Child maltreatment and breast cancer survivors


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Child maltreatment and breast cancer survivors

  1. 1. 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
  2. 2. NKCV Background Quality of life • 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
  3. 3. NKCV Background • 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
  4. 4. NKCV Background Social support • 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
  5. 5. NKCV Vragen 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
  6. 6. NKCV Methods Sample • 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
  7. 7. NKCV Methods Measures • Childhood trauma questionnaire • Impact of Events Scale • Multidimensional Fatigue Symptom Investory-Short Form • Fact-B breast cancer quality of life questionnaire
  8. 8. NKCV Results • 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
  9. 9. NKCV Discussie • meer survivors • bij mishandeling meer klachten • bekend: mishandeling -> meer distress na trauma • nieuw: meer moe / slechter fysiek en emotioneel functioneren
  10. 10. NKCV vervolg • moe -> meest voorkomende probleem bij survivors • geen relatie soort kanker en behandeling • verbeteren sociale netwerk ->beter KvL • sociale steun verklaart belangrijk deel effect
  11. 11. NKCV Discussion Limitations • vrouwen • witte • bias rapportage
  12. 12. NKCV Discussion Clinical implications Wat kan de psycholoog hiermee?
  13. 13. NKCV