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Cognitive, psychosocial, somatic and treatment factors predicting return to work after breast cancer treatment.

https://arctichealth.org/en/permalink/ahliterature121956
Source
Scand J Caring Sci. 2013 Jun;27(2):380-7
Publication Type
Article
Date
Jun-2013
Author
Elham Hedayati
Aina Johnsson
Hassan Alinaghizadeh
Anna Schedin
Håkan Nyman
Maria Albertsson
Author Affiliation
Karolinska Institute, Department of Oncology-Pathology, Stockholm, Sweden. elham.hedayati@ki.se
Source
Scand J Caring Sci. 2013 Jun;27(2):380-7
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Adult
Anxiety
Breast Neoplasms - physiopathology - psychology - therapy
Carcinoma, Intraductal, Noninfiltrating - physiopathology - psychology - therapy
Cognition
Depression
Female
Humans
Middle Aged
Quality of Life
Return to work
Sweden
Abstract
Breast cancer (BC) may affect the ability to work. In this study, we want to identify any associations between cognitive, psychosocial, somatic and treatment factors with time to return to work (RTW) among women treated for BC.
At eight (baseline) and 11(follow-up) months after BC diagnosis, women who had received adjuvant treatment for early BC at Stockholm South General Hospital completed the Headminder neuropsychological tests to obtain the Cognitive Stability Index (CSI), the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module. At both time points, we compared the scores from women who had returned to work with those who had not. We also reviewed the medical certificates of women still on sick leave at 8, 11 and 18 months after diagnosis to determine why they had not returned to work.
At baseline, 29 of 45 enroled women were working and 15 were not (one dropped out after baseline testing). The 14 women still not working 11 months after BC diagnosis had more advanced BC (OR = 3.64, 95% CI 2.01-7.31), lymph-node involvement (OR = 18.80, 95% CI 5.32-90.69) and Her 2-positive tumours (OR = 10.42,95% CI 2.19-65.32) than did working women. None of the scores for the four cognitive domains changed significantly at follow-up in either group. Comments on the medical certificates generally supported these findings. Independently of any adjuvant cancer therapy, overall quality of life improved and most women did RTW 18 months after BC diagnosis.
Chemotherapy is associated with longer periods of sick leave. Cognitive functions do not predict RTW. Independently of any adjuvant therapy, most women eventually RTW in a few months. The ability to predict RTW after BC treatment should help prepare higher-risk patients for delayed RTW and allow earlier interventions to restore their social relations and quality of life.
PubMed ID
22862138 View in PubMed
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Health-related quality of life in patients with lymphoedema - a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature302680
Source
Scand J Caring Sci. 2018 Jun; 32(2):634-644
Publication Type
Journal Article
Date
Jun-2018
Author
Pia Klernäs
Aina Johnsson
Vibeke Horstmann
Karin Johansson
Author Affiliation
Department of Health Sciences, Division of Physiotherapy, Lund University, Sweden.
Source
Scand J Caring Sci. 2018 Jun; 32(2):634-644
Date
Jun-2018
Language
English
Publication Type
Journal Article
Keywords
Adult
Aged
Cross-Sectional Studies
Female
Humans
Lymphedema - psychology
Male
Middle Aged
Quality of Life - psychology
Socioeconomic Factors
Surveys and Questionnaires
Sweden
Abstract
Lymphoedema may cause complex problems that can strongly influence patients' health-related quality of life (HRQoL). The main purpose of this study was to investigate the impact of lymphoedema on HRQoL in patients with varying forms of lymphoedema.
The Lymphoedema Quality of Life Inventory (LyQLI), measuring three domains, physical, psychosocial and practical, and the Short Form 36 Health Survey Questionnaire (SF-36), measuring eight health domains, were sent to 200 lymphoedema patients. Out of those who answered both questionnaires, 88 patients had lymphoedema secondary to cancer treatment and they additionally received the Functional Assessment of Cancer Therapy Scale-General (FACT-G). The relation between continuous variables and the three domains were analysed by Spearman's correlation coefficients, and Kruskal-Wallis test was used to analyse categorical variables.
Altogether 129 patients completed the LyQLI and SF-36 and 79 of them also completed FACT-G. Twenty per cent had a high mean score (=2.0) in at least one domain of the LyQLI, thus having a low HRQoL. Lower HRQoL was found in the practical domain of LyQLI in patients with lower limb lymphoedema compared to patient with lymphoedema in upper limb or head/neck (p = 0.002) and in patients working part-time compared to patients working full-time (p = 0.005). The impact on HRQoL tended to decrease with age, with a significant correlation in the psychosocial domain (rs = 0.194, p = 0.028). Compared with the general Swedish population, patients with lymphoedema scored significantly lower in general health (p = 0.006), vitality (p = 0.002) and social functioning (p = 0.025) assessed by the SF-36. From a cancer-specific view, HRQoL was similar to other Swedish studies using the FACT-G.
This study indicates that about 20% of the patients with lymphoedema had major impact on their HRQoL. More effort and research is needed to identify, understand and support groups of patients with severe lymphoedema-related problems.
PubMed ID
28892182 View in PubMed
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Improvements in physical and mental health following a rehabilitation programme for breast cancer patients.

https://arctichealth.org/en/permalink/ahliterature96533
Source
Eur J Oncol Nurs. 2010 Jun 26;
Publication Type
Article
Date
Jun-26-2010
Author
Aina Johnsson
Artur Tenenbaum
Hugo Westerlund
Author Affiliation
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Social Work, Sweden; Department of Social Work, Karolinska University Hospital, Stockholm, Sweden.
Source
Eur J Oncol Nurs. 2010 Jun 26;
Date
Jun-26-2010
Language
English
Publication Type
Article
Abstract
PURPOSE: To investigate how breast cancer patients referred to in-patient rehabilitation at Mösseberg Rehabilitation Centre (MRC) in Sweden perceive their life situation, and if their life satisfaction and mental health have changed three months later. METHOD: This prospective study is based on 46 women, all of them in working age. Three validated questionnaires were used, the Life Satisfaction (Li-Sat 11) scale, the Maastricht Questionnaire and the Shirom-Melamed Burnout Questionnaire (SMBQ). RESULTS: Statistically significant improvements for the variables physical and mental health were seen in the measurements made using the Li-Sat 11 scale. The SMBQ survey showed a statistically significant improvement in the composite results for the indices involved. Likewise, the Maastricht Questionnaire showed statistically significant improvements in health status with respect to feelings of exhaustion and fatigue. CONCLUSION: More effective treatments have resulted in an increase in the number of breast cancer survivors and in the demand for rehabilitation. This study shows improvements in health and satisfaction with health, but cannot conclude this result as only an effect of the rehabilitation programme. Since only a few studies have until now shed light on the benefits of in-patient rehabilitation following a breast cancer diagnosis, there is an urgent need for continued research in this area.
PubMed ID
20584626 View in PubMed
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