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Acute stress trajectories 1 year after a breast cancer diagnosis

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Acute stress trajectories 1 year after a breast cancer diagnosis

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dc.contributor.author Perez, Sandra es_ES
dc.contributor.author Conchado Peiró, Andrea es_ES
dc.contributor.author Andreu, Yolanda es_ES
dc.contributor.author Galdon, Maria Jose es_ES
dc.contributor.author Cardena, Etzel es_ES
dc.contributor.author Ibanez, Elena es_ES
dc.contributor.author Dura, Estrella es_ES
dc.date.accessioned 2016-06-09T09:26:53Z
dc.date.available 2016-06-09T09:26:53Z
dc.date.issued 2016-04
dc.identifier.issn 0941-4355
dc.identifier.uri http://hdl.handle.net/10251/65570
dc.description.abstract Purpose The purpose of this study was to evaluate the longitudinal trajectories of acute stress reactions over the course of diagnosis, treatment, and follow-up assessments in a group of non-metastatic breast cancer patients during five different moments of the illness process, and to identify psychological predictors of the trajectories. Methods The sample was formed by 102 non-metastatic breast cancer patients treated with adjuvant chemotherapy. Latent growth mixture models (LGMM) were used to identify latent classes, and we used multinomial logistic regression in a conditional model to examine predictors to differentiate between trajectories. Results We identified four different groups according to their trajectories: (1) a resilient group, (44.5 %); (2) a mild acute stress group, (40.6 %); (3) a delayed recovery group (11.9 %); and (4) a chronic acute stress group (2.9 %). Moreover, anxious preoccupation showed the strongest significant effects in predicting each class, whereas cognitive avoidance and type C personality had moderate effects for participants in the mild acute stress group. Conclusions This study demonstrates that the majority of breast cancer patients in our study were resilient, with only a small percentage showing chronic acute stress. Because coping strategies, specifically anxious preoccupation, and not more stable variables played a main role in the prediction of acute stress trajectories, future preventive interventions should center in promoting more adaptive coping strategies in breast cancer patients. es_ES
dc.language Inglés es_ES
dc.publisher Springer Verlag (Germany) es_ES
dc.relation.ispartof Supportive Care in Cancer es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Trajectories es_ES
dc.subject Acute stress symptoms es_ES
dc.subject Spanish women es_ES
dc.subject Breast cancer es_ES
dc.subject Coping es_ES
dc.subject Type C personality es_ES
dc.subject.classification ESTADISTICA E INVESTIGACION OPERATIVA es_ES
dc.title Acute stress trajectories 1 year after a breast cancer diagnosis es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1007/s00520-015-2960-x
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Centro de Gestión de la Calidad y del Cambio - Centre de Gestió de la Qualitat i del Canvi es_ES
dc.description.bibliographicCitation Perez, S.; Conchado Peiró, A.; Andreu, Y.; Galdon, MJ.; Cardena, E.; Ibanez, E.; Dura, E. (2016). Acute stress trajectories 1 year after a breast cancer diagnosis. Supportive Care in Cancer. 24(4):1671-1678. doi:10.1007/s00520-015-2960-x es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://link.springer.com/article/10.1007/s00520-015-2960-x es_ES
dc.description.upvformatpinicio 1671 es_ES
dc.description.upvformatpfin 1678 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 24 es_ES
dc.description.issue 4 es_ES
dc.relation.senia 299272 es_ES
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