ASSESSING THE WELL-BEING OF BREAST CANCER PATIENTS. SOME CONCLUSION AFTER A CASE STUDY
DOI:
https://doi.org/10.47743/asas-2024-2-775Keywords:
Breast Cancer, Quality of Life, WHOQOL-BREF, Chemotherapy, Well-being, Cross- sectional Study, Patient Care, Mental Health, Social Support.Abstract
This study explores the well-being of breast cancer patients in Tehran, Iran, employing the WHOQOL instrument to analyze various quality of life dimensions. The research adopts a cross-sectional design, focusing on patients undergoing chemotherapy, to identify the specific challenges and strengths in their well-being. The WHOQOL-BREF questionnaire, culturally adapted for the Iranian population, measures domains such as physical health, psychological state, level of independence, social relationships, environment, and spirituality. Initial findings suggest that physical symptoms, psychological stressors, and the availability of social support significantly influence patients' overall well-being. This study aims to provide a comprehensive understanding of the impacts of breast cancer treatment on patients' quality of life and suggest targeted interventions for improving their overall well-being during and after treatment.
References
Ahoiee, K., Faramarzi, M., Hassanzadeh, R. (2017). Psychological Well-Being of Patients with Breast Cancer and Its Relationship with Emotional Intelligence. Journal of Babol University of Medical Sciences 19, 20–27. https://doi.org/10.22088/jbums.19.8.20
Akbari, M.E., Akbari, A., Khayamzadeh, M., Salmanian, R., Akbari, M. (2023). Ten-Year Survival of Breast Cancer in Iran: A National Study (Retrospective Cohort Study). Breast Care 18, 12–21. https://doi.org/10.1159/000526746
Akram, M., Iqbal, M., Daniyal, M., Khan, A.U. (2017). Awareness and current knowledge of breast cancer. Biol. Res. 50, 33. https://doi.org/10.1186/s40659-017-0140-9
Azadi, R., Ahadi, H., Hatami, H. (2021). The Relationship of Psychological Wellbeing and Psychological Hardiness With the Mediating Role of Social Support in Women With Breast Cancer. Quarterly of Horizon of Medical Sciences27, 18–33. https://doi.org/10.32598/hms.27.1.3093.2
Badana, A.N.S., Marino, V.R., Templeman, M.E., McMillan, S.C., Tofthagen, C.S., Small, B.J., Haley, W.E., (2019). Understanding the roles of patient symptoms and subjective appraisals in well-being among breast cancer patients. Support Care Cancer 27, 4245–4252. https://doi.org/10.1007/s00520-019-04707-2
Carver, C.S., Smith, R.G., Antoni, M.H., Petronis, V.M., Weiss, S., Derhagopian, R.P., (2005). Optimistic Personality and Psychosocial Well-Being During Treatment Predict Psychosocial Well-Being Among Long-Term Survivors of Breast Cancer. Health Psychology, 24, 508–516. https://doi.org/10.1037/0278-6133.24.5.508
Devarakonda, S.K., Timman, R., Bouvy, P.F., Oemrawsingh, A., Apon, I., Mureau, M.A.M., Koppert, L.B., Kranenburg, L.W. (2023). Trends in emotional functioning and psychosocial wellbeing in breast cancer survivors: a prospective cohort study using patient-reported outcome measures. BMC Women’s Health 23, 153. https://doi.org/10.1186/s12905-023-02243-0
Dirksen, S.R. (2000). Predicting well-being among breast cancer survivors. Journal of Advanced Nursing, 32, 937– 943. https://doi.org/10.1046/j.1365-2648.2000.01559.x
Duggan, C., Trapani, D., Ilbawi et al. (2021). National health system characteristics, breast cancer stage at diagnosis, and breast cancer mortality: a population-based analysis. Lancet Oncology 22, 1632–1642. https://doi.org/10.1016/S1470-2045(21)00462-9
Hanson Frost, M., Suman, V.J., Rummans, T.A., Dose et al A.M., Taylor, M., Novotny, P., Johnson, R., Evans, R.E. (2000). Physical, psychological and social well-being of women with breast cancer: the influence of disease phase. Psychooncology, 9, 221–231. https://doi.org/10.1002/1099-1611(200005/06)9:3<221::AID-PON456>3.0.CO;2-T
Jafari, N., Zamani, A., Farajzadegan, Z., Bahrami, F., Emami, H., & Loghmani, A. (2012). The effect of spiritual therapy for improving the quality of life of women with breast cancer: A randomized controlled trial. Psychology, Health & Medicine, 18(1), 56–69. https://doi.org/10.1080/13548506.2012.679738
Kösters JP, Gøtzsche PC. (2003). Regular self-examination or clinical examination for early detection of breast cancer. Cochrane Database Syst Rev. 2003;2003(2):CD003373. doi: 10.1002/14651858.CD003373
Mohsenipouya H, Motallebi Z, Mousavinasab N, Sangani A, Roy N, Mamun MA. (2024). Subjective well-being among Iranian breast cancer patients: Exploring the influential role of psychological capital. J Journal of psychosocial oncology, Jul 25:1-17. doi: 10.1080/07347332.2024.2381546
Obeagu, E.I., Obeagu, G.U. (2024). Breast cancer: A review of risk factors and diagnosis. Medicine (Baltimore) 103, e36905. https://doi.org/10.1097/MD.0000000000036905
Perryman, K.L., Bowers, L., (2018). Turning the focus to behavioral, emotional, and social well- being: The impact of child-centered play therapy. Int. J. Play Ther. 27, 227–241. https://doi.org/10.1037/pla0000078
Ruggeri, K., Garcia-Garzon, E., Maguire, Á., Matz, S., Huppert, F.A. (2020). Well-being is more than happiness and life satisfaction: a multidimensional analysis of 21 countries. Health Qual. Life Outcomes 18, 192. https://doi.org/10.1186/s12955-020-01423-y
Shang, C., Xu, D. (2022). Epidemiology of Breast Cancer. Oncologie 24, 649–663. https://doi.org/10.32604/oncologie.2022.027640
Simons, G., Baldwin, D.S. (2021). A critical review of the definition of ‘wellbeing’ for doctors and their patients in a post Covid-19 era. The International journal of social psychiatry, 67, 984–991. https://doi.org/10.1177/00207640211032259
Soni, A., Paul, D., Verma, M., Kaur, P., Chauhan, A., Kaushal, V., 2023. Male breast cancer: a budding and unaddressed issue. Oncology in Clinical Practice, 9, 158–166. https://doi.org/10.5603/OCP.2023.0008
Sung, H., Ferlay, J., Siegel et al. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: a cancer journal for clinicians. 71, 209–249. https://doi.org/10.3322/caac.21660
Tittel, P.D., Zaman, A., Shima, J.E., Leal, D., Chen, J.L., Ghosh, A., Hirsch, J., Trent, J.C., Gordon, B.-A., Cotta, J., Thompson, M.A., Godden, J., Ruggeri, A., Weese, J.L., Haque, N.Z., Hoover, S.C., Kalkanis, S.N., (2018). Successful automated normalization of cancer outcomes for half a million patients across four disparate health systems. Journal of clinical oncology, Vol.36(15_suppl), pp.e18763-e18763. https://doi.org/10.1200/JCO.2018.36.15_suppl.e18763
Wilkinson, L., Gathani, T. (2022). Understanding breast cancer as a global health concern. The British journal of radiology. 95, 20211033. https://doi.org/10.1259/bjr.20211033
Xu, J., Gao, F., Liu, W., Guan, X. (2024). Cell-cell communication characteristics in breast cancer metastasis. Cell Commun. Signal. 22, 55. https://doi.org/10.1186/s12964-023-01418-4
Zheng, G., Leone, J.P. (2022). Male Breast Cancer: An Updated Review of Epidemiology, Clinicopathology, and Treatment. Journal of Oncology, 1–11. https://doi.org/10.1155/2022/1734049
Zubair, M., Wang, S., Ali, N. (2021). Advanced Approaches to Breast Cancer Classification and Diagnosis. Frontiers in pharmacology. 11, 632079. https://doi.org/10.3389/fphar.2020.63207
Web sources
Cancer (IARC), T.I.A. for R, on Global Cancer Observatory [WWW Document]. URL https://gco.iarc.fr/ (accessed 9.6.24).
Farsi_WHOQOL-BREF [WWW Document] at URL:
https://www.who.int/tools/whoqol/whoqol-bref/docs/default-source/publishing-policies/whoqol-bref/farsi-whoqol-bref, (accessed 9.6.24).
Health and Well-Being [WWW Document], n.d. URL https://www.who.int/data/gho/data/major- themes/health-and-well-being (accessed 9.6.24).
WHOQOL - Measuring Quality of Life| The World Health Organization [WWW Document], n.d.
URL https://www.who.int/tools/whoqol (accessed 9.6.24).
