Please use this identifier to cite or link to this item: http://hdl.handle.net/11144/3429
Title: Psychological adjustment after breast cancer: a systematic review of longitudinal studies
Authors: Brandão, Tânia
Schulz, Marc S
Matos, Paula Mena
Keywords: breast cancer
longitudinal studies
oncology
psychological adjustment
systematic review
Issue Date: Jul-2017
Publisher: Wiley
Abstract: Objectives: Breast cancer (BC) can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to BC. This systematic review examines which sociodemographic, disease-related, and psychosocial factors near diagnosis predict later psychological adjustment to BC. Methods: Database searches were conducted in nine different health-related databases from 2000 to December 2015 using relevant search terms. Full-text, peer-reviewed articles in English that analyzed potential predictors of psychological adjustment in longitudinal studies were considered for inclusion. Results: Of 1780 abstracts 41 studies fulfilled inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adjustment were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress, and quality of life for women with BC, in predictable ways. Other psychosocial variables, such as cognitive and body image factors, predicted psychological adjustment but were explored only by a few studies. Conclusions: The majority of studies showed a significant relationship between psychosocial factors and psychological adjustment. These results point to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be referred for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress.
Peer reviewed: yes
URI: http://hdl.handle.net/11144/3429
metadata.dc.identifier.doi: 10.1002/pon.4230
ISSN: 1099-1611
Publisher version: http://onlinelibrary.wiley.com/doi/10.1002/pon.4230/abstract
Appears in Collections:CIP - Artigos/Papers

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