Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Impact of Depression, Optimism and Posttraumatic Growth on Health-related Quality of Life in Female Breast Cancer Survivors Receiving Adjuvant Chemotherapy

항암화학요법을 받은 여성 유방암 생존자의 우울, 낙관성 및 외상 후 성장이 건강관련 삶의 질에 미치는 영향

  • Kim, Bu Kyung (College of Nursing, Inje University) ;
  • Sung, Mi-Hae (College of Nursing, Institute of Health Science, Inje University) ;
  • Choi, Sung In (Department of Nursing, Busan Institute of Science and Technology)
  • 김부경 (인제대학교 간호대학) ;
  • 성미혜 (인제대학교 간호대학, 건강과학연구소) ;
  • 최성인 (부산과학기술대학교 간호학과)
  • Received : 2021.03.15
  • Accepted : 2021.04.11
  • Published : 2021.05.31
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Abstract

Purpose: The purpose of this study was to identify the influence of depression, optimism and posttraumatic growth on health-related quality of life in female breast cancer survivors received adjuvant chemotherapy. Methods: In total, 115 female breast cancer survivors participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from 1 June 2020 to 10 June 2020, and were analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 24.0. Results: The mean age of the breast cancer survivors was 45.83 years. The mean score for the degree of health-related quality of life was 81.85 out of 148 points. Participants' scores for health-related quality of life differed significantly based on economic status (F=5.36 p=.006) and hobbies (t=-3.37, p=.001). Health-related quality of life was negatively correlated with depression (r=-.73, p<.001), and positively correlated with optimism (r=.65, p<.001) and posttraumatic growth (r=.28, p=.002). Depression (𝛽=-.55, p<.001) was the most significant factor that affects health-related quality of life, followed by optimism (𝛽=.29, p<.001), and post-traumatic growth (𝛽=.12, p=.048), which together accounted for 62.2% (F=63.61, p<.001) of the variance. Conclusion: It is necessary to develop educational programs for breast cancer survivors to reduce depression, increase optimism and post-traumatic growth, and improve the health-related quality of life. By adapting these programs, positiveness may increase and this may lead to improvement of health-related quality of life for breast cancer survivors.

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References

  1. Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2017 [Internet]. Seoul: National Cancer Center; 2019 [cited 2020 February 19]. Available from: https://www.cancer.go.kr
  2. Kirsner RS, Ma F, Fleming LE, Federman DG, Trapido E, Duncan R, et al. Earlier stage at diagnosis and improved survival among medicare HMO patients with breast cancer. Journal of Women's Health. 2010;19(9):1619-24. https://doi.org/10.1089/jwh.2009.1768
  3. Kim GD, Kim KH. Symptom cluster and quality of life in patients with breast cancer undergoing chemotherapy. Korean Journal of Adult Nursing. 2011;23(5):434-45.
  4. Park JH, Bae SH, Jung YM. Changes of symptom distress and quality of life in breast ca ncer patients receiving adjuvant therapy. Korean Oncology Nursing Society. 2015;15(2):67-74. https://doi.org/10.5388/aon.2015.15.2.67
  5. Tomich PL, Helgeson VS. Five years later: a cross-sectional comparison of breast cancer survivors with health women. Psycho-Oncology. 2002;11(2):154-69. https://doi.org/10.1002/pon.570
  6. Ha EH. The influence of health related quality of life on depressive symptoms of breast cancer patients. The Korean Journal of Women Psychology. 2011;16(4):499-515. https://doi.org/10.18205/kpa.2011.16.4.005
  7. Suh YO. Predictors of quality of life women with breast cancer. Journal of Korean Academy of Nursing. 2007;37(4):459-66. https://doi.org/10.4040/jkan.2007.37.4.459.
  8. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Korean Oncology Nursing Society. 2012;12(1):27-34. https://doi.org./10.5388/aon.2012.12.1.27
  9. Lim YO, Yoon HS, Nam IS, Kim YJ, Lee HJ, Choi KW. Stress process of older cancer patient's depression undergoing chemotherapy: focus on spirituality, optimism, and family support. Journal of the Korean Gerontological Society. 2014;34(4):821-42.
  10. Buyukask-Colak C, Gundogu-Akturk E, Bozo O. Mediating role of coping in the dispositional optimism-posttraumatic growth relation in breast cancer patients. The Journal of Psychology. 2012;146(5):471-83. https://doi.org/10.1080/00223980.2012.654520
  11. Yoo MR, Choi SY, Han HL, Seo YM, Noh MI. The effect of post-traumatic growth, resilience, and optimism on quality of life among the disaster victims. Korean Journal of Military Nursing Research. 2015;33(2):1-14. https://doi.org/10.31148/kjmnr.2015.33.2.1
  12. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR®. 4th ed. Arlington, VA: American Psychiatric Association; 2000.
  13. Song SH, Ryu EJ. Post-traumatic growth, dyadic adjustment, and quality of life in breast cancer survivors and their husbands. Korean Society of Nursing Science. 2014;44(5):515-24. https://doi.org/10.4040/jkan.2014.44.5.515
  14. Jang SH, Lee DB, Choi UJ, Lee KM, Lee SY. A study of the depression symptoms and the quality of life in patients with breast cancer in a university hospital. Korean Journal of Psychosomatic Medicine. 2013;21(1):11-7.
  15. Park K, Jun JS, Jung SY. The effects of korean mindfulness based stress reduction program on the psychological symptoms, sleep and quality of life, in Korea breast cancer patients. The Korean Journal of Stress Research. 2013;21(3):249-62.
  16. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  17. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992;11(1):65-76.
  18. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism and trait anxiety, self-mastery, and self-esteem: A re-evaluation of the life orientation test. Journal of Personalty and Social Psychology. 1994;67(6):1063-78. https://doi.org/10.1037/0022-3514.67.6.1063
  19. Shin HS. Coping in the relation of optimism and pessimism to psychological adjustment in adolescents. Korean Journal of Youth Studies. 2005;12(3):165-92.
  20. Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychology. 1985;4(3):219-47. https://doi.org/10.1037/0278-6133.4.3.219
  21. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-71. https://doi.org/10.1007/BF02103658
  22. Song SH. Reliability and validity of the Korean version of the posttraumatic growth inventory [master's thesis]. Daejeon: Chugnam National University; 2007. p. 1-86.
  23. Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, et al. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology. 1997;15(3):974-86. https://doi.org/10.1200/jco.1997.15.3.974
  24. Yoo H, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Quality of Life Research. 2005;14(6):1627-32. https://doi.org/10.1007/s11136-004-7712-1
  25. Ha BY, Jung EJ, Choi SY. Effects of resilience, posttraumatic stress disorder on the quality of life in breast cancer patients with brest cancer. Korean Journal of Women Health Nursing. 2014;20(1):83-91. https://doi.org/10.4069/kjwhn.2014.20.1.83
  26. Bloom JR, Stewart SL, Chang S, Banks PJ. Then and now: quality of life of young breast cancer survivors. Psycho-Oncology. 2004;13(3):147-60. https://doi.org/10.1002/pon.794
  27. Lee SA, Sohn SK. Optimism and post-traumatic stress disorder in breast cancer patients. Asian Oncology Nursing. 2013;13(4):280-6. https://doi.org/10.5388/aon.2013.13.4.280
  28. Lim YO, Kim YJ, Yoon HS. Quality of life of older cancer patients in comparison with older chronic disease patients and middle-aged cancer patients. Korean Journal of Social Welfare. 2013;65(4):367-93. https://doi.org/10.20970/kasw.2013.65.4.015
  29. Min HS, Park SY, Lim JS, Park MO, Won HJ, Kim JI. A study on behaviors for preventing recurrence and quality of life in breast cancer survivors. Journal of Korean Academy of Nursing. 2008;38(2):187-94. https://doi.org/10.4040/jkan.2008.38.2.187
  30. Zimmaro LA, Sephton SE, Siwik CJ, Phillips KM, Rebholz WN, Kraemer HC, et al. Depressive symptoms predict head and neck cancer survival: examining plausible behavioral and biological pathways. Cancer. 2018; 124(5):1053-60. https://doi.org/10.1002/cncr.31109