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World Journal of Surgery

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Open Access 01-07-2010

Anxious Personality and Breast Cancer: Possible Negative Impact on Quality of Life After Breast-Conserving Therapy

Authors: Alida F. W. van der Steeg, Jolanda De Vries, Jan A. Roukema

Published in: World Journal of Surgery | Issue 7/2010

Abstract

Background

Quality of Life (QoL) is an important outcome measure in oncology. To assess the influence of surgical treatment and personality on QoL in women with breast cancer, a longitudinal prospective cohort study was done.

Methods

Women (n = 222) completed questionnaires concerning QoL (WHOQOL 100) and personality (NEO-FFI and STAI) prior to the diagnosis of breast cancer and 1, 3, 6, and 12 months after diagnosis and treatment. One hundred five women were treated with breast-conserving therapy (BCT) and 117 women underwent mastectomy (MTC).

Results

The two treatment groups did not differ on overall QoL. At all measurement times the influence of trait anxiety on overall QoL was substantial in the BCT group. Women with a high score on trait anxiety were seven times more likely to have a low overall QoL 1 year after BCT. In the MTC group overall QoL was influenced mainly by neuroticism.

Conclusions

Personality, especially trait anxiety and neuroticism, determined patients’ overall QoL scores. Women with an anxious personality fared worse concerning QoL after breast conserving therapy.

Poortmans PMP (2005) Quality assurance in clinical trials in breast cancer. Drukkerij Bulckens NV, Herentals

Veronesi U, Cascinelli N, Mariani L et al (2002) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347(16):1227–1232CrossRefPubMed

Keynes G (1929) The treatment of primary carcinoma of the breast with radium. Acta Radiol 10:393–402CrossRef

Mustakallio S (1954) Treatment of breast cancer by tumor extirpation and roentgen therapy instead of radical operation. J Faculty Radiol 6:23–26CrossRef

WHOQOL group (1994) Development of the WHOQOL: rationale and current status. Int J Ment Health 23:24–56

Diener E, Oishi S, Lucas RE (2003) Personality, culture, and subjective well-being: emotional and cognitive evaluations of life. Ann Rev Psychol 54:403–425CrossRef

van der Steeg AFW, De Vries J, van der Ent FWC, Roukema JA (2007) Personality predicts quality of life six months after the diagnosis and treatment of breast disease. Ann Surg Oncol 14(2):678–685CrossRefPubMed

Irwig L, Bennetts A (1997) Quality of life after breast conservation or mastectomy: a systematic review. Aust N Z J Surg 67:750–754CrossRefPubMed

WHOQOL group (1995) The World Health Organization Quality of Life assessment instrument. WHO, Geneva

10.

De Vries J, Van Heck GL (1995) De Nederlandse versie van de WHOQOL-100 [The Dutch version of the WHOQOL-100]. Tilburg University, Tilburg

11.

Den Oudsten BL, Van Heck GL, Van der Steeg AFW et al (2009) The WHOQOL-100 has good psychometric properties in breast cancer patients. J Clin Epidemiol 62(2):195–205CrossRef

12.

Costa PT Jr, McCrae RR (1989) NEO-PI/FFI manual supplement. Psychological Assessment Resources, Odessa, FL

13.

Hoekstra HA, Ormel J, de Fruyt F (1996) Manual for the NEO Personality Inventories NEO-PI-R and NEO-FFI. Swets & Zeitlinger B.V., Lisse, The Netherlands

14.

Spielberger CD, Gorsuch RL, Lushene RE (1970) The State-Trait Anxiety Inventory manual. Consulting Psychologists Press, Palo Alto, CA

15.

van der Ploeg HM, Defares PB, Spielberger CD (1980) A Dutch-language adaptation of the Spielberger State-Trait Anxiety Inventory. Swets & Zeitlinger B.V., Lisse, The Netherlands

16.

Costa PT Jr, McCrae RR (1992) NEO-PI-R: professional manual. Psychological Assessment Resources, Odessa, FL

17.

Spielberger CD, Gorsuch RL, Lushene RE (1968) State-Trait Anxiety Inventory, Preliminary test manual for form X. Florida State University, Tallahassee, FL

18.

Cohen JW (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale, NJ

19.

Ganz PA, Kwan L, Stanton AL et al (2004) Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial. J Natl Cancer Inst 96(5):376–387CrossRefPubMed

20.

van der Steeg AFW, De Vries J, Roukema JA (2004) Quality of life and health status in breast carcinoma. Eur J Surg Oncol 30(10):1051–1057CrossRefPubMed

21.

De Vries J (2001) Quality of life assessment. In: Vingerhoets AJJM (ed) Assessment in behavioral medicine. Brunner-Routledge, Hove, pp 353–370

22.

Breek JC, de Vries J, van Heck GL et al (2005) Assessment of disease impact in patients with intermittent claudication: discrepancy between health status and quality of life. J Vasc Surg 41(3):443–450CrossRefPubMed

23.

McCrae RR, John OP (1992) An introduction to the five-factor-model and its applications. J Pers 60(2):175–215CrossRefPubMed

24.

Fredette SL (1995) Breast cancer survivors: concerns and coping. Cancer Nurs 18:35–46CrossRefPubMed

25.

Bleiker EM, Pouwer F, Van der Ploeg HM et al (2000) Psychological distress two years after diagnosis of breast cancer: frequency and prediction. Patient Educ Couns 40:209–217CrossRefPubMed

26.

Longman AJ, Braden CJ, Mishel MH (1999) Side-effects burden, psychological adjustment, and life quality in women with breast cancer: pattern of association over time. Oncol Nurs Forum 26:909–915PubMed

27.

Golden-Kreutz DM, Andersen BL (2004) Depressive symptoms after breast cancer surgery: relationships with global, cancer-related, and life event stress. Psychooncology 13:211–220CrossRefPubMed

28.

Van der Zee K, Buunk B, Sanderman R (1998) Neuroticism and reactions to social comparison information among cancer patients. J Pers 66:175–194CrossRefPubMed

29.

Ormel J, Schaufeli WB (1991) Stability and change in psychological distress and their relationship with self-esteem and locus of control: a dynamic equilibrium model. J Pers Soc Psychol 60:288–299CrossRefPubMed

30.

Ormel J, Wohlfart T (1991) How neuroticism, long-term difficulties, and life situation change influence psychological distress: a longitudinal model. J Pers Soc Psychol 60:744–755CrossRefPubMed

Title: Anxious Personality and Breast Cancer: Possible Negative Impact on Quality of Life After Breast-Conserving Therapy
Authors: Alida F. W. van der Steeg
Jolanda De Vries
Jan A. Roukema
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0526-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anxious Personality and Breast Cancer: Possible Negative Impact on Quality of Life After Breast-Conserving Therapy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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