Can illness representations be used to understand pain experienced in breast cancer survivorship-a cross-sectional study.

IF 3.1 2区医学 Q2 ONCOLOGY

Journal of Cancer Survivorship Pub Date : 2025-06-01 Epub Date: 2024-01-29 DOI:10.1007/s11764-024-01533-2

Lewis Langford, Gary Latchford, Matt Mulvey

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引用次数: 0

Abstract

Background: Chronic pain is a recognised long-term consequence associated with breast cancer and its treatment; however, it is often underdiagnosed and undertreated. This study aims to explore the associations between illness representations, chronic cancer pain, and HRQoL in women who have survived breast cancer.

Design and methods: A cross-sectional online survey design was used. Data from 182 women who participated in the survey were analysed.

Results: Chronic cancer pain was reported by 66% of respondents. Using the BPI-SF (score 0-10), participants were categorised into one of four pain categories: no chronic pain (BPI score 0; 34.1%), mild pain (BPI score 1-3; 35.7%), moderate pain (BPI score 4-6; 25.3%), and severe pain (BPI score 7 + ; 4.9%). The main findings were that having a strong illness identity (IPQ-R subscale which assesses the number of symptoms an individual attributes to their illness) was found to be a significant predictor of pain severity (OR 1.21 (95% CI 1.07-1.37), p = 0.003). Furthermore, HRQoL was significantly associated and predictive of pain severity (OR 0.97 (95% CI 0.95-0.99), p < 0.001). An additional finding was that not being in paid work was strongly associated with being in a higher pain category (OR 5.92 (95% CI 1.84-19.05), p = 0.003).

Conclusions: The findings of this study highlight the high prevalence of chronic cancer pain experienced by this population. Results show that dimensions of illness representations are associated with chronic cancer pain experienced by breast cancer survivors. Furthermore, having a strong illness identity and HRQoL were found to be independent, significant predictors of pain severity.

Implications for cancer survivors: These findings demonstrate that chronic pain is an unmet clinical need experienced by breast cancer survivors, which is associated with reduced overall HRQoL. Therefore, consideration is needed regarding the assessment and management of chronic pain experienced by this population.

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查看原文本刊更多论文

疾病表征能否用于理解乳腺癌幸存者的疼痛--一项横断面研究。

背景：慢性疼痛是公认的与乳腺癌及其治疗相关的长期后果；然而，这种疼痛往往诊断不足、治疗不足。本研究旨在探讨乳腺癌女性患者的疾病表征、慢性癌痛和 HRQoL 之间的关联：采用横断面在线调查设计。对参与调查的 182 名妇女的数据进行了分析：结果：66%的受访者报告了慢性癌症疼痛。使用 BPI-SF（0-10 分），受访者被分为四个疼痛类别：无慢性疼痛（BPI 得分为 0；34.1%）、轻度疼痛（BPI 得分为 1-3；35.7%）、中度疼痛（BPI 得分为 4-6；25.3%）和重度疼痛（BPI 得分为 7 +；4.9%）。主要研究结果表明，强烈的疾病认同感（IPQ-R 子量表，用于评估个人对其疾病的症状数量）是疼痛严重程度的重要预测因素（OR 1.21 (95% CI 1.07-1.37)，p = 0.003）。此外，HRQoL 对疼痛严重程度也有明显的相关性和预测性（OR 0.97 (95% CI 0.95-0.99), p 结论：本研究的结果突出表明，疼痛严重程度对患者的生活质量有很高的影响：本研究的结果凸显了慢性癌症疼痛在这一人群中的高患病率。结果表明，疾病表征的各个维度与乳腺癌幸存者经历的慢性癌症疼痛有关。此外，强烈的疾病认同感和 HRQoL 被认为是疼痛严重程度的独立、显著的预测因素：这些研究结果表明，慢性疼痛是乳腺癌幸存者未得到满足的临床需求，它与整体 HRQoL 的降低有关。因此，需要考虑对这一人群的慢性疼痛进行评估和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cancer Survivorship ONCOLOGY-

CiteScore

7.00

自引率

10.80%

发文量

149

审稿时长

>12 weeks

期刊介绍： Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.