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Psicologia, Saúde & Doenças
versão impressa ISSN 1645-0086
Psic., Saúde & Doenças v.5 n.1 Lisboa jul. 2004
Abordagem do Impacto Psicossocial no Adoecer da Mama
Ivone Patrão* & Isabel Leal
Instituto Superior de Psicologia Aplicada, Lisboa
RESUMO: Este artigo tem como objectivo realizar uma abordagem ao tema do impacto psicossocial no adoecer da mama. Os factores psicossociais considerados são: Acontecimentos de Vida; Suporte Social Percebido; Qualidade de Vida; Stress; Coping; Controle Emocional e Necessidade de Harmonia; e a Personalidade. Realiza-se uma breve introdução justificando a pertinência do tema e de seguida uma apresentação de cada factor psicossocial e sua relação com o adoecer da mama.
Palavras chave: Cancro da Mama, Factores Psicossociais.
Psychosocial Impact of the Breast Cancer
ABSTRACT: This article aims to address the psychosocial impact of the breast cancer disease. The psychosocial factors considered are: Life Events; Perceived Social Support; Quality of Life; Coping; Emotional Control and Necessity of Harmony; and Personality. The article starts with a brief introduction to explain the relevance of this issue, followed by a presentation of each psychosocial factor and its relation to the breast cancer disease.
Key words: Breast Cancer, Psychosocial Factors.
Texto completo disponível apenas em PDF.
Full text only available in PDF format.
REFERÊNCIAS
Alferi, S., Carver, C., Antoni, M., Weiss, S., & Dúran, R. (2001). An exploratory study of social support, distress, and life disruption among low-income hispanic women under treatment for early stage breast cancer. Health Psychology, 20(1), 41-46. [ Links ]
Al-Ghazal, S., Fallowfield, L., & Blamey, R. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36, 1938-1943.
Alter, C., Pelcovitz, D., Axelrod, A., Goldenberg, B., Harris, H., Meyers, B., Grobois, B., Mandel, F., Septimus, A., & Kaplan, S. (1996). Identification of PTSD in Cancer Survivors. Psychosomatics, 37, 137-143.
Amelang, M., Sclmidt-Rathjens, C., & Matthews, G. (1996). Personality, cancer and coronary heart disease: Futher evidence on a controversial issue. British Journal of Health Psychology, 1, 191-205.
APA (1994). Diagnostic and Statistical Manual of Mental Disorders (4ª ed.). Washington, DC: American Psychiatric Association
Andreu, Y. (2001). Personalidad TIPO C. Historia y validez del concepto. In E. Durá & M. Rosario (Coords), Territorios da Psicología Oncológica (pp. 399-426). Lisboa: Climepsi
Andrykowski, M., & Cordova, M. (1998). Factors associated with PTSD symptoms following treatment for breast cancer: Test of Andersen Model. Journal of Traumatic Stress, 11(2), 189-203.
Andrykowski, M., Cordova, M., McGrath, P., Sloan, D., & Kennady, D. (2000). Stability and change in posttraumatic stress disorder following breast cancer treatment: A 1 year follow-up. Psycho-oncology, 9(1), 69-78.
Butler, L., Koopman, Ch., Classen, C., & Spiegel, D. (1999). Traumatic stress, life events, and emotional support in women with metastatic breast cancer: Cancer-related traumatic stress symptoms associated with past and current stressors. Health Psychology, 18(6), 555-560.
Bleiker, E., Ploeg, V., Hendriks, J., Leer, J.W., & Kleijn, W. (1993). Rationality, emotional expression and control: Psychometric characteristics of a questionnaire for research in Psycho-oncology. Journal of Psychosomatic Research, 37(8), 861-872.
Bloom, J., Stewart, S., Johnston, M., & Banks, P. (1998). Intrusiveness of illness and quality of life in young women with breast cancer. Psycho-Oncology, 7, 89-100.
Bloom, J. (2000). The role of Family Support in cancer control. In L. Baider, C. Cooper, &
A. De-Nour (Eds.), Cancer and the family (2nd ed., pp. 55-71). New York: John Wiley & Sons. Bloom, J., Stewart, S., Johnston, M., Banks, P., & Fobair, P. (2001). Sources of support and the physical and mental well-being of young women with breast cancer. Social Science & Medicine, 53, 1513-1524.
Bolger, N., Vinokur, A., Foster, M., & Ng, R. (1996). Close relationship and adjustment to a life crisis: The case of breast cancer. Journal of Personality and Social Psychology, 70(2), 283-294.
Botelho, T., & Leal, I. (2001). Personalidade materna e prematuridade. Secretariado Nacional para a Reabilitação e Integração de Pessoas com Deficiência. Lisboa.
Butow, P., Hiller, J., Price, M., Thackway,S., Kricker, A., & Tennant, C.(2000). Epidemiological evidence for relationship between life events, coping style, and personality factors in the development of breast cancer. Journal of Psychosomatic Research, 49, 169-181.
Carlsson, M., & Hamrin, E. (1994). Psychological and psychosocial aspects of breast cancer and breast cancer treatment. Cancer Nursing, 17(5), 418-428.
Carver, C., Harris, S., Pozo-Kaderman, C., Price, A., Noriega, V., Derhagopian, R., Robison, D., & Moffatt, F. (1998). Concern about aspects of body image and adjustment to early stage breast cancer. Psychosomatic Medicine, 60, 168-174. Cella, D. (1998). Quality of Life. In J. Holland (Ed.), Handbook of Psychooncology (pp. 1135-1146).
New York: Oxford University Press. Classen, C., Koopman, C., Angell, K., & Spiegel, D. (1996). Coping styles associated with psychological adjustment to advenced breast cancer. Health Psychology, 15(6), 434-437.
Cohen, L., Hack, T., Moor, C., Katz, J., & Goss, P. (2000). The effects of type of surgery and time on psychological adjustment in women after breast cancer treatment. Annals of Surgical Oncology, 7(6), 427-434.
Compas, B., Stoll, M., Thomsen, A., Oppedisano, G., Epping-Jordan, J., & Krag, D. (1999). Adjustment to breast cancer: Age-related differences in coping and emotional distress. Breast Cancer Research and Treatment,54, 195-203.
Cordova, M., Cunningham, C., Carlson, C., & Andrykowaki, M. (2001). Posttraumatic growth following breast câncer: A controlled comparion study. Health Psychology, 20(3), 176-185.
Degoratis, L. (1982). Self-report mesasures of stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 270-290).
New York: Free Press. Endler, N., & Edwards, J. (1982). Stress and Personality. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 36-48).
New York: Free Press. Epping-Jordan, J., Compas, B., Osowiecki, D., Oppedisano, G., Gerhardt, C., Primo, K., & Krag, D. (1999). Psychological adjustment in breast cancer: Processes of emotional distress. Health Psychology, 18(4), 315-326.
Fernandez -Ballesteros, R., & Garde, R. (1998). Emotional expression in healthy women and those with breast cancer. British Journal of Health Psychology, 3, 41-50.
Green, B., Krupnick, J., Rowland, J., Epstein, S., Stockton, P., Spertus, & Stern, N. (2000). Trauma history as a predictor of psychologic symptoms in women with breast cancer. Journal of Clinical Oncololy, 18(5), 1084-93.
Hack, T. E Degner, L. (1999). Coping with breast cancer: A cluster analityc approach. Breast Cancer Research and Treatment, 54, 185-194.
Hamptom, M., & Frombach, I. (2000). Women experience of traumatic stress in cancer treatment. Health Care for Woman International, 21, 67-76.
Haan, N. (1982). The assessment of coping, defense, and stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 254-269).
New York: Free Press. Helgeson, V., Cohen, S., & Fritz, H. (1998). Social Ties and Cancer. In J. Holland (Ed.), Psycho-oncology (pp. 99-109).
New York: Oxford University Press. Hilakivi-Clarke, L., Rowland, J., Clarke, R., & Lippman, M. (1993). Psychosocial factors in the development/progression of breast cancer. Breast Cancer Research and Treatment, 29, 141-160.
Holroyd, K., & Lazarus, R. (1982). Stress, coping, and somatic adaptation. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 21-35).
New York: Free Press. Hopwood, P., Lee, A., Shenton, A., Baildam, A., Brain, A., Lalloo, F., Evans, G., & Howell, A. (2000). Clinical follow-up after bilateral risk reducing ('prophylactic') mastectomy: Mental health and body image outcomes. Psycho-oncology, 9, 462-472.
IARC (2003). Research in the behavioural and social sciences to improve cancer control and care. A strategy for development: Report of an expert group. Lyon: IARC Press.
Iwamitsu, Y.M, Shimoda, K., Abe, H., Tani, T., Kodama, M., & Okawa, M. (2003). Differences in emotional distress between breast tumor patients with emotional inhibition and those with emotional expression. Psychiatry and Clinical Neuroscience, 57, 289-294.
Jacobs, J., & Bovasso, G. (2000). Early and chronic stress and their relation to breast cancer. Psychological Medicine, 30, 669-678.
Komproe, I., Rijken, M., Ros, W., Winnubst, J., & Hart, H. (1997). Available support and received support: Different effects under stressful circumstances. Journal of Social and Personal Relationships, 14(1), 59-77.
Kornblith, A., Herndon, J., Zuckerman, E., Viscoli, C., Horwitz, R., Cooper, M., Harris, L., Tkaczuk, K., Perry, M., Budman, D., Norton, L., & Holland, J. (2001). Social support as a buffer to the psychological impact of stressful life events in women with breast cancer. Cancer, 91(2), 443-454.
Kreitler, S., Kreitler, H., Chaitchik, S., Shaked, S., & Shaked, T. (1997). Psychological and Medical Predictors of disease course in breast cancer: A prospective study. European Journal of Personality, 11(5), 383-400.
Lima, M. (1997). NEO-PI-R: Contextos Teóricos e Psicometricos: "Ocean ou Iceberg"? Dissertação Doutoramento. Faculdade Psicologia Ciências Educação da Universidade de Coimbra.
Lieberman, M. (1982). The effects of social supports on response to stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 764-783). New York: Free Press.
Lindop, E., & Cannon, S. (2001). Evaluating the self-assessed support needs of women with breast cancer. Journal of Advanced Nursing, 34(6), 760-771.
Massie, M., & Popkin, M. (1998). Depressive disorders. In J. Holland (Ed.), Psycho-oncology (pp. 518-540). New York: Oxford University Press.
Mccaul, K., Sandgren, A., King, B., O'donnell, S., Branstetter, A., & Foreman, G. (1999). Coping and adjustment to breast cancer. Psycho-oncology, 8, 230-236.
Mckenna, M., Zevon, M,, Corn, B. & Round, J. (1999). Psychosocial factors and the development of breast cancer: A meta-analysis. Health Psychology, 18(5), 520-531.
McLean, B. (1995). Social support, support groups, and breast cancer: A literature review. Canadian Journal, 14(2), 207-227.
Michael, Y., Berkman, L., Colditz, G., Holmes, M. & Kawachi, I. (2002). Social Networks and health-related quality of life in breast cancer survivors: A prospective study. Journal of Psychosomatic Research, 52, 285-293.
Miranda, A. (1994). Rastreio do cancro. Revista Portuguesa de Saúde Pública, 12(3), 57-60.
Moos, R., & Billings, A. (1982). Conceptualizing and measuring coping resources and processes. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 212-230).
New York: Free Press. Moyer, A. (1997). Psychosocial outcomes of breast-conseving surgery versus mastectomy: A meta-analytic review. Health Psychology,16(3), 284-298.
Nelles, W., McCaffrey, R., Blanchard, C., & Ruckdeschel, J. (1991). Social supports and breast cancer: A review. Journal of Psychosocial Oncology, 9(2), 21-34.
Ogden, J. (1999).Psicologia da Saúde. Lisboa: Climepsi
Osowiecki, D., & Compas, B. (1999). A prospective study of coping, perceived control, and psychological adaptation to breast cancer. Cognitive Therapy and Research, 23(2), 169-180.
Payne, D., Hoffman, R., Theodoulou, M., Dosik, M., & Massie, M. (1999). Screening for anxiety and depression in women with breast cancer. Psychosomatics, 40, 64-69.
Perkins, D. (1982). The assessment of stress using life events scales. In L. Goldberger & S. Breznitz (Eds.), Handbook of Stress: Theoretical and clinical aspects (pp. 320-331).
New York: Free Press. Petticrew, M., Fraser, J., & Regan, M. (1999). Adeverse life events and risk of breast cancer: A meta-analysis. British Journal of Health Psychology, 4, 1-17.
Ribeiro, J. (2001). Qualidade de Vida e doença oncológica. In E. Durá & M. Rosário (Eds.), Territorios da Psicología Oncológica (pp. 75-98). Lisboa: Climepsi.
Primo, K., Compas, B., Oppedisano, G., Howell, D., Epping-Jordan, D., & Krag, D. (2000). Intrusive thougts and avoidance in breast cancer: Individual differences and association with psychological distress. Psychology and Health, 14, 1141-1153.
Rietman, J., Dijkstra, P., Hoekstra, H., Eisma, W., Szabo, B., Groothoff, J., & Geertzen, H. (2003). Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: A systematic review. European Journal of Surgical Oncology, 29, 229-238.
Rowland, J., Desmond, K., Meyerowitz, B., Belin, T., Wyatt, G., & Ganz, P. (2000). Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. Journal of the National Cancer Institute, 92(17), 1422-1429.
Ruíz, M., Bermudez, M., & Garde, A. (1999). Factores psicosociales en el cáncer de mama: Un estudio cuasi-prospectivo. Boletín de Psicología, 64, 57-80.
Russell, J., Craig, H., & Massie, M. (1998). Anxiety disorders. In J. Holland (Ed.), Psycho-oncology (pp. 548-563). New York: Oxford University Press.
Schag, C., Ganz, P., Polinsky, M., Fred, C., Hirji, K., & Petersen, L. (1993). Characteristics of women at risk for psychosocial distress in the year after breast cancer. Journal of Clinical Oncology, 11(4), 783-793.
Serra, A. (2002). Recursos e estratégias para lidar com o stress. In A. Serra (Ed.), O stress na vida de todos os dias (pp. 365-439). Coimbra: Edição do Autor.
Sosa, C., Capafóns, J., & Carbalheira, M. (1999). Afrontamiento, ajuste psicológico y cáncer de mama. Ansiedade y Estrés, 5(1), 47-60.
Spencer, S., Lehman, J., Wynings, C., Arena, P., Carver, C., Antoni, M., Derhagopian, R., & Iroson, G. (1999). Concerns about breast cancer and relations to psychosocial well-being in a multiethnic sample of early-stage patients. Health Psychology, 18(2), 159-168.
Stanton, A., Danofferon, C., Bishop, M., Collins, C. Kirk, S., Sworowski, L., & Twillman, R. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68(5), 875-882.
Swan, G., Carmelli, D., Dame, A., Rosenman, R., & Spielberger, C. (1991). The rationality/ /emotional defensiveness scale - I. Internal structure and stability. Journal of Psychosomatic Research, 35(4/5), 545-554.
Swan, G., Carmelli, D., Dame, A., Rosenman, R., & Spielberger, C. (1992). The rationality/ /emotional defensiveness scale - II. Convergent and discriminant correlational analysis in males and females with and without cancer. Journal of Psychosomatic Research, 36(4), 349-359.
Watson, M., Haviland, J., Greer, S., Davidson, J., & Bliss, J. (1999). Influence of Psychological response on survival in breast cancer: A population-based cohort study. The Lancet, 354, 1331-1320.Widows, M., Jacobsen, P., & Fields, K. (2000). Relation of psychological vulnerability factors to posttraumatic stress disorder symptomatology in bone marrow transplant recipients. Psychosomatic Medicine, 62, 873-882.
Winnubst, J., Couzjin, A., & Ros, W. (1990). Social support and cancer: Main themes and problems. In L. Schmidt, P. Schwenkmezger, J. Weiman, & S. Maes (Eds.), Theoretical and Applied Aspects of Health Psychology (pp. 203-212). New York: Harwood Academic Publishers.
Woodword, V., & Webb, C. (2001). Women's anxieties surrounding breast disorders: A systematic review of the literature. Journal of Advanced Nursing, 33(1), 29-41.
Zakowski, S., Valdimarsdottir, H., Bovbjerg, D., Borgen, P., Holland, J., Kash, K., Miller, D., Mitnick, J., Osborne, M., & Van Zee, K. (1997). Predictors of intrusive thougts and avoidance in women with family histories of breast cancer. Annals of Behavioral Medicine, 19(4), 362-369.
*Contactar para E-mail: iamp@sapo.pt
Investigação realizada com apoio da Bolsa Doutoramento da FCT (BD/10047/02).