Health-related quality of life in breast cancer: A cross-cultural survey of German, Japanese, and South Korean patients

被引:100
作者
Shim, Eun-Jung
Mehnert, Anja
Koyama, Atsuko
Cho, Seong-Jin
Inui, Hiroki
Paik, Nam-Sun
Koch, Uwe
机构
[1] Univ Hamburg, Med Ctr, Inst Med Psychol, D-20246 Hamburg, Germany
[2] Kinki Univ, Sakai Hosp, Dept Psychosomat Med, Osaka, Japan
[3] Korea Canc Ctr Hosp, Dept Neuropsychiat, Seoul, South Korea
[4] Kinki Univ Hosp, Dept Surg, Sch Med, Osaka, Japan
[5] Korea Canc Ctr Hosp, Dept Surg, Seoul, South Korea
关键词
health-related quality of life; breast cancer; culture; coping; social support; psychological distress;
D O I
10.1007/s10549-006-9216-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose The aim of this study was to evaluate health-related quality of life (HRQOL) in breast cancer patients across countries, and to cross-culturally examine the impact of psychosocial factors on HRQOL. Patients and methods A total of 413 women with breast cancer from Germany (n=195), Japan (n=112), and Korea (n=106) completed a survey assessing HRQOL and HRQOL-related factors. HRQOL was measured using the Short-Form Health Survey (SF-8). Measures of psychological distress (Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised), coping (Dealing with Illness Inventory-German Revised), and social support (Illness-Specific Social Support Scale-German Revised) were included. Results The effect of the factor country on physical QOL was seen to be significant, but small (P=0.049, ES=0.018). The scales of General Health (P=0.023), Vitality (P=0.004), and Role Emotional (P=0.003) differed across countries, with the South Korean patients having lower scores compared to the German and Japanese patients. The nature of the impact of psychosocial factors on HRQOL did not differ greatly across countries except with regard to avoidance, however, the degree to which these factors influence HRQOL did differ greatly. Overall, depression, depressive coping, and problematic support showed a strong detrimental effect on the HRQOL of breast cancer patients. Conclusions Results from this study suggest that strategies which target an improvement of HRQOL in cancer patients should also consider the patients' cultural and healthcare system contexts. Interventions are needed to improve detrimental psychosocial factors.
引用
收藏
页码:341 / 350
页数:10
相关论文
共 49 条
  • [1] Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: a preliminary research
    Amir, M
    Ramati, A
    [J]. JOURNAL OF ANXIETY DISORDERS, 2002, 16 (02) : 191 - 206
  • [2] Changes in psychological distress of women in long-term remission from breast cancer in two different geographical settings: a randomized study
    Andritsch, E
    Goldzweig, G
    Samonigg, H
    Uziely, B
    Ever-Hadani, P
    Hoffman, G
    Krenn, G
    Baider, L
    [J]. SUPPORTIVE CARE IN CANCER, 2004, 12 (01) : 10 - 18
  • [3] Persistence of restrictions in quality of life from the first to the third year after diagnosis in women with breast cancer
    Arndt, V
    Merx, H
    Stegmaier, C
    Ziegler, H
    Brenner, H
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (22) : 4945 - 4953
  • [4] Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors
    Ashing-Giwa, KT
    Padilla, G
    Tejero, J
    Kraemer, J
    Wright, K
    Coscarelli, A
    Clayton, S
    Williams, I
    Hills, D
    [J]. PSYCHO-ONCOLOGY, 2004, 13 (06) : 408 - 428
  • [5] The contextual model of HRQoL: A paradigm for expanding the HRQoL framework
    Ashing-Giwa, KT
    [J]. QUALITY OF LIFE RESEARCH, 2005, 14 (02) : 297 - 307
  • [6] Quality of life among younger women with breast cancer
    Avis, NE
    Crawford, S
    Manuel, J
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (15) : 3322 - 3330
  • [7] FREQUENCY AND CORRELATES OF POSTTRAUMATIC-STRESS-DISORDER-LIKE SYMPTOMS AFTER TREATMENT FOR BREAST-CANCER
    CORDOVA, MJ
    ANDRYKOWSKI, MA
    KENADY, DE
    MCGRATH, PC
    SLOAN, DA
    REDD, WH
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1995, 63 (06) : 981 - 986
  • [8] Coping and distress among women under treatment for early stage breast cancer: Comparing African Americans, Hispanics and non-Hispanic whites
    Culver, JL
    Arena, PL
    Antoni, MH
    Carver, CS
    [J]. PSYCHO-ONCOLOGY, 2002, 11 (06) : 495 - 504
  • [9] Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life
    Diener, E
    Oishi, S
    Lucas, RE
    [J]. ANNUAL REVIEW OF PSYCHOLOGY, 2003, 54 : 403 - 425
  • [10] A cross-cultural analysis of avoidance (relative to approach) personal goals
    Elliot, AJ
    Chirkov, VI
    Kim, YM
    Sheldon, KM
    [J]. PSYCHOLOGICAL SCIENCE, 2001, 12 (06) : 505 - 510