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Inicio Revista Portuguesa de Saúde Pública Qualidade de vida de mulheres com cancro da mama nas diversas fases da doença: ...
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Vol. 29. Issue 1.
Pages 64-76 (January - June 2011)
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Vol. 29. Issue 1.
Pages 64-76 (January - June 2011)
DOI: 10.1016/S0870-9025(11)70009-8
Open Access
Qualidade de vida de mulheres com cancro da mama nas diversas fases da doença: o papel de variáveis sociodemográficas, clínicas e das estratégias de coping enquanto factores de risco/protecção
Quality of life of women with breast cancer at different phases of the disease: the role of sociodemographic, clinical variables and coping strategies as factors of risk/protection
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Sónia Silva
Corresponding author
soniaimsilva@gmail.com

Autor para correspondência.
, Danielle Bettencourt, Helena Moreira, Maria Cristina Canavarro
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, Coimbra, Portugal
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Article information
Resumo
Introdução

Embora o cancro da mama possa comprometer significativamente a qualidade de vida (QdV) da mulher, sobretudo nas fases iniciais da doença, variáveis de ordem psicossocial podem intervir como factores de risco ou de protecção. Este estudo pretende analisar e comparar a QdV de mulheres com cancro da mama em diferentes fases da trajectória da doença e identificar o papel de variáveis sociodemográficas, clínicas e das estratégias de coping na QdV.

Material e métodos

A amostra é constituída por 55 mulheres recentemente diagnosticadas com cancro da mama, 63 a receber quimioterapia, 85 sobreviventes e 160 mulheres da população geral, que responderam ao WHOQOL-Bref e ao Brief COPE.

Resultados

Durante a fase de tratamento o cancro da mama compromete significativamente a QdV global e física da mulher. Um nível de escolaridade mais elevado, assim como o recurso a estratégias de coping Cognitivas Activas associam-se a uma melhor QdV global e Psicológica, após o diagnóstico e durante o tratamento. O recurso a um coping de Evitamento associa-se a uma pior QdV em todas as fases da doença.

Conclusões

Os resultados deste estudo ao contribuírem para um melhor conhecimento das implicações do cancro da mama na QdV em diferentes fases da trajectória da doença, bem como das variáveis que poderão intervir como factores de risco/protecção, revelam-se importantes para o desenvolvimento de intervenções psicológicas mais eficazes e ajustadas às necessidades da mulher.

Palavras-chave:
Cancro da mama
Qualidade de vida
Coping
Diagnóstico
Tratamento
Sobrevivência
Abstract
Introduction

Although breast cancer may significantly compromise women's quality of life (QoL), especially during the initial phases of the disease, psychosocial variables may act as factors of risk or protection. This study aims to analyse and compare the QoL of women in different phases of breast cancer and to identify the role of sociodemographic and clinical variables as well as coping strategies on QoL.

Method

The sample is composed of 55 women newly diagnosed with breast cancer, 63 women undergoing chemotherapy, 85 breast cancer survivors and 160 women from the general population. They all answered the WHOQOL-Bref and the Brief COPE.

Results

The results show that global and physical QoL is significantly impaired during treatment. Higher education and Active Cognitive Coping strategies are significantly associated with improved global and Psychological QoL, after diagnosis and during treatment. Avoidant coping relates to worse QoL in all phases of the disease.

Conclusions

The results of this study contribute to a better knowledge of the impact of breast cancer on QoL, in different phases of the disease trajectory, as well as give important information about the factors of risk/protection. Thus, they are helpful in developing more effective psychological interventions, tailored to the particular needs of women.

Keywords:
Breast cancer
Quality of life
Coping
Diagnosis
Treatment
Survival
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