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Worry and rumination in breast cancer patients: perseveration worsens self-rated health
- Source :
- J Behav Med
- Publication Year :
- 2020
-
Abstract
- PURPOSE: A number of studies have shown that self-rated health reliably predicts mortality. This study assessed the impact of perseveration on self-rated health, physical functioning, and physical symptoms (pain, fatigue, breast cancer symptoms) among breast cancer patients. We hypothesized that cancer-related distress would serve as an intervening variable between both worry and rumination and self-rated health, physical functioning, and physical symptoms. METHODS: Women (N=124) who were approximately seven weeks post-surgery but pre adjuvant treatment completed the Impact of Events Scale, the Penn State Worry Questionnaire, and the Rumination Scale. They also rated their pain, fatigue, physical functioning, and self-rated health using the RAND-36 and breast cancer symptoms with the Breast Cancer Prevention Trial Symptom Checklist (BCPT). Covariates included body mass index, age, cancer stage, menopause status, and physical comorbidities. RESULTS: Worry was associated with higher cancer-related distress, which in turn predicted greater pain and breast cancer symptoms, poorer physical functioning, and lower self-rated health. Rumination also predicted greater cancer-related distress, which ultimately contributed to greater pain along with poorer physical functioning and self-rated health. Models with fatigue as an outcome were not significant. CONCLUSIONS: These findings suggest that perseveration can heighten cancer-related distress and subsequent perceptions of physical symptoms and health among breast cancer patients prior to adjuvant treatment. Perseveration early in the cancer trajectory can adversely increase the impact of a cancer diagnosis and treatment on functioning and quality of life.
- Subjects :
- media_common.quotation_subject
Perseveration
Pain
Breast Neoplasms
Anxiety
Article
03 medical and health sciences
0302 clinical medicine
Breast cancer
Breast Cancer Prevention Trial
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
General Psychology
Fatigue
Self-rated health
media_common
030505 public health
business.industry
Cancer
medicine.disease
Psychiatry and Mental health
Distress
Rumination
Quality of Life
Female
medicine.symptom
Worry
0305 other medical science
business
Clinical psychology
Subjects
Details
- ISSN :
- 15733521
- Volume :
- 44
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of behavioral medicine
- Accession number :
- edsair.doi.dedup.....7a9f13a3898de5344094c164a5dc569f