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      Is Open Access

      Psychological Variables Associated With Health-Related Quality-of-Life in Uruguayan Women Surgically Intervened for Breast Cancer

      * , a , , b
      Psychology, Community & Health
      breast cancer, women, HRQOL, stress, depression, coping

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          This study described demographic, clinical, psychological and health-related quality of life (HRQOL) characteristics in women surgically intervened for breast cancer, and the present study was conducted to examine the association between these characteristics.


          Uruguayan women (N = 116) diagnosed and surgically intervened for breast cancer were assessed on demographic, clinical and psychological indicators and HRQOL, by self-report questionnaires (i.e., BDI-II, PSS, Brief-COPE, and SF-36). Study was conducted adopting a non-experimental, cross-sectional methodology. After studying associations between variables assessed, hierarchical regression analyses were performed to identify HRQOL predictors.


          HRQOL Physical Health Component (SF-36) was predicted by perceived stress and depression, above and beyond demographic and clinical factors. And HRQOL Mental Health Component (SF-36) was predicted by education, time elapsed since diagnosis of breast cancer, time hospitalized during the past year, perceived stress and depression.


          Results suggest that psychological variables may have a significant role for HRQOL prediction, and need to be taken into account along with demographic and clinical markers in order to explain HRQOL outcomes in women with breast cancer.

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          Most cited references57

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          The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.

          A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The SF-36 includes one multi-item scale that assesses eight health concepts: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health (psychological distress and well-being); 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The survey was constructed for self-administration by persons 14 years of age and older, and for administration by a trained interviewer in person or by telephone. The history of the development of the SF-36, the origin of specific items, and the logic underlying their selection are summarized. The content and features of the SF-36 are compared with the 20-item Medical Outcomes Study short-form.
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            A global measure of perceived stress.

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              You want to measure coping but your protocol's too long: consider the brief COPE.

              Studies of coping in applied settings often confront the need to minimize time demands on participants. The problem of participant response burden is exacerbated further by the fact that these studies typically are designed to test multiple hypotheses with the same sample, a strategy that entails the use of many time-consuming measures. Such research would benefit from a brief measure of coping assessing several responses known to be relevant to effective and ineffective coping. This article presents such a brief form of a previously published measure called the COPE inventory (Carver, Scheier, & Weintraub, 1989), which has proven to be useful in health-related research. The Brief COPE omits two scales of the full COPE, reduces others to two items per scale, and adds one scale. Psychometric properties of the Brief COPE are reported, derived from a sample of adults participating in a study of the process of recovery after Hurricane Andrew.

                Author and article information

                Psychol Community Health
                Psychology, Community & Health
                Psychol. Community Health
                28 November 2014
                : 3
                : 3
                : 172-188
                [a ]Departamento de Psicología Clínica y de la Salud, Facultad de Psicología, Universidad Católica del Uruguay, Montevideo, Uruguay
                [b ]Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain
                [3]Psychology & Health Research Unit (UIPES), ISPA - Instituto Universitário, Lisbon, Portugal
                Author notes
                [* ]Departamento de Psicología Clínica y de la Salud, Facultad de Psicología, Universidad Católica del Uruguay, Av. 8 de Octubre 2738, CP 11600 Montevideo, Uruguay. Tel.: (+598) 2487 2717. micaelareich@ 123456gmail.com

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                : 21 February 2014
                : 17 September 2014
                Self URI (journal-page): https://journals.psychopen.eu/
                Empirical Articles

                stress,coping,depression,HRQOL,women,breast cancer
                stress, coping, depression, HRQOL, women, breast cancer


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