensive Cancer Network, 11(2), 190–209. https://doi.org/10.6004/jnccn.2013.0027

Jones, J. M., Cheng, T., Jackman, M., Rodin, G., Walton, T., & Catton, P. (2010). Self-efficacy, perceived preparedness, and psychological distress in women completing primary treatment for breast cancer. Journal of Psychosocial Oncology, 28(3), 269–290. https://doi.org/10.1080/07347331003678352

Julkunen, J., Gustavsson-Lilius, M., & Hietanen, P. (2009). Anger expression, partner support, and quality of life in cancer patients. Journal of Psychosomatic Research, 66(3), 235–244. https://doi.org/10.1016/j.jpsychores.2008.09.011

Kim, M. S., Kim, S. Y., Kim, J. H., Park, B., & Choi, H. G. (2017). Depression in breast cancer patients who have undergone mastectomy: A national cohort study. PLoS ONE, 12(4). https://doi.org/10.1371/journal.pone.0175395

Kissal, A., & Beşer, A. (2011). Knowledge, facilitators and perceived barriers for early detection of breast cancer among elderly Turkish women. Asian Pacific Journal of Cancer Prevention, 12(4), 975–984. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21790237

Kocan, S., & Gursoy, A. (2016). Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research. Journal of Breast Health, 12(4), 145–150. https://doi.org/10.5152/tjbh.2016.2913

Kogan, N. R., Dumas, M., & Cohen, S. R. (2013). The extra burdens patients in denial impose on their family caregivers. Palliative and Supportive Care, 11(2), 91–99. https://doi.org/10.1017/S1478951512000491

Lally, R. M., Hydeman, J. A., Schwert, K. T., & Edge, S. B. (2013). Unsupportive social interactions in the weeks immediately following breast cancer diagnosis. Journal of Psychosocial Oncology, 31(4), 468–488. https://doi.org/10.1080/07347332.2013.798758

Lauriola, M., & Tomai, M. (2019). Biopsychosocial Correlates of Adjustment to Cancer during Chemotherapy: The Key Role of Health-Related Quality of Life. Scientific World Journal, 2019. https://doi.org/10.1155/2019/9750940

Lee, Y., Baek, J.-M., Jeon, Y.-W., & Im, E.-O. (2019). Illness perception and sense of well-being in breast cancer patients. Patient Preference and Adherence, Volume 13, 1557–1567. https://doi.org/10.2147/PPA.S225561

Looijmans, M., van Manen, A. S., Traa, M. J., Kloover, J. S., Kessels, B. L. J., & de Vries, J. (2018). Psychosocial consequences of diagnosis and treatment of lung cancer and evaluation of the need for a lung cancer specific instrument using focus group methodology. Supportive Care in Cancer, 26(12), 4177–4185. https://doi.org/10.1007/s00520-018-4291-1

Lutgendorf, S. K., De Geest, K., Bender, D., Ahmed, A., Goodheart, M. J., Dahmoush, L., … Sood, A. K. (2012). Social influences on clinical outcomes of patients with ovarian cancer. Journal of Clinical Oncology, 30(23), 2885–2890. https://doi.org/10.1200/JCO.2011.39.4411

Maher, J. P., Pincus, A. L., Ram, N., & Conroy, D. E. (2015). Daily physical activity and life satisfaction across adulthood. Developmental Psychology, 51(10), 1407–1419. https://doi.org/10.1037/dev0000037

Mitchell, A. M., Pössel, P., Van Voorhees, B. W., & Eaton, W. W. (2017). Associations of depression status and hopelessness with breast cancer: A 24-year follow-up study. Journal of Health Psychology, 22(10), 1322–1331. https://doi.org/10.1177/1359105315626998

Nakatani, Y., Iwamitsu, Y., Kuranami, M., Okazaki, S., Shikanai, H., Yamamoto, K., … Miyaoka, H. (2014). The Relationship Between Emotional Suppression and Psychological Distress in Breast Cancer Patients After Surgery. Japanese Journal of Clinical Oncology, 44(9), 818–825. https://doi.org/10.1093/jjco/hyu089

Neel, C., Lo, C., Rydall, A., Hales, S., & Rodin, G. (2015). Determinants of death anxiety in patients with advanced cancer. BMJ Supportive & Palliative Care, 5(4), 373–380. https://doi.org/10.1136/bmjspcare-2012-000420

Paloș, R., & Vîșcu, L. (2014). Anxiety, Automatic Negative Thoughts, and Unconditional Self-Acceptance in Rheumatoid Arthritis: A Preliminary Study. ISRN Rheumatology, 2014, 1–5. https://doi.org/10.1155/2014/317259

Perloff, T., Shen, M. J., Rigney, M., & King, J. C. (2016). Survivor guilt: The secret burden of cancer survivorship. Journal of Clinical Oncology, 34(3_suppl), 192–192. https://doi.org/10.1200/jco.2016.34.3_suppl.192

Rainey, L., Jervaeus, A., Donnelly, L. S., Evans, D. G., Hammarström, M., Hall, P., … van der Waal, D. (2019). Women’s perceptions of personalized risk-based breast cancer screening and prevention: An international focus group study. Psycho-Oncology, 28(5), 1056–1062. https://doi.org/10.1002/pon.5051

Robinson, D., Renshaw, C., Okello, C., Møller, H., & Davies, E. A. (2009). Suicide in cancer patients in South East England from 1996 to 2005: a population-based study. British Journal of Cancer, 101(1), 198–201. https://doi.org/10.1038/sj.bjc.6605110

Ruscio, A. M., Seitchik, A. E., Gentes, E. L., Jones, J. D., & Hallion, L. S. (2011). Perseverative thought: A robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder. Behaviour Research and Therapy, 49(12), 867–874. https://doi.org/10.1016/j.brat.2011.10.001

Saeedi, N. R., Sharbaf, H. A., Ebrahimabad, M. J. A., & Kareshki, H. (2019). Psychological Consequences of Breast Cancer in Iran: A Meta-Analysis. Iranian Journal of Public Health, 48(5), 816–824. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/31523637

Song, H., Saito, E., Sawada, N., Abe, S. K., Hidaka, A., Shimazu, T., … Tsugane, S. (2017). Perceived stress level and risk of cancer incidence in a Japanese population: The Japan Public Health Center (JPHC)-based Prospective Study. Scientific Reports. https://doi.org/10.1038/s41598-017-13362-8

Thieme, M., Einenkel, J., Zenger, M., & Hinz, A. (2017). Optimism, pessimism and self-efficacy in female cancer patients. Japanese Journal of Clinical Oncology, 47(9), 849–855. https://doi.org/10.1093/jjco/hyx079

Trevino, K. M., Maciejewski, P. K., Fasciano, K., Greer, J., Partridge, A., Kacel, E. L., … Prigerson, H. G. (2012). Coping and Psychological Distress in Young Adults With Advanced Cancer. Journal of Supportive Oncology, 10(3), 124–130. https://doi.org/10.1016/j.suponc.2011.08.005

Vos, M. S., & de Haes, J. C. J. M. (2007, January). Denial in cancer patients, an explorative review. Psycho-Oncology. https://doi.org/10.1002/pon.1051

Vrinten, C., McGregor, L. M., Heinrich, M., von Wagner, C., Waller, J., Wardle, J., & Black, G. B. (2017). What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population. Psycho-Oncology, 26(8), 1070–1079. https://doi.org/10.1002/pon.4287

Vrinten, C., Waller, J., Von Wagner, C., & Wardle, J. (2015). Cancer Fear: Facilitator and Deterrent to Participation in Colorectal Cancer Screening. Cancer Epidemiology Biomarkers and Prevention, 24(2), 400–405. https://doi.org/10.1158/1055-9965.EPI-14-0967

Watkins, E. R. (2008). Constructive and Unconstructive Repetitive Thought. Psychological Bulletin, 134(2), 163–206. https://doi.org/10.1037/0033-2909.134.2.163

Yang, X., Zhu, C., & Gu, Y. (2015). The Prognosis of Breast Cancer Patients after Mastectomy and Immediate Breast Reconstruction: A Meta-Analysis. PLOS ONE, 10(5), e0125655. https://doi.org/10.1371/journal.pone.0125655

Zakowski, S. G., Ramati, A., Morton, C., Johnson, P., & Flanigan, R. (2004). Written emotional disclosure buffers the effects of social constraints on distress among cancer patients. Health Psychology, 23(6), 555–563. https://doi.org/10.1037/0278-6133.23.6.555

Zenger, M., Glaesmer, H., Höckel, M., & Hinz, A. (2011). Pessimism predicts anxiety, depression and quality of life in female cancer patients. Japanese Journal of Clinical Oncology, 41(1), 87–94. https://doi.org/10.1093/jjco/hyq168




DOI: https://doi.org/10.32807/jkp.v15i1.512

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