Effectiveness Of Health And Health Interventions For Anxiety And Emotional Well-Being In Breast Cancer: Review
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Abstract
Breast cancer remains a critical global health burden as the most prevalent malignancy and a leading cause of female mortality, with profound physical, psychological, and economic consequences for patients and families. A comprehensive understanding of health-related quality of life (HRQoL) is essential, as over 50% of patients report significant anxiety and depression, which can worsen clinical prognosis and drastically reduce survival rates if left unmanaged. However, substantial research gaps persist, characterized by inconsistent findings regarding demographic variables influencing HRQoL and a limited synthesis of literature integrating ecological coping models and socio-relational self-efficacy across diverse cultural contexts. This systematic literature review aims to analyze the relationship between various coping resources and patients' psychological distress and quality of life during treatment and recovery. Adhering to the PRISMA protocol, this study systematically screened 473 articles from the Scopus database within the subject areas of nursing and psychology published through 2024. Furthermore, digital health (eHealth/mHealth) interventions, such as the "Yun Dong Ru Kang" rehabilitation app and text messaging programs. Consequently, a shift toward a holistic care model incorporating routine distress screening and work integration support is warranted. Practitioners should optimize digital technology for remote monitoring and strengthen social support to mitigate emotional vulnerability.
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References
Al-Sharman, A. et al. (2024) ‘Quality-of-life among women with breast cancer: application of the international classification of functioning, disability and health model’, Frontiers in Psychology, 15(February). Available at: https://doi.org/10.3389/fpsyg.2024.1318584.
Anggraeni, F.D., Sukartini, T. and Nihayati, H.E. (2023) ‘Quality of life of breast cancer patients’, Pediomaternal Nursing Journal, 9(1), pp. 31–35. Available at: https://doi.org/10.20473/pmnj.v9i1.42249.
Berger, N.F. et al. (2022) ‘Impact of the COVID-19 Pandemic on Cancer Care and Quality of Life for Patients With Breast and Gynecologic Malignancies: A Single-Center Survey-Based Study’, Journal of Patient Experience, 9, pp. 1–5. Available at: https://doi.org/10.1177/23743735221077543.
Fang, S., Shi, W. and Song, L. (2024) ‘Impact of Empowerment Theory-Based Nursing Intervention on the Quality of Life and Negative Emotions of Patients Diagnosed with Brain Metastasis Post Breast Cancer Surgery [Letter]’, Journal of Multidisciplinary Healthcare, 17(April), pp. 3887–3888. Available at: https://doi.org/10.2147/JMDH.S489036.
Guo, Y.Q. et al. (2023) ‘Depression, anxiety and stress among metastatic breast cancer patients on chemotherapy in China’, BMC Nursing, 22(1), pp. 1–11. Available at: https://doi.org/10.1186/s12912-023-01184-1.
Hall, D.L. et al. (2022) ‘A spotlight on avoidance coping to manage fear of recurrence among breast cancer survivors in an eHealth intervention’, Journal of Behavioral Medicine, 45(5), pp. 771–781. Available at: https://doi.org/10.1007/s10865-022-00349-8.
Ibrar, M. et al. (2022) ‘Breast Cancer Survivors’ Lived Experience of Adjuvant Hormone Therapy: A Thematic Analysis of Medication Side Effects and Their Impact on Adherence’, Frontiers in Psychology, 13(May), pp. 1–10. Available at: https://doi.org/10.3389/fpsyg.2022.861198.
Jamil, M. et al. (2023) ‘Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic’, Nurse Media Journal of Nursing, 13(3), pp. 263–273. Available at: https://doi.org/10.14710/nmjn.v13i3.54738.
Kuswanto, C.N. et al. (2024) ‘Self-compassion and parenting efficacy among mothers who are breast cancer survivors : Implications for psychological distress’. Available at: https://doi.org/10.1177/13591053231222162.
Madkhali, N.A. et al. (2024) ‘Has the COVID-19 pandemic affected the psychological state of arab cancer patients?’, Current Psychology, 43(15), pp. 13829–13840. Available at: https://doi.org/10.1007/s12144-022-03414-2.
Magnavita, N. et al. (2023) ‘Supporting Return to Work after Breast Cancer : A Mixed Method Study’, pp. 1–19.
Nurjannah, T.A. et al. (2021) ‘Hubungan Tingkat Stress dengan Kualitas Tidur pada Pasien Kanker Payudara Stadium 3 di RSU Royal Prima Medan Tahun 2021’, Journal of Health Science and Physiotherapy, 3(2), pp. 18–25.
Palacio, N. et al. (2022) ‘The impact of breast cancer on social cognition in female Colombian patients’, BMC Psychology, 10(1), pp. 1–13. Available at: https://doi.org/10.1186/s40359-022-01005-1.
Santoyo-Olsson, J. et al. (2022) ‘An Ecologic Model for Identifying Coping Resources to Manage Psychological Distress Among Spanish-Speaking Latina Women Newly Diagnosed With Breast Cancer’, Oncology Nursing Forum, 49(5), pp. 395–408. Available at: https://doi.org/10.1188/22.ONF.395-408.
Sebri, V., Policardo, G.R. and Pravettoni, G. (2024) ‘How to improve emotional regulation in breast cancer survivors? A psychological intervention’, Frontiers in Psychology, 15(September), pp. 1–10. Available at: https://doi.org/10.3389/fpsyg.2024.1443635.
Serpentini, S. et al. (2022) ‘Assessment of socio-relational self-efficacy in breast cancer patients: Italian validation of the social relationship coping efficacy scale (SRCE-I)’, BMC Psychology, 10(1), pp. 1–12. Available at: https://doi.org/10.1186/s40359-022-00966-7.
Taylor, J. and Chapman, B. (2024) ‘Infographics on signs and symptoms of metastatic ( secondary ) breast cancer can empower women with a breast cancer diagnosis’, (July), pp. 1–10. Available at: https://doi.org/10.3389/fpsyg.2024.1403114.
Verri, V. et al. (2024) ‘The influence of body image on psychological symptomatology in breast cancer women undergoing intervention: a pre-post study’, Frontiers in Psychology, 15(June), pp. 1–15. Available at: https://doi.org/10.3389/fpsyg.2024.1409538.
Weiner, L.S. et al. (2023) ‘Erratum: Correction to: A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors (Journal of behavioral medicine (2023) 46 4 (578-593))’, Journal of behavioral medicine, 46(4), pp. 707–708. Available at: https://doi.org/10.1007/s10865-022-00390-7.
Weng, J.H. et al. (2024) ‘A Clinical Study on the Efficacy of the Yangxin Huoxue Formula in Treating Stable Angina Pectoris (Qi Deficiency and Blood Stasis Syndrome) with Concurrent Anxiety and Depression Disorders’, Journal of Multidisciplinary Healthcare, 17(November), pp. 5317–5327. Available at: https://doi.org/10.2147/JMDH.S483104.
Zhang, Y. et al. (2024) ‘Suicidal ideation in Chinese patients with advanced breast cancer : a multi-center mediation model study’, pp. 1–11.
Zhu, J. et al. (2023) ‘Research on the applicability of an exercise rehabilitation app aiming to improve the mental and physical health of breast cancer patients in the post-operative period’, Frontiers in Psychology, 14(June), pp. 1–10. Available at: https://doi.org/10.3389/fpsyg.2023.1126284.