A qualidade de vida dos sobreviventes de cancro

Revista Portuguesa de Saúde Pública 01/2006; 24:37-56.
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    • "Não há uma definição consensual de qualidade de vida, existem sim, diferentes propostas que variam consoante os autores. Devido ao interesse crescente pela qualidade de vida no âmbito da doença, surge a " qualidade de vida relacionada com a saúde " (Pimentel, 2006, p. 25) que representa as respostas individuais aos efeitos da doença, englobando a dimensão física, psicológica, social e espiritual, bem como a avaliação da eficácia dos serviços de saúde (Dow, Ferrell, Leigh, Ly, & Gulasekaram, 1996; Pimentel, 2006; Pinto & Ribeiro, 2006). Na área da oncologia, os estudos de avaliação da qualidade de vida apresentam diferentes conclusões. "
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    ABSTRACT: Aims: To characterize the variables alexithymia, spirituality (beliefs dimension and hope/optimism dimension) and assertiveness in the quality of life of women with breast cancer. Methodology: The sample is composed by 85 women with breast cancer from a Hospital of Porto, with an average age of 47 years old and mostly married. The patients completed 6 questionnaires: Sociodemographic and Clinical Questionnaire; Hospital Anxiety and Depression Scale (HADS); Toronto Alexithymia Scale (TAS-20); Spirituality Evaluation Scale; Rathus Assertiveness Scale and The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQC-30, v.3.0). Results: The results indicate that alexithymia is negatively correlated with the hope/optimism dimension and with assertiveness and that all of these three variables are correlated to quality of life. It also demonstrates the existence of a positive correlation between age and quality of life and a negative correlation between the number of schooling years with alexithymia and beliefs dimension. The predictive model tested demonstrates the influence of alexithymia and hope/optimism dimension in the quality of life of women with breast cancer, even after controlling anxiety and depression. © 2015, Instituto Superior de Psicologia Aplicada. All rights reserved.
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    ABSTRACT: IntroductionThe aim of the present study was the comparison of emotional adjustment and quality of life (QoL) of bone and soft tissue cancer patients that were in different phases of the disease trajectory.Material and methodsFifty five patients between diagnosis and treatment initiation, 55 under treatment and 74 in follow-up consultations were assessed using self-report questionnaires. Seventy persons from the general population were used as control group. In the different phases of the disease the majority of patients revealed normal or mild levels of anxiety and depression but, an important minority showed moderate to severe levels.ResultsIn general, the emotional distress of patients in each phase of the disease was not clinically relevant and was comparable to that of healthy individuals. Only patients under treatment exhibited significant higher levels of depression compared to survivors in the follow-up phase. In diagnostic and treatment phase patients reported a poorer perception of overall and physical QoL compared to survivors and healthy controls. The impact on QoL, in general, seems more marked in the treatment phase given the worse levels of functioning in several domains of life, and the higher experience of physical symptoms, mainly compared with the follow-up phase. Free-disease survivors showed a QoL comparable to that of healthy individuals, in its different dimensions.Conclusions The number of patients with significant levels of emotional distress (between 25% and 29.6% for anxiety, and 8.3% and 23.6% for depression), and the impact of bone and soft tissue cancer on QoL, mainly in diagnostic phase and during treatments, call to the need of implementing multidisciplinary interventions in patients with this specific cancer diagnose. These interventions should include a psychosocial component and be adapted to each phase of the disease trajectory.
    Full-text · Article · Jun 2011 · Revista Portuguesa de Saude Publica