Medical factors and patterns of adjustment to breast cancer

Author(s): Budin, W. C., Maislin, G.

Journal/Book: Psycho-Oncol. 1996; 5: Baffins Lane, Chichester, W Sussex, England PO19 1UD. John Wiley & Sons Ltd. 31-44.

Abstract: Dimensions of emotional adjustment, perceived health status and role function were compared by three medical groups: breast conserving versus non-breast conserving surgery; positive versus negative nodes; and post-surgical adjuvant therapy. Intact data series were obtained at 7-10 days, at 1, 2, 3 and 6-months, and 1 year post-surgery for 93 women. The overall mean scores for measures of emotional adjustment, perceived health status, and role function did not differ significantly between breast-conserving and non-breast-conserving groups. However, there was a significant change over time with both surgical groups showing improved adjustment. Although there were no statistically significant differences between the node status groups in mean scores on the adjustment variables, the overall patterns over time were analogous to that of the surgical groups. In comparing post-surgical adjuvant therapy groups, significant differences in mean scores on the adjustment outcomes were noted mainly between the chemotherapy versus no adjuvant therapy groups at 3 and 6 months post-surgery.

Note: Article CN Hoskins, NYU, Div Nursing, 429 Shimkin Hall, 50 W 4TH St, New York, NY 10012 USA

Keyword(s): FUNCTIONAL STATUS; PSYCHOLOGICAL ADJUSTMENT; MASTECTOMY; CHEMOTHERAPY; HUSBANDS; IMPACT

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