THE EFFECTS OF COPING STYLES ON MOOD AND QUALITY OF LIFE IN BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY
Main Article Content
Keywords
oncology, health wellbeing, women, anxiety, depression
Abstract
Background: Breast cancer patients feel extreme distress following their initial chemotherapy treatment. The study's goal was to examine the mood and quality of life of patients with breast cancer who have had chemotherapy for six months. Furthermore, the relationships between these patients' quality of life, mood, and coping style were studied.
Methods: The correlational research design was utilized, and 74 women were sampled at random to collect data. The mean age of the participants was (mean = 37.9). Data was collected by using functional assessment of cancer therapy, a profile of mood state and a coping style scale.
Results: Patients who had received intensive chemotherapy therapy reported decreases in their physical, emotional, and functional well-being. Similarly, patients who had received intensive treatment reported feeling fatigued and more exhausted but not anxious nor depressed. The majority of individuals who had comprehensive treatment found it beneficial. Reduced physical and emotional health, anxiety, depression, fatigue, and mood disturbances are all results of avoidant coping. Moreover, active coping was significantly associated with higher social well-being and quality of life, physician visits, and overall low mood disturbance among patients.
Conclusion: This study shows that chemotherapy significantly reduces the quality of life of cancer patients undergoing long-term treatment. However, the majority of patients still thought the treatment was worthwhile. Avoidant coping styles are a particular risk factor for poor quality of life and increased mood disturbance.
References
2. World Health Organization. Pakistan.; 2021.
https://gco.iarc.fr/today/data/factsheets/populations/586-pakistan-fact-sheets.pdf
3. Hameed Khaliq I, Mahmood HZ, Sarfraz MD, Masood Gondal K, Zaman S. Pathways to care for patients in Pakistan experiencing signs or symptoms of breast cancer. The Breast. 2019;46:40-47. doi:10.1016/j.breast.2019.04.005
5. Gulzar F, Akhtar MS, Sadiq R, Bashir S, Jamil S, Baig SM. Identifying the reasons for delayed presentation of Pakistani breast cancer patients at a tertiary care hospital. Cancer Management and Research. 2019;Volume 11:1087-1096. doi:10.2147/cmar.s180388
6. Park JH, Jung YS, Kim JY, Bae SH. Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study. Chow KM, ed. PLOS ONE. 2021;16(10):e0258447. doi:10.1371/journal.pone.0258447
7. Lee BG, Lee TS, Kim SH. Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors. Journal of Korean Academy of Nursing. 2019;49(3):298.
doi:10.4040/jkan.2019.49.3.298
8. Yang SK, Kim E. The Relationship among the Coping Style, Social Support, and Post-Traumatic Stress Disorder in Breast Cancer Patients Treated with Chemotherapy. The Korean Journal of Hospice and Palliative Care. 2015;18(1):35-41. doi:10.14475/kjhpc.2015.18.1.35
9. Charalambous A, Kaite CP, Charalambous M, Tistsi T, Kouta C. The effects on anxiety and quality of life of breast cancer patients following completion of the first cycle of chemotherapy. SAGE Open Medicine. 2017;5:205031211771750. doi:10.1177/2050312117717507
10. Chabowski M, Jankowska-Polanska B, Lomper K, Janczak D. The effect of coping strategy on quality of life in patients with NSCLC. Cancer Management and Research. 2018;Volume 10:4085-4093. doi:10.2147/cmar.s175210
11. Ośmiałowska E, Misiąg W, Chabowski M, Jankowska-Polańska B. Coping Strategies, Pain, and Quality of Life in Patients with Breast Cancer. Journal of Clinical Medicine. 2021;10(19):4469. doi:10.3390/jcm10194469
12. Cella DF, Tulsky DS, Gray G, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. Journal of Clinical Oncology. 1993;11(3):570-579. doi:10.1200/jco.1993.11.3.570
13. Curran SL, Andrykowski MA, Studts JL. Short Form of the Profile of Mood States (POMS-SF): Psychometric information. Psychological Assessment. 1995;7(1):80-83. doi:10.1037/1040-3590.7.1.80
14. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology. 1989;56(2):267-283. doi:10.1037//0022-3514.56.2.267
15. Akhlaghi E, Lehto RH, Torabikhah M, et al. Chemotherapy use and quality of life in cancer patients at the end of life: an integrative review. Health and Quality of Life Outcomes. 2020;18(1). doi:10.1186/s12955-020-01580-0
16. Mushtaque I, Awais-E-Yazdan M, Zahra R, Anas M. Quality of Life and Illness Acceptance among End-Stage Renal Disease (ESRD) Patients on Hemodialysis: The Moderating Effect of Death Anxiety during COVID-19 pandemic. OMEGA - Journal of Death and Dying. Published online March 7, 2022:003022282210752. doi:10.1177/00302228221075202
17. Gayatri D, Efremov L, Kantelhardt EJ, Mikolajczyk R. Quality of life of cancer patients at palliative care units in developing countries: systematic review of the published literature. Quality of Life Research. 2020;30(2):315-343. doi:10.1007/s11136-020-02633-z
18. Carter JR, Chen MD, Fowler JM, Carson LF, Twiggs LB. The Effect of Prolonged Cycles of Chemotherapy on Quality of Life in Gynaecologic Cancer Patients. Journal of Obstetrics and Gynaecology Research. 1997;23(2):197-203. doi:10.1111/j.1447-0756.1997.tb00831.x
19. Silva RTS, Silva RAR da, Rodrigues IDCV, Souza Neto VL de, Silva BCO da, Souza FM de LC. Coping strategies of people living with AIDS in face of the disease. Revista Latino-Americana de Enfermagem. 2018;26(0). doi:10.1590/1518-8345.2284.2985
20. Chabowski M, Polański J, Jankowska-Polanska B, Lomper K, Janczak D, Rosinczuk J. The acceptance of illness, the intensity of pain and the quality of life in patients with lung cancer. Journal of Thoracic Disease. 2017;9(9):2952-2958. doi:10.21037/jtd.2017.08.70
21. Peck P. Taming the Stress of Chemotherapy. Oncology Times. 2002;24(11):79-81. doi:10.1097/01.cot.0000289883.59143.56
22. Prell T, Liebermann JD, Mendorf S, Lehmann T, Zipprich HM. Pain coping strategies and their association with quality of life in people with Parkinson’s disease: A cross-sectional study. Witt K, ed. PLOS ONE. 2021;16(11):e0257966. doi:10.1371/journal.pone.0257966