Abstract
Intrusive thoughts are one of the re-experiencing symptoms in posttraumatic stress disorder, and have been suggested as a predictor for the continuous presence of psychological distress in cancer survivors. The aim of this preliminary study was to examine the possibility of using cancer-related intrusive thoughts (CITs) as an indicator of psychological distress and adjustment after breast surgery. A consecutive series of ambulatory breast cancer survivors at 3 or more years after surgery were given the Structured Clinical Interview for DSM-IV (SCID) and self-report questionnaires, including Profile Of Mood States (POMS), Impact of Event Scale (IES) and Mental Adjustment to Cancer (MAC) scale, to measure psychological distress and/or adjustment. The SCID identified a history of CITs in 34 (46%) of the 74 participants. No significant differences were found in the POMS and IES psychological distress scores between subjects with and without a history of CITs. Subjects with a history of CITs showed significantly higher levels of anxious preoccupation, one of the MAC subscale scores. The association continued to be significant after controlling for potential confounders such as social support, depression, avoidance, arousal, and neuroticism. The results indicated that CITs might be useful for indicating poor psychological adjustment, but not distress, in patients at 3 or more years after breast surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 117-124 |
| Number of pages | 8 |
| Journal | Breast Cancer Research and Treatment |
| Volume | 76 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2002 Nov |
| Externally published | Yes |
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Keywords
- Anxious preoccupation
- Breast cancer
- Coping
- Intrusive thoughts
- Psychological adjustment
- Psychological distress
- PTSD
ASJC Scopus subject areas
- Oncology
- Cancer Research
Cite this
Cancer-related intrusive thoughts as an indicator of poor psychological adjustment at 3 or more years after breast surgery : A preliminary study. / Matsuoka, Yutaka; Nakano, Tomohito; Inagaki, Masatoshi; Sugawara, Yuriko; Akechi, Tatsuo; Imoto, Shigeru; Murakami, Koji; Yamawaki, Shigeto; Uchitomi, Yosuke.
In: Breast Cancer Research and Treatment, Vol. 76, No. 2, 11.2002, p. 117-124.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cancer-related intrusive thoughts as an indicator of poor psychological adjustment at 3 or more years after breast surgery
T2 - A preliminary study
AU - Matsuoka, Yutaka
AU - Nakano, Tomohito
AU - Inagaki, Masatoshi
AU - Sugawara, Yuriko
AU - Akechi, Tatsuo
AU - Imoto, Shigeru
AU - Murakami, Koji
AU - Yamawaki, Shigeto
AU - Uchitomi, Yosuke
PY - 2002/11
Y1 - 2002/11
N2 - Intrusive thoughts are one of the re-experiencing symptoms in posttraumatic stress disorder, and have been suggested as a predictor for the continuous presence of psychological distress in cancer survivors. The aim of this preliminary study was to examine the possibility of using cancer-related intrusive thoughts (CITs) as an indicator of psychological distress and adjustment after breast surgery. A consecutive series of ambulatory breast cancer survivors at 3 or more years after surgery were given the Structured Clinical Interview for DSM-IV (SCID) and self-report questionnaires, including Profile Of Mood States (POMS), Impact of Event Scale (IES) and Mental Adjustment to Cancer (MAC) scale, to measure psychological distress and/or adjustment. The SCID identified a history of CITs in 34 (46%) of the 74 participants. No significant differences were found in the POMS and IES psychological distress scores between subjects with and without a history of CITs. Subjects with a history of CITs showed significantly higher levels of anxious preoccupation, one of the MAC subscale scores. The association continued to be significant after controlling for potential confounders such as social support, depression, avoidance, arousal, and neuroticism. The results indicated that CITs might be useful for indicating poor psychological adjustment, but not distress, in patients at 3 or more years after breast surgery.
AB - Intrusive thoughts are one of the re-experiencing symptoms in posttraumatic stress disorder, and have been suggested as a predictor for the continuous presence of psychological distress in cancer survivors. The aim of this preliminary study was to examine the possibility of using cancer-related intrusive thoughts (CITs) as an indicator of psychological distress and adjustment after breast surgery. A consecutive series of ambulatory breast cancer survivors at 3 or more years after surgery were given the Structured Clinical Interview for DSM-IV (SCID) and self-report questionnaires, including Profile Of Mood States (POMS), Impact of Event Scale (IES) and Mental Adjustment to Cancer (MAC) scale, to measure psychological distress and/or adjustment. The SCID identified a history of CITs in 34 (46%) of the 74 participants. No significant differences were found in the POMS and IES psychological distress scores between subjects with and without a history of CITs. Subjects with a history of CITs showed significantly higher levels of anxious preoccupation, one of the MAC subscale scores. The association continued to be significant after controlling for potential confounders such as social support, depression, avoidance, arousal, and neuroticism. The results indicated that CITs might be useful for indicating poor psychological adjustment, but not distress, in patients at 3 or more years after breast surgery.
KW - Anxious preoccupation
KW - Breast cancer
KW - Coping
KW - Intrusive thoughts
KW - Psychological adjustment
KW - Psychological distress
KW - PTSD
UR - http://www.scopus.com/inward/record.url?scp=0036830261&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036830261&partnerID=8YFLogxK
U2 - 10.1023/A:1020572505095
DO - 10.1023/A:1020572505095
M3 - Article
C2 - 12452448
AN - SCOPUS:0036830261
VL - 76
SP - 117
EP - 124
JO - Breast Cancer Research and Treatment
JF - Breast Cancer Research and Treatment
SN - 0167-6806
IS - 2
ER -