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Child maltreatment and breast cancer survivors

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Child maltreatment and breast cancer survivors Child maltreatment and breast cancer survivors Presentation Transcript

  • NKCV Child maltreatment and breast cancer survivors: Social support makes a difference for quality of life, fatigue and cancer stress Christopher P. Fagundes et al European Journal of Cancer In press, 2011 Drs. H. Prinsen- Onco/NKCV Drs. J. de la Fonteijne - NKCV
  • Background Quality of lifeNKCV • Being diagnosed and treated for cancer is emotionally and physically challenging • Even when treatment-related problems subside, many breast cancer survivors report quality of life (QOL) difficulties – Psychological distress – Fatigue – Occupational disruption – Loss of physical functioning → Important to understand why some breast cancer survivors are more vulnerable to poorer QOL after treatment than others
  • BackgroundNKCV • Women who experienced past traumas ↑ risk for psychological distress when confronted with new traumatic experiences • Child maltreatment is a common experience; ~50% of adults report experiencing some type of abuse or neglect as children • Newly diagnosed breast cancer patients, emotionally abused as children, ↑ psychological distress compared to non-abused → Child maltreatment has been linked to cancer-related psychological distress View slide
  • Background Social supportNKCV • Social support important role in the QOL of cancer survivors • People who were abused or neglected as children report receiving ↓ social support as adults → Social support may play an important role linking child maltreatment to the QOL of breast cancer survivors View slide
  • VragenNKCV 1) Is kindermishandeling ook van invloed op KvL variabelen: moe /werkhervatting / fysiek functioneren 2) Welke mechanismen spelen een rol bij de relatie kindermishandeling en KvL
  • Methods SampleNKCV • Clinical trial addressing potential benefits of yoga • Breast cancer survivors (n=132) • Stage 0 – 3A • All women • Off-treatment at least 2 months, but no more than 2 years
  • Methods MeasuresNKCV • Childhood trauma questionnaire • Impact of Events Scale • Multidimensional Fatigue Symptom Investory-Short Form • Fact-B breast cancer quality of life questionnaire
  • ResultsNKCV • Women who were abused or neglected as children reported: – ↑ cancer-related psychological distress – ↑ fatigue – ↓ physical, emotional, functional, and breast cancer-specific well-being → These relations were partially explained by the fact that breast cancer survivors reported receiving less support as adults
  • DiscussieNKCV • meer survivors • bij mishandeling meer klachten • bekend: mishandeling -> meer distress na trauma • nieuw: meer moe / slechter fysiek en emotioneel functioneren
  • vervolgNKCV • moe -> meest voorkomende probleem bij survivors • geen relatie soort kanker en behandeling • verbeteren sociale netwerk ->beter KvL • sociale steun verklaart belangrijk deel effect
  • Discussion LimitationsNKCV • vrouwen • witte • bias rapportage
  • Discussion Clinical implicationsNKCV Wat kan de psycholoog hiermee?
  • NKCV