Psychoeducation among women with breast cancer and emotional symptoms
Main Article Content
Keywords
Breast Neoplasms, Anxiety, Depression, Behavioral Disciplines and Activities, Psychometrics
Abstract
Abstract
Background: Breast cancer (BC) is the most frequent neoplasm. As a consequence of the oncologic treatment, there are diverse adverse effects, as the emotional ones. Treatment options for emotional symptoms like anxiety, depression or stress are limited.
Objective: To analyze the effectiveness of psychoeducational workshops among women with BC over the anxiety and depression symptoms.
Material and methods: A randomized clinical trial by blocks with 42 BC patients in stages II and III of the disease, distributed into 2 groups of 21 cases (intervention) and 21 controls. There were 9 psychoeducational workshops performed weekly. It was carried out an initial and final measurement according to the Hospital Anxiety and Depression Scale (HADS).
Results: For the intervention group, the median score for anxiety was 9.09 at the beginning of the study and 5.85 at the end (p = 0.0005). In the control group, the median for anxiety was 8.7 and 6.7 at the end (p = 0.0494). According to the depression symptoms, the median for the intervention group was 5 at the beginning and 3.2 at the end (p = 0.0216). For the control group, the median was 4.7 at the beginning and 4.6 at the end (p = 0.6359).
Conclusion: The psychoeducational workshops demonstrated effectiveness to decrease the symptom burden for anxiety and depression. Early education and counselling for recently diagnosed BC patients should be considered part of the treatment to prevent and decrease these symptoms.
References
1. Morales, P. K., & Álvarez, S. L. (2024). Epidemiología del cáncer de mama. Cáncer de mama. Actualidades y controversias. Editorial Alfil.
2. Cárdenas-Sánchez J, Bargalló-Rocha J, Bautista-Piña V, Cervántes-Sánchez G. Consenso Mexicano sobre diagnóstico y tratamiento del cáncer mamario. Séptima revisión. 2017;145.
3. Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today
4. Centro para el Control y la Prevención de Enfermedades. (2024). Información básica sobre el cáncer de mama. https://www.cdc.gov/breast-cancer/es/statistics/index.html
5. INEGI. Estadísticas de Defunciones Registradas (EDR), 2023, preliminar. https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2024/EAP_LuchaCMama24.pdf
6. Morales, P. K., & Álvarez, S. L. (2024). Epidemiología del cáncer de mama. Cáncer de mama. Actualidades y controversias, 1.
7. De la Roca Chiapas, J.M., González Ramírez, L.P., Huerta Lépez, J.E. (2024) Psicología de la salud en Latinoamérica. El Manual Moderno.
8. Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, Johnson JA, Mumber M, Seely D, Zick SM, Boyce LM, Tripathy D. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin. 2017 May 6;67(3):194-232. doi: 10.3322/caac.21397. Epub 2017 Apr 24. PMID: 28436999; PMCID: PMC5892208. https://pubmed.ncbi.nlm.nih.gov/28436999/
9. Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today
10. Men, M. C. L., & Machado, A. H. (2024). Una mirada a la investigación científica sobre la autoestima, imagen corporal y vida sexual en mujeres con cáncer de mama en México. Politicas Sociales Sectoriales, 2(2), 375-395. https://politicassociales.uanl.mx/index.php/pss/article/view/99
11. Holland JC, Andersen B, Breitbart WS, Buchmann LO, Compas B, Deshields TL, Dudley MM, Fleishman S, Fulcher CD, Greenberg DB, Greiner CB, Handzo GF, Hoofring L, Hoover C, Jacobsen PB, Kvale E, Levy MH, Loscalzo MJ, McAllister-Black R, Mechanic KY, Palesh O, Pazar JP, Riba MB, Roper K, Valentine AD, Wagner LI, Zevon MA, McMillian NR, Freedman-Cass DA. Distress management. J Natl Compr Canc Netw. 2013 Feb 1;11(2):190-209. doi: 10.6004/jnccn.2013.0027. PMID: 23411386. https://pubmed.ncbi.nlm.nih.gov/23411386/
12. Morán, A. D., & Pavón-León, P. (2024). The importance of psychological well-being for breast cancer patients. Revista Médica de la Universidad Veracruzana, 23(2), 7-16. https://rmuv.uv.mx/index.php/rmuv/article/view/95
13. Larios-Jiménez, F. E., González-Ramírez, L. P., Rivas-Medina, S. K., Oceguera-Villanueva, A., Barragán-Ruíz, A., Morán-Mendoza, A. D. J., & Daneri-Navarro, A. (2023). Adaptación y evaluación de la eficacia de un programa psicoeducativo de navegación para disminuir síntomas de ansiedad y depresión en mujeres mexicanas con cáncer de mama. Psicooncología, 20(1), 121. https://dialnet.unirioja.es/servlet/articulo?codigo=8905097
14. Miranda Muñoz, L. C. (2023). Eficacia del enfoque cognitivo conductual en mujeres con cáncer de mama: Una revisión sistemática. https://repositorio.ucv.edu.pe/handle/20.500.12692/113127
15. Machado Barba, M. J. (2023). Efectividad de la intervención psicológica en el manejo de la depresión en mujeres con cáncer de mama (Bachelor's thesis, Universidad Nocional de Chimborazo). https://dspace.unach.edu.ec/handle/51000/10888
16. Moraga Sahuquillo, G., Pérez, A. B., & Beltrán, A. S. (2020). Estudio de la efectividad de la intervención psicológica en pacientes con cáncer de mama localizado. Psicooncología, 17(1). https://dialnet.unirioja.es/servlet/articulo?codigo=7403113
17. Chavarri-Guerra Y, St Louis J, Liedke PER, Symecko H, Villarreal-Garza C, Mohar A, et al. Access to care issues adversely affect breast cancer patients in Mexico: oncologists’ perspective. BMC Cancer [Internet]. 2014;14:658. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4165903&tool=pmcentrez&rendertype=abstract
18. Cardoso F, Bese N, Distelhorst SR, Bevilacqua JLB, Ginsburg O, Grunberg SM, et al. Supportive care during treatment for breast cancer: resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement. Breast [Internet]. 2013;22(5):593–605. http://www.sciencedirect.com/science/article/pii/S0960977613002154
19. Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, Holland JC, Partridge AH, Bak K, Somerfield MR, Rowland JH; American Society of Clinical Oncology. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J Clin Oncol. 2014 May 20;32(15):1605-19. doi: 10.1200/JCO.2013.52.4611. Epub 2014 Apr 14. PMID: 24733793; PMCID: PMC4090422. https://pubmed.ncbi.nlm.nih.gov/24733793/
20. Galway K, Black A, Cantwell M, Cardwell CR, Mills M, Donnelly M. Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients. Cochrane Database Syst Rev. 2012 Nov 14;11(11):CD007064. doi: 10.1002/14651858.CD007064.pub2. PMID: 23152241; PMCID: PMC6457819. https://pubmed.ncbi.nlm.nih.gov/23152241/
21. Lee JY, Park HY, Jung D, Moon M, Keam B, Hahm BJ. Effect of brief psychoeducation using a tablet PC on distress and quality of life in cancer patients undergoing chemotherapy: A pilot study. Psychooncology [Internet]. 2014;23(8):928–35. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L53018775 http://dx.doi.org/10.1002/pon.3503
22. Momino K, Mitsunori M, Yamashita H, Toyama T, Sugiura H, Yoshimoto N, et al. Collaborative care intervention for the perceived care needs of women with breast cancer undergoing adjuvant therapy after surgery: a feasibility study. Jpn J Clin Oncol [Internet]. 2016;47(3):213–20. Available from: https://academic.oup.com/jjco/article-lookup/doi/10.1093/jjco/hyw189
23. Zimmermann T, Heinrichs N, Baucom DH. “Does one size fit all?” Moderators in psychosocial interventions for breast cancer patients: A meta-analysis. Ann Behav Med. 2007;34(3):225–39.
24. Marcus AC, Garrett KM, Cella D, Wenzel LB, Brady MJ, Crane LA, McClatchey MW, Kluhsman BC, Pate-Willig M. Telephone counseling of breast cancer patients after treatment: a description of a randomized clinical trial. Psychooncology. 1998 Nov-Dec;7(6):470-82. doi: 10.1002/(SICI)1099-1611(199811/12)7:6<470:AID-PON325>3.0.CO;2-Z. PMID: 9885088. https://pubmed.ncbi.nlm.nih.gov/9885088/
25. Lashbrook MP, Valery PC, Knott V, Kirshbaum MN, Bernardes CM. Coping Strategies Used by Breast, Prostate, and Colorectal Cancer Survivors: A Literature Review. Cancer Nurs. 2018 Sep/Oct;41(5):E23-E39. doi: 10.1097/NCC.0000000000000528. PMID: 28723724. https://pubmed.ncbi.nlm.nih.gov/28723724/
26. D'Egidio V, Sestili C, Mancino M, Sciarra I, Cocchiara R, Backhaus I, Mannocci A, De Luca A, Frusone F, Monti M, La Torre G; RETURN TO BREAST Collaborative group. Counseling interventions delivered in women with breast cancer to improve health-related quality of life: a systematic review. Qual Life Res. 2017 Oct;26(10):2573-2592. doi: 10.1007/s11136-017-1613-6. Epub 2017 Jun 16. PMID: 28623442.
https://pubmed.ncbi.nlm.nih.gov/28623442/
Article Sidebar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.