Asian Oncol Nurs.  2012 Feb;12(1):27-34. 10.5388/aon.2012.12.1.27.

Impacts of Fatigue, Pain, Anxiety, and Depression on the Quality of Life in Patients with Breast Cancer

Affiliations
  • 1Department of Nursing, Daegu Polytechnic College, Daegu, Korea.
  • 2Department of Nursing, Dongyang University, Yeongju, Korea. gdkim@dyu.ac.kr

Abstract

PURPOSE
This study was conducted to identify the impact of fatigue, pain, anxiety and depression on the quality of life (QOL) among breast cancer patients.
METHODS
This study was conducted from July 12th to July 20th, 2010. One hundred and fifty breast cancer patients were recruited from D city in Korea. The instruments used in this study were the fatigue, pain, anxiety, depression and the quality of life scales for patients with breast cancer. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with the SPSS/WIN 12.0 program.
RESULTS
The quality of life for cancer patients showed a significant relationship with fatigue, pain, anxiety and depression. The significant factors influencing quality of life were fatigue, pain, anxiety and depression that explained 65.6% of the variance.
CONCLUSION
Patients with breast cancer experienced fatigue, pain, anxiety and depression which led to a negative effect on quality of life. The results suggest that intervention programs to reduce fatigue, pain, anxiety and depression could improve the quality of life for breast cancer patients.

Keyword

Quality of Life; Fatigue; Pain; Anxiety; Depression

MeSH Terms

Anxiety
Breast
Breast Neoplasms
Depression
Fatigue
Humans
Korea
Quality of Life
Weights and Measures

Cited by  14 articles

The Factors Influencing Quality of Life in Women with Breast Cancer
Young Mi Ryu, Myungsun Yi
Asian Oncol Nurs. 2013;13(3):121-127.    doi: 10.5388/aon.2013.13.3.121.

Body Image and Physical suffering during Radiotherapy in Breast Cancer Patients Following Breast Conserving Operations
Mi Ok Han, Jeong Yun Park
Asian Oncol Nurs. 2014;14(3):155-161.    doi: 10.5388/aon.2014.14.3.155.

Impact of Climacteric Symptoms and Fatigue on the Quality of Life in Breast Cancer Survivors: The Mediating Effect of Cognitive Dysfunction
Gyung Duck Kim
Asian Oncol Nurs. 2014;14(2):58-65.    doi: 10.5388/aon.2014.14.2.58.

Influence of Spiritual Health and Fatigue on Depression in Breast Cancer Patients
Kyeongsook Jeong, Jeeun Heo, Youngsook Tae
Asian Oncol Nurs. 2014;14(2):51-57.    doi: 10.5388/aon.2014.14.2.51.

Educational Needs for Sexual Health and Its Effect on Depression and the Quality of Life in Patients with Prostate Cancer
Soonyoung Oh, Eunjung Ryu
Asian Oncol Nurs. 2015;15(3):163-170.    doi: 10.5388/aon.2015.15.3.163.

Changes of Symptom Distress and Quality of Life in Breast Cancer Patients Receiving Adjuvant Therapy
Jin-Hee Park, Sun Hyoung Bae, Young-Mi Jung
Asian Oncol Nurs. 2015;15(2):67-74.    doi: 10.5388/aon.2015.15.2.67.

Factors Influencing Quality of Life in Multiple Myeloma Patients
Hye Sook Kim, Myungsun Yi
Asian Oncol Nurs. 2015;15(1):9-17.    doi: 10.5388/aon.2015.15.1.9.

Psychometric Properties of the Korean Version of the Inner Strength Questionnaire
Suhyeon Choi, Eunjung Ryu
Asian Oncol Nurs. 2016;16(1):38-45.    doi: 10.5388/aon.2016.16.1.38.

Comparison in Spiritual Well-being and Quality of Life between Hospital and Home Hospice Patients
Bok Hee Kim, Heeok Park
J Korean Acad Community Health Nurs. 2013;24(3):292-301.    doi: 10.12799/jkachn.2013.24.3.292.

Quality of Life and Supportive Care Needs of Back-to-Work Breast Cancer Survivors
Su Jeong Han, Hye Won Kim, Dae Sung Yoon, Mi Ran Kim
Korean J Adult Nurs. 2019;31(5):552-561.    doi: 10.7475/kjan.2019.31.5.552.

A Study on Genetic Knowledge and Anxiety in Patients with Breast Cancer
Hyeyeon Seo, Myungsun Yi
Asian Oncol Nurs. 2017;17(3):151-157.    doi: 10.5388/aon.2017.17.3.151.

A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
Jung Ran Lee, Pok Ja Oh
J Korean Acad Nurs. 2019;49(4):375-385.    doi: 10.4040/jkan.2019.49.4.375.

Fatigue, Sleep Disturbance, and Quality of Life among Breast Cancer Patients Receiving Radiotherapy
Ran Young Kim, Hyojung Park
Korean J Adult Nurs. 2015;27(2):188-197.    doi: 10.7469/kjan.2015.27.2.188.

Posttraumatic Growth Measures in Breast Cancer Survivors: A Systematic Review
Sung Hae Kim, JuHee Lee
Korean J Adult Nurs. 2017;29(4):343-362.    doi: 10.7475/kjan.2017.29.4.343.


Reference

1. Brem S, Kumar NB. Management of treatment-related symptoms in patients with breast cancer: Current strategies and future directions. Clin J Oncol Nurs. 2011. 15:63–71.
2. Barsevick AM. The elusive concept of the symptom cluster. Oncol Nurs Forum. 2007. 34:971–980.
Article
3. Kim SH, Lee R, Lee KS. Symtom clusters in patients with breast cancer. J Korean Acad Adult Nurs. 2009. 21:705–717.
4. Byar KL, Berger AM, Bakken SL, Cetak MA. Impact of adjuvant breast cancer chemotherapy on fatigue, other symptoms, and quality of life. Oncol Nurs Forum. 2006. 33:E18–E26.
5. Dodd MJ, Cho MH, Cooper BA, Miaskowski C. The effect of symptom cluster on functional status and quality of life in women with breast cancer. Eur J Oncol Nurs. 2010. 14:101–110.
Article
6. Miaskowski C, Cooper BA, Paul SM, Dodd M, Lee K, Aouizerat BE, et al. Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: A cluster analysis. Oncol Nurs Forum. 2006. 33:E79–E89.
Article
7. So WK, Marsh G, Ling WM, Leung FY, Lo JC, Yeung M, et al. The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: a multicenter study. Oncol Nurs Forum. 2009. 36:E205–E214.
Article
8. Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs. 2007. 37:459–466.
Article
9. Kim YS, Tae YS. The influencing factors on quality of life among breast cancer survivors. J Korean Oncol Nurs. 2011. 11:221–228.
Article
10. Park JH, Jun EY, Kang MY, Joung YS, Kim GS. Symptom experience and quality of life in breast cancer survivors. J Korean Acad Nurs. 2009. 39:613–621.
Article
11. Pud D, Ben Ami S, Cooper BA, Aouizerat BE, Cohen D, Radiano R, et al. The symptom experience of oncology outpatients has a different impact on quality-of life outcomes. J Pain Symptom Manage. 2008. 35:162–170.
Article
12. Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long-term breast carcinoma survivors: a longitudinal investigation. Cancer. 2006. 106:751–758.
13. Cavalli Kluthcovsky AC, Urbanetz AA, de Carvalho DS, Pereira Maluf EM, Schlickmann Sylvestre GC, Bonatto Hatschbach SB. Fatigue after treatment in breast cancer survivors: prevalence, determinants and impact on health-related quality of life. Support Care Cancer. 2011. 13:1293–1297.
Article
14. Stevens PE, Dibble SL, Miaskowski C. Prevalence, characteristics, and impact of postmastectomy pain syndrome: an investigation of women's experience. Pain. 1995. 61:61–68.
Article
15. Chong MS, Bajwa ZH. Diagnosis and treatment of neuropathic pain. J Pain Symptom Manage. 2003. 25:S4–S11.
Article
16. Jung BF, Hermann D, Griggs J, Oaklander LA, Dworkin RH. Neuropathic pain associated with non-surgical treatment of breast cancer. Pain. 2005. 118:10–14.
Article
17. Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Pepping M, Mcgregor BA, et al. Major depression after breast cancer: a review of epidemiology and treatment. Gen Hosp Psychiatry. 2008. 30:112–126.
Article
18. Reyes-Gibby CC, Anderson KO, Morrow PK, Shete S, Hassan S. Depressive symptoms and health-related quality of life in breast survivors. J Womens Health. 2012. 21:1–8.
19. van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, Schouten HC, van Kleef M, Pantijin J. Quality of life and non-pain symptoms in patients with cancer. J pain Symptom Manage. 2009. 38:216–233.
20. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: Five year observational cohort study. BMJ. 2005. 330:702–705.
Article
21. FACIT-Fatigue scale-Korean version. Functional Assessment of Chronic Illness Therapy. accessed on 1 June 2010. Availble at://www.facit.org/FACITOrg/Questionnaires.
22. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J. 1978. 21:69–75.
23. Chon KK, Lee MK. Preliminary development of Korean version of CES-D. Korean J Clini Psychol. 1992. 11:65–76.
24. Functional assessment of cancer therapy-breast cancer version 4-Korean version. Functional Assessment of Chronic Illness Therapy. accessed on 1 June 2010. Availble at //www.facit.org/FACITOrg/Questionnaires.
25. Kim GD, Kim KH. Symptom cluster and quality of life with breast cancer undergoing chemotherapy. Korean J Adult Nurs. 2011. 23:434–445.
26. Byun HS, Kim GD, Chung BY, Kim KH. Fatigue and quality of life of Korean cancer inpatients. Korean J Hosp Palliat Care. 2010. 13:98–108.
Article
27. Stevens PE, Dibble SL, Miaskowski C. Prevalence, characteristics, and impact of postmastectomy pain syndrome: an investigation of women's experience. Pain. 1995. 61:61–68.
Article
28. Chong SM, Bajwa ZH. Diagnosis and treatment of neuropathic pain. J Pain Symptom Manage. 2003. 25(5):S4–S11.
Article
29. Yoo MS, Lee HJ, Yoon JA. Effects of a cognitive behavioral nursing intervention on anxiety and depression in women with breast cancer undergoing radiography. J Korean Acad Nurs. 2009. 39:157–165.
Article
30. Beck SL, Dudley WN, Barsevick A. Pain, sleep, disturbance, and fatigue in patients with cancer: using a mediation model to test a symptom cluster. Oncol Nurs Forum. 2005. 32:542.
Article
Full Text Links
  • AON
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr