Factors and Coping Styles Related to Breast Cancer Patients’ Preferences About Referrals to Psychotherapy as part of Treatment Factors and coping styles related to BC
Abstract
Background: The purpose of this mixed methods study was to examine what factors may influence emotional suppression and emotional expression in breast cancer patients and how coping styles relate to beliefs about physician-driven referrals to therapy.
Methods: A mixed method research design consisting of quantitative methods including a demographics survey, the Courtald Emotional Control Scale and treatment preference questionnaires followed by optional participation in a semi-structured interview.
Results: Demographic variables including age, marital status, income, and experience of psychotherapy prior to breast cancer diagnosis are statically significant factors that influence CECS scores and coping styles. Participants universally believed that there should be some level of psychotherapy referrals for supportive mental health care during and after the treatment process.
Conclusion: Participants who fell into either category of emotional suppressor or emotional expresser believed that there should be physician driven referrals to therapy during the breast cancer treatment process. Both those identified as suppressors and expressers indicated high rates of concealing one’s true emotional experience. This highlights the need for psychological therapy referrals to be integrated as a best practice, regardless of patient’s identified coping style or demographic identities. We suggest that all breast cancer patients be screened at multiple points and offered a referral by every member of their treatment team: regardless of how they seem to cope and that future research focus on the most efficient and holistic ways to decrease barriers to receiving psychological support during and after breast cancer treatment.
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References
References
Admiraal, J.; Hoekstra-Weebers, J., Schroder, C.; Tunier, W., Hospers, G. & Reyners, A. (2020). distress, problems, referral wish & supportive health care use in breast cancer survivors beyond the first year after chemotherapy completion.
Antoni M.H., Lechner S., Diaz A., Vargas S., Holley H., Phillips K., ... & Blomberg B. (2009). Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain, Behavior, and Immunity, 23, 580–591.
Blake-Mortimer J., Gore-Felton C., Kimerling R., Turner-Cobb J.M., Spiegel D. (1999). Improving the quality and quantity of life among patients with cancer: a review of the effectiveness of group psychotherapy. European Journal of Cancer, 35, 1581–1586.
Canadian Cancer Society (2023). Supportive care for breast cancer patients. Retrieved from https://cancer.ca/en/cancer-information/cancer-types/breast/supportive-care.
Cordova, M. J., Riba, M. B., & Spiegel, D. (2017). Post-traumatic stress disorder and cancer. The Lancet Psychiatry, 4, 330-338. https://doi.org/10.1016/S2215-0366(17)30014-7.
Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Kodama, M., & Okawa, M. (2003). Differences in emotional distress between breast tumor patients with emotional inhibition and those with emotional expression. Psychiatry and Clinical Neurosciences, 57 (3), 289-294. https://doi.org/10.1046/j.1440-1819.2003.01119.x
Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Okawa, M., & Buck, R. (2005). Anxiety, emotional suppression, and psychological distress before and after breast cancer diagnosis. Psychosomatics, 46(1), 19-24. https://doi.org/10.1176/appi.psy.46.1.19
Jamshidifar, Z., Shemirani, S. M., Ahramian, A., Ahmadi, A., Lory, S. S., & Moradi-Joo, M. (2015). The effectiveness of positive psychotherapy on the psychological well-being of breast cancer patients. Ciência e Natura, 37, 432-. https://doi.org/10.5902/2179460X20874
Morse, J. (2015). Issues in qualitatively-driven mixed-method designs: walking through a mixed-methods project, pp. 206-223. In Hesse-Biber, S. N., & Johnson, B. (Eds.). (2016). The Oxford handbook of multimethod and mixed methods research inquiry. Oxford University Press.
National Comprehensive Cancer Network. (2009). NCCN clinical practice guidelines in oncology: distress management. Retrieved from: https://nccn/org/guidelines/category_1.
National Comprehensive Cancer Network (2014). NCCN Clinical practice guidelines in oncology: distress management. Retrieved from: http://www.nccn.org/professionals/physician_gls/f_guidelines. asp#supportive.
National Institute for Health and Clinical Excellence. (2009). Early and locally advanced breast cancer: Full guideline. Retrieved from: http://www.nice.org.uk/nicemedia/live/12132/43312/43312.pdf.
Padgett, D.K. (2008). Qualitative methods in social work, 2nd edition. Thousand Oaks, CA: Sage Publications: Thousand Oaks, CA.
Puigpinós-Riera, R., Graells-Sans, A., Serral, G., Continente, X., Bargalló, X., Domènech, M.,.. .Vidal, E. (2018). Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort). Cancer Epidemiology, 55, 123-129. doi:10.1016/j.canep.2018.06.002
Reissman, C. (1993). Narrative Analysis. Sage Publications.
Skaczkowski G, Sanderson P, Shand M, Byrne A, Wilson C. (2018). Factors associated with referral offer and acceptance following supportive care problem identification in a comprehensive cancer service. European Journal of Cancer Care, 27, e12869. https://doi.org/10.1111/ecc.1286
Spiegel, D., Morrow, G., Classen, C., Raubertas, R., Stott, P.B., Mudaliar, N., Irving Pierce, H., Flynn, P.J., Heard, L., & Riggs, G. (1999). Group psychotherapy for recently diagnosed breast cancer patients: a multicenter feasibility study. Psycho-Oncology, 8(6), 482-493. https://doi.org/10.1002/(SICI)1099-1611(199911/12)8:6<482::AID-PON402>3.0.CO;2-W.
Temoshok, L. (1987). Personality, coping style, emotion and cancer: Toward an integrative model. Cancer Surveys, 6(3), 545-567.
Watson, M., & Greer, S. (1983). Development of a Questionnaire Measure of Emotional Control. Journal of Psychosomatic Research, 27(4), 299-305. https://doi.org/10.1016/0022-3999(83)90052-1
Watson, M., Greer, S., Rowden, L., Gorman, C., Robertson, B., Bliss, J.M., & Tunmore, R. (1991). Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients. Psychological Medicine, 21(1), 51-57. https://doi.org/10.1017/S0033291700014641
Witt, C. & Cardoso, M. (2016). Complementary and integrative medicine for breast cancer patients: Evidence based practical recommendations. The Breast, 28, 37-44. doi: 10.1016/j.breast.2016.04.012
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