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Perceção da doença, medo da progressão da doença e qualidade de vida em mulheres sobreviventes de cancro da mama
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O aumento das taxas de sobrevivência do cancro da mama está associado à melhoria na deteção e no tratamento precoce da doença. No entanto, as mulheres sobreviventes de cancro da mama apresentam frequentemente comorbilidades físicas e psicológicas, sendo uma das mais comuns o medo da progressão da doença. A perceção que estas mulheres têm acerca da sua condição pode contribuir para o aumento deste medo, o qual, por sua vez, pode comprometer a sua qualidade de vida. O presente estudo teve como principais objetivos analisar a relação entre a perceção da doença, o medo da progressão da doença e a qualidade de vida em mulheres sobreviventes de cancro da mama, bem como compreender em que medida a perceção da doença e o medo da progressão podem predizer os níveis de qualidade de vida nesta população. A amostra foi constituída por 101 mulheres sobreviventes de cancro da mama, com idades compreendidas entre os 29 e os 65 anos. Foram utilizados um questionário sociodemográfico e clínico, a Fear of Progression Questionnaire – Short Form (FOP-Q-SF), o Brief Illness Perception Questionnaire (Brief-IPQ) e o EORTC QLQ-C30 Quality of Life Questionnaire. Os resultados revelaram que níveis mais elevados de medo da progressão e perceções mais ameaçadoras da doença se associaram a uma pior qualidade de vida. Contudo, apenas a perceção da doença se mostrou um preditor significativo. Perceções mais negativas da doença associaram-se a níveis mais baixos de qualidade de vida, reforçando a importância de compreender e intervir nas perceções da doença em sobreviventes de cancro da mama.
The increase in breast cancer survival rates is associated with improvements in early detection and treatment of the disease. However, female breast cancer survivors often experience physical and psychological comorbidities, one of the most common being fear of cancer progression. The perception these women hold about their illness may contribute to increased fear, which, in turn, can compromise their quality of life. The main objectives of this study were to analyse the relationship between illness perception, fear of cancer progression, and quality of life in female breast cancer survivors, as well as to understand which illness perception and fear of progression may predict quality of life levels in this population. The sample consisted of 101 female breast cancer survivors aged between 29 and 65 years. Data were collected using a sociodemographic and clinical questionnaire, the Fear of Progression Questionnaire – Short Form (FOP-Q-SF), the Brief Illness Perception Questionnaire (Brief-IPQ), and the EORTC QLQ-C30 Quality of Life Questionnaire. Results revealed that higher levels of fear of progression and more threatening illness perceptions were associated with poorer quality of life. However, only illness perception emerged as a significant predictor. More negative perceptions of the illness were associated with lower levels of quality of life. These findings highlight the importance of understanding and addressing illness perceptions among breast cancer survivors.
The increase in breast cancer survival rates is associated with improvements in early detection and treatment of the disease. However, female breast cancer survivors often experience physical and psychological comorbidities, one of the most common being fear of cancer progression. The perception these women hold about their illness may contribute to increased fear, which, in turn, can compromise their quality of life. The main objectives of this study were to analyse the relationship between illness perception, fear of cancer progression, and quality of life in female breast cancer survivors, as well as to understand which illness perception and fear of progression may predict quality of life levels in this population. The sample consisted of 101 female breast cancer survivors aged between 29 and 65 years. Data were collected using a sociodemographic and clinical questionnaire, the Fear of Progression Questionnaire – Short Form (FOP-Q-SF), the Brief Illness Perception Questionnaire (Brief-IPQ), and the EORTC QLQ-C30 Quality of Life Questionnaire. Results revealed that higher levels of fear of progression and more threatening illness perceptions were associated with poorer quality of life. However, only illness perception emerged as a significant predictor. More negative perceptions of the illness were associated with lower levels of quality of life. These findings highlight the importance of understanding and addressing illness perceptions among breast cancer survivors.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Sobreviventes de cancro da mama Perceção da doença Medo da progressão da doença Qualidade de vida Psicologia da saúde Adaptação psicológica