Predicting worries about health after breast cancer surgery

Psycho-oncology
Tracey D WadeBogda Koczwara

Abstract

Given the widespread worries about future health in women with breast cancer, it is important to understand the predictors of such fear so that possible avenues for intervention can be formulated. In this longitudinal study of 44 women who had undergone breast cancer surgery, we look at demographic variables, cancer and treatment related symptoms, and denial coping measured post-surgery and their ability to predict future health fears at 6-weeks and 12-weeks post-surgery. At both follow-up periods, around 1 in 5 women had strong worries about their future health, and post-surgery future health fears significantly predicted future health fears. In a hierarchical multiple regression, controlling for post-surgery health fears, future health fears at both follow-up periods were predicted only by denial coping. Cross-lag analyses suggested that these relationships were causal. Findings suggest that denial coping is a powerful predictor of future health fears, with this relationship growing stronger over time. Future research should investigate which interventions can decrease denial, and whether this then decreases health fears in the aftermath of breast cancer surgery.

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Citations

Jul 30, 2010·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lisa BeattyTracey D Wade
Sep 26, 2008·Journal of Behavioral Medicine·Milagros BárezCarme Viladrich
Mar 27, 2009·Journal of Cancer Survivorship : Research and Practice·Sophie LebelGerald M Devins
Jul 10, 2010·Journal of Cancer Survivorship : Research and Practice·Sébastien SimardHans Ivers
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Dec 17, 2008·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lisa BeattyTracey D Wade
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Sep 25, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Eida M CastroCruz María Nazario
Jun 20, 2018·Current Opinion in Supportive and Palliative Care·Anna UgaldeSanchia Aranda
Jul 21, 2017·Psycho-oncology·Daniëlle E J StarreveldMadelon L Peters
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Feb 6, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lisa BeattyBogda Koczwara

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