[en] Purpose: To our knowledge, no study has specifically assessed the time course of anxiety during
radiotherapy (RT). The objective of this study was to assess anxiety time courses in patients with nonmetastatic
breast cancer.
Material and methods: This multicenter, descriptive longitudinal study included 213 consecutive patients
with breast cancer who completed visual analog scales (VASs) assessing state anxiety before and after the
RT simulation and the first and last five RT sessions.
Results: Pre- and post-session anxiety mean levels were highest at the RT simulation (respectively,
2.9 ± 2.9 and 1.6 ± 2.5) and first RT session (respectively, 3.4 ± 2.9 and 2.0 ± 2.4), then declined rapidly.
Clinically relevant mean differences (P1 cm on the VAS) between pre- and post-simulation/session
VAS scores were found only for the RT simulation ( 1.3 ± 2.7; p < 0.001) and first RT session
( 1.4 ± 2.4; p < 0.001). Five percent to 16% of patients presented clinically relevant anxiety (pre- and
post-simulation/session VAS scoresP4 cm) throughout treatment.
Conclusions: To optimize care, RT team members should offer all patients appropriate information about
treatment at the simulation, check patients’ understanding, and identify patients with clinically relevant
anxiety requiring appropriate support throughout RT.
Disciplines :
Oncology
Author, co-author :
Lewis, Florence
Merckaert, Isabelle
Liénard, Aurore
Libert, Yves
Etienne, Anne-Marie ; Université de Liège - ULiège > Départ. de Psychologies et Cliniques des Systèmes humains > Psychologie de la santé
Reynaert, Christine; université catolique de Louvain
Slachmuylder, Jean-Louis; C.P.O. Bruxelles
Scalliet, Pierre; Université Catholique de Louvain - UCL
Van Houtte, Paul; Université Libre de Bruxelles - ULB
COUCKE, Philippe ; Centre Hospitalier Universitaire de Liège - CHU > Radiothérapie
Salamon, Emile; Clinique St Elisabeth de Namur
Razavi, Darius; Université Libre de Bruxelles - ULB
Language :
English
Title :
Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study
G.K. Halkett, L.J. Kristjanson, and E.A. Lobb 'If we get too close to your bones they'll go brittle': women's initial fears about radiotherapy for early breast cancer Psychooncology 17 2008 877 884
G.K. Halkett, L.J. Kristjanson, and E. Lobb et al. Information needs and preferences of women as they proceed through radiotherapy for breast cancer Patient Educ Couns 86 2012 396 404
S. Mose, K.M. Budischewski, A.N. Rahn, A.C. Zander-Heinz, S. Bormeth, and H.D. Bottcher Influence of irradiation on therapy-associated psychological distress in breast carcinoma patients Int J Radiat Oncol Biol Phys 51 2001 1328 1335
L.M. Wallace, S.G. Priestman, J.A. Dunn, and T.J. Priestman The quality of life of early breast cancer patients treated by two different radiotherapy regimens Clin Oncol (R Coll Radiol) 5 1993 228 233
C.C. Lim, M.K. Devi, and E. Ang Anxiety in women with breast cancer undergoing treatment: a systematic review Int J Evid Based Healthc 9 2011 215 235
K. Fritzsche, C. Liptai, and M. Henke Psychosocial distress and need for psychotherapeutic treatment in cancer patients undergoing radiotherapy Radiother Oncol 72 2004 183 189
H.E. Stiegelis, A.V. Ranchor, and R. Sanderman Psychological functioning in cancer patients treated with radiotherapy Patient Educ Couns 52 2004 131 141
J.B. Schnur, D. David, M. Kangas, S. Green, D.H. Bovbjerg, and G.H. Montgomery A randomized trial of a cognitive-behavioral therapy and hypnosis intervention on positive and negative affect during breast cancer radiotherapy J Clin Psychol 65 2009 443 455
P. Hopwood, J. Haviland, J. Mills, and G. Sumo J MB. The impact of age and clinical factors on quality of life in early breast cancer: an analysis of 2208 women recruited to the UK START Trial (Standardisation of Breast Radiotherapy Trial) Breast 16 2007 241 251
K.A. Leopold, T.A. Ahles, and S. Walch et al. Prevalence of mood disorders and utility of the PRIME-MD in patients undergoing radiation therapy Int J Radiat Oncol Biol Phys 42 1998 1105 1112
A.N. Rahn, S. Mose, and A. Zander-Heinz et al. Influence of radiotherapy on psychological health in breast cancer patients after breast conserving surgery Anticancer Res 18 1998 2271 2273
P. Hopwood, G. Sumo, J. Mills, J. Haviland, and J.M. Bliss The course of anxiety and depression over 5 years of follow-up and risk factors in women with early breast cancer: results from the UK Standardisation of Radiotherapy Trials (START) Breast 19 2010 84 91
J. Gray The neuropsychology of anxiety: an enquiry into the functions of the septo-hippocampal system 2000 Oxford University Press New York 440
D.H. Barlow, B.F. Chorpita, and J. Turovsky Fear, panic, anxiety, and disorders of emotion Nebr Symp Motiv 43 1996 251 328
J.L. Janis Psychological stress: Psychoanalytic and behavioral studies of surgical patients 1958 Wiley New York
B.L. Andersen, and H.H. Tewfik Psychological reactions to radiation therapy: reconsideration of the adaptive aspects of anxiety J Pers Soc Psychol 48 1985 1024 1032
S.P. Vassilopoulos Anticipatory processing in social anxiety Behav Cogn Psychother 32 2004 303 311
S.P. Vassilopoulos Coping strategies and anticipatory processing in high and low socially anxious individuals J Anxiety Disord 22 2008 98 107
D. Razavi, P. Coucke, and P. Scalliet et al. L'optimalisation de la réponse aux besoins psychologiques des patientes traitées pour une affection cancéreuse du sein par un programme de formation à la communication destinée aux équipes de radiothérapie: une étude randomisée 2005 Projet interuniversitaire Bruxelles
M.E. Wewers, and N.K. Lowe A critical review of visual analogue scales in the measurement of clinical phenomena Res Nurs Health 13 1990 227 236
M.D. Miller, and D.G. Ferris Measurement of subjective phenomena in primary care research: the Visual Analogue Scale Fam Pract Res J 13 1993 15 24
H.M. Davey, A.L. Barratt, P.N. Butow, and J.J. Deeks A one-item question with a Likert or Visual Analog Scale adequately measured current anxiety J Clin Epidemiol 60 2007 356 360
A.J. Mitchell, E.A. Baker-Glenn, L. Granger, and P. Symonds Can the Distress Thermometer be improved by additional mood domains? Part I. Initial validation of the Emotion Thermometers tool Psychooncology 19 2010 125 133
A.J. Mitchell, E.A. Baker-Glenn, B. Park, L. Granger, and P. Symonds Can the Distress Thermometer be improved by additional mood domains? Part II. What is the optimal combination of Emotion Thermometers? Psychooncology 19 2010 134 140
J.M. Somers, E.M. Goldner, P. Waraich, and L. Hsu Prevalence and incidence studies of anxiety disorders: a systematic review of the literature Can J Psychiatry 51 2006 100 113
A.J. Baxter, K.M. Scott, T. Vos, and H.A. Whiteford Global prevalence of anxiety disorders: a systematic review and meta-regression Psychol Med 43 2013 897 910