ICF, quality of life, and depression in breast cancer: Perceived disability in disease-free women 6 months after mastectomy

Giardini Anna, Pisoni Camilla, Giorgi Ines, Borelli Veronica, Scoccia Elisabetta, Majani Giuseppina

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Goal of work: Aim of the present observational study is to focus on health-related quality of life (HRQL), mood and everyday life of breast cancer affected women disease-free 6 months after mastectomy, paying particular attention to the International Classification of Functioning, Disability and Health (ICF) framework contribution. Materials and methods: Sixty-five breast cancer-affected women disease-free 6 months after mastectomy hospitalized for reconstructive surgery (mean age 46.3 ± 7.3) were enrolled. Their depressive symptoms (Beck Depression Inventory - BDI-II), HRQL, and every day life functioning/barriers and facilitators (ICF) were assessed. Results: At the BDI-II, 6 patients (9.2 %) reported mild depression and 6 (9.2 %) severe depression; when the subscales were considered, 7 (10.8%) resulted depressed at the somatic-affective factor and 16 (24.6 %) at the cognitive factor. Compared to normative data no differences emerged at the HRQL Physical Component Summary (46.4 ± 9.3 vs 49.1 ± 10.1), whereas patients reported lower scores at the Mental HRQL Component Summary (45.9 ± 10.1 vs 51.5 ± 9.1; p = 0.00001 t = -4.3). As for the activity and participation domain, 11 of the 42 categories investigated were compromised in at least 20% of the sample: lifting and carrying objects (d430), acquisition of goods and services (d620), doing housework (d640), remunerative employment (d850), and many categories relating to interpersonal relationships; moreover the caregiver seems to be perceived as an important and positive modulator of disability. Conclusions: The addition of the ICF evaluation to the usual psychological assessment gives a more complete picture, enabling a broader perspective of the psychological-clinical implications. Mainly, the women that we have evaluated continue to function in their everyday lives, thanks in part to their ability to accept help from their own families. However, they inevitably carry signs of their disease which some translating into problems with interpersonal relationships, depressive thoughts and negative ideation. Only the synergistic use of all these assessment instruments can one truly perceive all the nuances relating to the social and psychological conditions of the assessed patients' life, overcoming a binomial vision of well-being and ill-being.

Original languageEnglish
Pages (from-to)2453-2460
Number of pages8
JournalSupportive Care in Cancer
Volume21
Issue number9
DOIs
Publication statusPublished - Sep 2013

Fingerprint

Mastectomy
Quality of Life
Depression
Breast Neoplasms
Psychology
Reconstructive Surgical Procedures
International Classification of Functioning, Disability and Health
Housekeeping
Aptitude
Social Conditions
Caregivers
Observational Studies
Mental Health
Equipment and Supplies

Keywords

  • Breast cancer
  • Depression
  • Disability
  • ICF

ASJC Scopus subject areas

  • Oncology

Cite this

ICF, quality of life, and depression in breast cancer : Perceived disability in disease-free women 6 months after mastectomy. / Anna, Giardini; Camilla, Pisoni; Ines, Giorgi; Veronica, Borelli; Elisabetta, Scoccia; Giuseppina, Majani.

In: Supportive Care in Cancer, Vol. 21, No. 9, 09.2013, p. 2453-2460.

Research output: Contribution to journalArticle

@article{5848dd66ebb146aeb975541f946dfa9e,
title = "ICF, quality of life, and depression in breast cancer: Perceived disability in disease-free women 6 months after mastectomy",
abstract = "Goal of work: Aim of the present observational study is to focus on health-related quality of life (HRQL), mood and everyday life of breast cancer affected women disease-free 6 months after mastectomy, paying particular attention to the International Classification of Functioning, Disability and Health (ICF) framework contribution. Materials and methods: Sixty-five breast cancer-affected women disease-free 6 months after mastectomy hospitalized for reconstructive surgery (mean age 46.3 ± 7.3) were enrolled. Their depressive symptoms (Beck Depression Inventory - BDI-II), HRQL, and every day life functioning/barriers and facilitators (ICF) were assessed. Results: At the BDI-II, 6 patients (9.2 {\%}) reported mild depression and 6 (9.2 {\%}) severe depression; when the subscales were considered, 7 (10.8{\%}) resulted depressed at the somatic-affective factor and 16 (24.6 {\%}) at the cognitive factor. Compared to normative data no differences emerged at the HRQL Physical Component Summary (46.4 ± 9.3 vs 49.1 ± 10.1), whereas patients reported lower scores at the Mental HRQL Component Summary (45.9 ± 10.1 vs 51.5 ± 9.1; p = 0.00001 t = -4.3). As for the activity and participation domain, 11 of the 42 categories investigated were compromised in at least 20{\%} of the sample: lifting and carrying objects (d430), acquisition of goods and services (d620), doing housework (d640), remunerative employment (d850), and many categories relating to interpersonal relationships; moreover the caregiver seems to be perceived as an important and positive modulator of disability. Conclusions: The addition of the ICF evaluation to the usual psychological assessment gives a more complete picture, enabling a broader perspective of the psychological-clinical implications. Mainly, the women that we have evaluated continue to function in their everyday lives, thanks in part to their ability to accept help from their own families. However, they inevitably carry signs of their disease which some translating into problems with interpersonal relationships, depressive thoughts and negative ideation. Only the synergistic use of all these assessment instruments can one truly perceive all the nuances relating to the social and psychological conditions of the assessed patients' life, overcoming a binomial vision of well-being and ill-being.",
keywords = "Breast cancer, Depression, Disability, ICF",
author = "Giardini Anna and Pisoni Camilla and Giorgi Ines and Borelli Veronica and Scoccia Elisabetta and Majani Giuseppina",
year = "2013",
month = "9",
doi = "10.1007/s00520-013-1794-7",
language = "English",
volume = "21",
pages = "2453--2460",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
number = "9",

}

TY - JOUR

T1 - ICF, quality of life, and depression in breast cancer

T2 - Perceived disability in disease-free women 6 months after mastectomy

AU - Anna, Giardini

AU - Camilla, Pisoni

AU - Ines, Giorgi

AU - Veronica, Borelli

AU - Elisabetta, Scoccia

AU - Giuseppina, Majani

PY - 2013/9

Y1 - 2013/9

N2 - Goal of work: Aim of the present observational study is to focus on health-related quality of life (HRQL), mood and everyday life of breast cancer affected women disease-free 6 months after mastectomy, paying particular attention to the International Classification of Functioning, Disability and Health (ICF) framework contribution. Materials and methods: Sixty-five breast cancer-affected women disease-free 6 months after mastectomy hospitalized for reconstructive surgery (mean age 46.3 ± 7.3) were enrolled. Their depressive symptoms (Beck Depression Inventory - BDI-II), HRQL, and every day life functioning/barriers and facilitators (ICF) were assessed. Results: At the BDI-II, 6 patients (9.2 %) reported mild depression and 6 (9.2 %) severe depression; when the subscales were considered, 7 (10.8%) resulted depressed at the somatic-affective factor and 16 (24.6 %) at the cognitive factor. Compared to normative data no differences emerged at the HRQL Physical Component Summary (46.4 ± 9.3 vs 49.1 ± 10.1), whereas patients reported lower scores at the Mental HRQL Component Summary (45.9 ± 10.1 vs 51.5 ± 9.1; p = 0.00001 t = -4.3). As for the activity and participation domain, 11 of the 42 categories investigated were compromised in at least 20% of the sample: lifting and carrying objects (d430), acquisition of goods and services (d620), doing housework (d640), remunerative employment (d850), and many categories relating to interpersonal relationships; moreover the caregiver seems to be perceived as an important and positive modulator of disability. Conclusions: The addition of the ICF evaluation to the usual psychological assessment gives a more complete picture, enabling a broader perspective of the psychological-clinical implications. Mainly, the women that we have evaluated continue to function in their everyday lives, thanks in part to their ability to accept help from their own families. However, they inevitably carry signs of their disease which some translating into problems with interpersonal relationships, depressive thoughts and negative ideation. Only the synergistic use of all these assessment instruments can one truly perceive all the nuances relating to the social and psychological conditions of the assessed patients' life, overcoming a binomial vision of well-being and ill-being.

AB - Goal of work: Aim of the present observational study is to focus on health-related quality of life (HRQL), mood and everyday life of breast cancer affected women disease-free 6 months after mastectomy, paying particular attention to the International Classification of Functioning, Disability and Health (ICF) framework contribution. Materials and methods: Sixty-five breast cancer-affected women disease-free 6 months after mastectomy hospitalized for reconstructive surgery (mean age 46.3 ± 7.3) were enrolled. Their depressive symptoms (Beck Depression Inventory - BDI-II), HRQL, and every day life functioning/barriers and facilitators (ICF) were assessed. Results: At the BDI-II, 6 patients (9.2 %) reported mild depression and 6 (9.2 %) severe depression; when the subscales were considered, 7 (10.8%) resulted depressed at the somatic-affective factor and 16 (24.6 %) at the cognitive factor. Compared to normative data no differences emerged at the HRQL Physical Component Summary (46.4 ± 9.3 vs 49.1 ± 10.1), whereas patients reported lower scores at the Mental HRQL Component Summary (45.9 ± 10.1 vs 51.5 ± 9.1; p = 0.00001 t = -4.3). As for the activity and participation domain, 11 of the 42 categories investigated were compromised in at least 20% of the sample: lifting and carrying objects (d430), acquisition of goods and services (d620), doing housework (d640), remunerative employment (d850), and many categories relating to interpersonal relationships; moreover the caregiver seems to be perceived as an important and positive modulator of disability. Conclusions: The addition of the ICF evaluation to the usual psychological assessment gives a more complete picture, enabling a broader perspective of the psychological-clinical implications. Mainly, the women that we have evaluated continue to function in their everyday lives, thanks in part to their ability to accept help from their own families. However, they inevitably carry signs of their disease which some translating into problems with interpersonal relationships, depressive thoughts and negative ideation. Only the synergistic use of all these assessment instruments can one truly perceive all the nuances relating to the social and psychological conditions of the assessed patients' life, overcoming a binomial vision of well-being and ill-being.

KW - Breast cancer

KW - Depression

KW - Disability

KW - ICF

UR - http://www.scopus.com/inward/record.url?scp=84881218604&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881218604&partnerID=8YFLogxK

U2 - 10.1007/s00520-013-1794-7

DO - 10.1007/s00520-013-1794-7

M3 - Article

C2 - 23604452

AN - SCOPUS:84881218604

VL - 21

SP - 2453

EP - 2460

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 9

ER -