Trajectories of Anxiety Among Women with Breast Cancer: A Proxy for Adjustment from Acute to Transitional Survivorship

Journal of Psychosocial Oncology
Fredrik SaboonchiMarjan Vaez

Abstract

Anxiety is one of the main components of distress among women with breast cancer (BC), particularly in the early stages of the disease. Changes in anxiety over time may reflect the process of adjustment or lack thereof. The process of adjustment in the traverse of acute to transitional stages of survivorship warrants further examination. To examine the trajectory of anxiety and the specific patterns that may indicate a lack of adjustment within 2 years following BC surgery, survey data from a 2-year prospective cohort study of 725 women with BC were analyzed by Mixture Growth Modelling and logistic regression and Analysis of Variance. A piece-wise growth curve displayed the best fit to the data, indicating a significant decrease in anxiety in the first year, followed by a slower rate of change during the second year. Four classes of trajectories were identified: High Stable, High Decrease, Mild Decrease, and Low Decrease. Of these, High Stable anxiety showed the most substantive indications of lack of adjustment. This subgroup was predominantly characterized by sociodemographic variables such as financial difficulties. Our results support an emphasis on the transitional nature of the stage that follows the end of primary active...Continue Reading

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Citations

Nov 8, 2018·Journal of the National Cancer Institute·Helena CarreiraKrishnan Bhaskaran
Oct 3, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Joachim B WeisMarkus A Wirtz
Jun 3, 2020·The Journal of Medicine and Philosophy·Jeanette Bresson Ladegaard Knox
May 30, 2017·Breast Cancer Research and Treatment·Ania SyrowatkaRobyn Tamblyn
Jan 20, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Raymond Javan ChanChristine Miaskowski
May 27, 2020·Evidence-based Complementary and Alternative Medicine : ECAM·Anja ThronickeFriedemann Schad
Apr 14, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jenny HarrisJo Armes
Jul 22, 2020·Breast Cancer Research and Treatment·Julie FasanoCharles L Shapiro
Jan 5, 2021·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Shiao Li OeiFriedemann Schad
Jan 5, 2021·Breast Cancer Research and Treatment·AnnaLynn M WilliamsMichelle C Janelsins
Jan 7, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Chih-Tao ChengGing-Long Wang

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Methods Mentioned

BETA
dissection.
dissection

Software Mentioned

AMOS
SPSS
Mplus

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