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Breast Cancer
Published in: Breast Cancer 4/2017

01-07-2017 | Original Article

Effect of the childhood trauma on the adjustment to cancer in the patients with breast cancer

Authors: Hulya Guveli, Murat Emin Guveli, Fatma Sen, Serap Oflaz, Necla Gurdal, Makbule Tambas, Seden Kucucuk, Adnan Aydıner, Mine Ozkan

Published in: Breast Cancer | Issue 4/2017

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Abstract

Background

Early identification of patients coping poorly is important for compliance with treatment and control of distress. This study aims to investigate the effect of the childhood trauma experience on the type of reaction and adjustment that the person exhibits to the cancer among the patients with breast cancer.

Methods

This cross-sectional study enrolled 310 patients with breast cancer. The effect of the childhood trauma and the psychological condition on the adjustment to cancer was investigated by assessing the adjustment to cancer, the experiences of childhood trauma and psychological status of the subjects using mental adjustment to cancer scale (MAC), childhood trauma questionnaire (CTQ28), Beck Depression Inventory (BDI) and Beck anxiety inventory (BAI).

Results

Majority of the subjects (77.4%) showed positive adjustment to cancer. Fighting spirit (63.9%) was the most commonly seen mechanism of adjustment to cancer. Of the subjects, 54.5% suffered at least one of the childhood trauma types. Among the patients, 47.1% had depression and 58.4% had anxiety. In the multivariate logistic regression analysis, emotional neglect and depression, respectively, have an effect on both positive and negative adjustment to cancer.

Conclusions

Our study demonstrated that childhood trauma, especially emotional neglect, affects coping and adjustment among the patients with breast cancer. It is necessary to determine the childhood experiences to ensure the development of psychosocial interventions that will increase the adjustment and quality of life after the diagnosis of the cancer.
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Metadata
Title
Effect of the childhood trauma on the adjustment to cancer in the patients with breast cancer
Authors
Hulya Guveli
Murat Emin Guveli
Fatma Sen
Serap Oflaz
Necla Gurdal
Makbule Tambas
Seden Kucucuk
Adnan Aydıner
Mine Ozkan
Publication date
01-07-2017
Publisher
Springer Japan
Published in
Breast Cancer / Issue 4/2017
Print ISSN: 1340-6868
Electronic ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-016-0737-9

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