Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis

Journal of Behavioral Medicine
Lauren N HarrisAnnette L Stanton

Abstract

Breast cancer patients often experience adverse physical side effects of medical treatments. According to the biobehavioral model of cancer stress and disease, life stress during diagnosis and treatment may negatively influence the trajectory of women's physical health-related adjustment to breast cancer. This longitudinal study examined chronic and episodic stress as predictors of bothersome physical symptoms during the year after breast cancer diagnosis. Women diagnosed with breast cancer in the previous 4 months (N = 460) completed a life stress interview for contextual assessment of chronic and episodic stress severity at study entry and 9 months later. Physical symptom bother (e.g., pain, fatigue) was measured at study entry, every 6 weeks through 6 months, and at nine and 12 months. In multilevel structural equation modeling (MSEM) analyses, both chronic stress and episodic stress occurring shortly after diagnosis predicted greater physical symptom bother over the study period. Episodic stress reported to have occurred prior to diagnosis did not predict symptom bother in MSEM analyses, and the interaction between chronic and episodic stress on symptom bother was not significant. Results suggest that ongoing chronic stress...Continue Reading

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Citations

Jun 23, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Karin Stinesen KollbergAnnette L Stanton
Apr 2, 2019·Journal of Psychosocial Oncology·Johanna Czamanski-CohenKaren Weihs
Jun 13, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Petra VoißHolger Cramer
Jun 15, 2020·Journal of Behavioral Medicine·Jacqueline H J KimAnnette L Stanton
Sep 11, 2019·Cancer·Melissa MazorChristine Miaskowski
Nov 18, 2020·Eating and Weight Disorders : EWD·Tyler B Mason, Kathryn E Smith
Jan 21, 2021·Behavioral Sleep Medicine·Helena R BeanJoshua F Wiley
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May 4, 2021·Health Equity·Liliana ChacónAnna María Nápoles
Jul 3, 2021·Medical Sciences : Open Access Journal·Eida M Castro-FigueroaGuillermo N Armaiz-Peña

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