Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients
Approximately 75% of the 181 000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr,but survival often depends on receiving adjuvant chemotherapy. We determined that mood variables and attitude toward cancer could predict compliance with IV-administered chemotherapy. The p...
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Published in | Journal of psychosomatic research Vol. 38; no. 5; pp. 393 - 402 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Amsterdam
Elsevier Inc
01.07.1994
New York, NY Elsevier |
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Abstract | Approximately 75% of the 181 000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr,but survival often depends on receiving adjuvant chemotherapy. We determined that mood variables and attitude toward cancer could predict compliance with IV-administered chemotherapy. The participants were seventy-four women diagnosed with primary breast cancer receiving treatment at a state-supported medical center in one of three southeastern metropolitan areas in the U.S. Most patients were members of minority and lower socioeconomic groups. The design was prospective in the sense that mood and attitude variables were assessed before determination of compliance. Two psychological instruments were used in this study, the Mental Adjustment to Cancer (MAC) Scale and the Affects Balance Scale (ABS). Patients who kept fewer than 85% of their appointments were classified as noncompliant; those keeping 85% or more were classified as compliant. Sixty-three percent of the patients for whom the compliance information was complete were classified as compliant; 37% were noncompliant; and four patients were not included in the analysis because their records were incomplete. The discriminant function was able to correctly classify 86% of the patients according to chemotherapy compliance, a 36% improvement over the chance level. High scores on MAC Fighting Spirit and ABS Anxiety, Depression, and Vigor scales were associated with greater adherence to a chemotherapy regimen. High scores on ABS Guilt and Hostility scales predicted lower levels of compliance. |
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AbstractList | Approximately 75% of the 181 000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr,but survival often depends on receiving adjuvant chemotherapy. We determined that mood variables and attitude toward cancer could predict compliance with IV-administered chemotherapy. The participants were seventy-four women diagnosed with primary breast cancer receiving treatment at a state-supported medical center in one of three southeastern metropolitan areas in the U.S. Most patients were members of minority and lower socioeconomic groups. The design was prospective in the sense that mood and attitude variables were assessed before determination of compliance. Two psychological instruments were used in this study, the Mental Adjustment to Cancer (MAC) Scale and the Affects Balance Scale (ABS). Patients who kept fewer than 85% of their appointments were classified as noncompliant; those keeping 85% or more were classified as compliant. Sixty-three percent of the patients for whom the compliance information was complete were classified as compliant; 37% were noncompliant; and four patients were not included in the analysis because their records were incomplete. The discriminant function was able to correctly classify 86% of the patients according to chemotherapy compliance, a 36% improvement over the chance level. High scores on MAC Fighting Spirit and ABS Anxiety, Depression, and Vigor scales were associated with greater adherence to a chemotherapy regimen. High scores on ABS Guilt and Hostility scales predicted lower levels of compliance. Mood and attitude variables were assessed before determination of compliance, using the Mental Adjustment to Cancer (MAC) Scale and the Affects Balance Scale (ABS). High scores on MAC Fighting Spirit and ABS Anxiety, Depression and Vigor scales were associated with greater adherence to a chemotherapy regimen. High scores on ABS Guilt and Hostility scales predicted lower levels of compliance. (Original abstract-amended) |
Author | Matheny, Kenneth B. Takayanagi, Sumiko Cotanch, Patricia H. Ayres, Anne Hoon, Peter W. Franzoni, Janet B. |
Author_xml | – sequence: 1 givenname: Anne surname: Ayres fullname: Ayres, Anne organization: Departments of Psychiatry and Psychology, Veterans Affairs Medical Center and University of Tennessee, Memphis, TN38104, U.S.A – sequence: 2 givenname: Peter W. surname: Hoon fullname: Hoon, Peter W. organization: Department of Psychiatry, University of Tennessee, Memphis, TN 38105, U.S.A – sequence: 3 givenname: Janet B. surname: Franzoni fullname: Franzoni, Janet B. organization: Department of Counseling and Psychological Services, Georgia State University, Atlanta, GA 30303, U.S.A – sequence: 4 givenname: Kenneth B. surname: Matheny fullname: Matheny, Kenneth B. organization: Department of Counseling and Psychological Services, Georgia State University, Atlanta, GA 30303, U.S.A – sequence: 5 givenname: Patricia H. surname: Cotanch fullname: Cotanch, Patricia H. organization: Department of Nursing and Mental Health, Georgia State University, Atlanta, GA 30303, U.S.A – sequence: 6 givenname: Sumiko surname: Takayanagi fullname: Takayanagi, Sumiko organization: Department of Psychology, University of Southern California, Los Angeles, CA 90089, U.S.A |
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Keywords | Antineoplastic agent Human Social attitude Malignant tumor Drug compliance Mammary gland diseases Chemotherapy Mood Treatment Female Treatment compliance Coping Mammary gland |
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Snippet | Approximately 75% of the 181 000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr,but survival often depends on receiving adjuvant... Approximately 75% of the 181,000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr, but survival often depends on receiving... Mood and attitude variables were assessed before determination of compliance, using the Mental Adjustment to Cancer (MAC) Scale and the Affects Balance Scale... |
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SubjectTerms | Adaptation, Psychological Adjustment Adult Affect Aged Antineoplastic agents Biological and medical sciences Breast cancer Breast Neoplasms - drug therapy Breast Neoplasms - pathology Breast Neoplasms - psychology Chemotherapy Chemotherapy, Adjuvant - psychology Combined Modality Therapy Compliance Female General aspects Humans Mastectomy - psychology Medical sciences Middle Aged Neoplasm Staging Patient Compliance - psychology Pharmacology. Drug treatments Prospective Studies Sick Role |
Title | Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients |
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