The purpose of this study is to describe psychosocial adjustment in patients with breast cancer and their cohabiting partners/spouses throughout the cancer trajectory, to study mutual influences of the partner on the patient and vice versa, and to identify risk and protective factors that influence the adjustment process in both patients and partners. The overall aim is to generate knowledge that helps enables us to integrate the partners' needs, problems and resources in treatment and rehabilitation of breast cancer patients.
Breast cancer is a major life event. A patient's experience of breast cancer may depend heavily on her intimate partner. However, both patients and partners may experience depressed mood or other psychosocial adjustment problems. Individual and relationship factors, such as the couple's joint efforts to deal with the cancer experience, are likely to contribute to their psychosocial adjustment. More knowledge is needed on the adjustment problems patients and partners experience and how they deal with them. The study investigates the following research questions: * Which psychosocial adjustment problems do patients and partners experience throughout the cancer trajectory? * To what extent do the patient's psychosocial adjustment problems influence the partner's psychosocial adjustment problems and vice versa? * Which factors are associated with psychosocial adjustment problems? * How do different strategies of dyadic coping influence the psychosocial adjustment of both the patient and the partner? A prospective, population-based cohort will be established of women diagnosed with breast cancer in Denmark and their partners. The study combines questionnaire data and data from nationwide clinical and administrative registries. An invitation letter and study material will be sent to patients by mail. Patients will be asked to invite their partner to participate in the study. Only couples in which both the patient and the partner wish to participate will be asked to complete the questionnaire at 5 and 12 months of follow-up. Up to 3000 couples (3000 patients and 3000 partners) will be asked to participate in the study during the one year inclusion period.
Study Type
OBSERVATIONAL
Enrollment
1,584
Both the patient and the partner/spouse fill out a questionnaire that assesses their psychosocial adjustment. Time for completion is ca. 30 minutes. The questionnaire is administered at baseline and 5- and 12-months follow up.
University of Southern Denmark
Odense, Southern Denmark, Denmark
quality of life
self-report questionnaire SF-36
Time frame: baseline
quality of life
self-report questionnaire SF-36
Time frame: 5-months follow up
quality of life
self-report questionnaire SF-36
Time frame: 12-months follow up
depressive symptoms
self-report questionnaire CES-D
Time frame: baseline
depressive symptoms
self-report questionnaire CES-D
Time frame: 5-months follow up
depressive symptoms
self-report questionnaire CES-D
Time frame: 12-months follow up
dyadic coping
self-report questionnaire, Dyadic Coping Inventory and Ways of Providing Support Questionnaire
Time frame: baseline
dyadic coping
self-report questionnaire, Dyadic Coping Inventory and Ways of Providing Support Questionnaire
Time frame: 5-months follow up
dyadic coping
self-report questionnaire, Dyadic Coping Inventory and Ways of Providing Support Questionnaire
Time frame: 12-months follow up
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illness perceptions
self-report questionnaire Brief-Illness Perception Questionnaire
Time frame: baseline
use of antidepressants
registry information
Time frame: 12-months follow up
work ability
self-report item
Time frame: baseline
work ability
self-report item
Time frame: 5-months follow up
work ability
self-report item
Time frame: 12-months follow up
sexual functioning
self-report items (PROMIS item bank)
Time frame: baseline
sexual functioning
self-report items (PROMIS item bank)
Time frame: 5-months follow up
sexual functioning
self-report items (PROMIS item bank)
Time frame: 12-months follow up
body image
self-report questionnaire Body Image Scale
Time frame: baseline
body image
self-report questionnaire Body Image Scale
Time frame: 5-months follow up
body image
self-report questionnaire Body Image Scale
Time frame: 12-months follow up
relationship functioning
self-report items; quality of relationship and intimacy
Time frame: baseline
relationship functioning
self-report items; quality of relationship and intimacy
Time frame: 5-months follow up
relationship functioning
self-report items; quality of relationship and intimacy
Time frame: 12-months follow up
symptom experience
self-report questionnaire BCPT Eight Symptom Scale
Time frame: baseline
symptom experience
self-report questionnaire BCPT Eight Symptom Scale
Time frame: 5-months follow up
symptom experience
self-report questionnaire BCPT Eight Symptom Scale
Time frame: 12-months follow up
partner's involvement in breast cancer
self-report questionnaire
Time frame: baseline
partner's involvement in breast cancer
self-report questionnaire
Time frame: 5-months follow up
partner's involvement in breast cancer
self-report questionnaire
Time frame: 12-months follow up
dimensions of sleep
self-report questionnaire MOS sleep measure
Time frame: 5-months follow up
dimensions of sleep
self-report questionnaire MOS sleep measure
Time frame: 12-months follow up