The illness representations-physical well-being interplay over time in breast cancer patients
- 1Department of Psychology, University of Crete.
- 2Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel Aviv University.
- 3Department of Oncology and Hemato-oncology, University of Milan.
- 4School of Social Work and Social Welfare, Hebrew University of Jerusalem.
- 5Breast Unit, Champalimaud Clinical Centre, Champalimaud Foundation.
- 6Champalimaud Research and Clinical Centre, Champalimaud Foundation.
- 7Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens.
- 8Foundation for Research and Technology - Hellas.
- 9Helsinki University Hospital Comprehensive Cancer Center.
- 0Department of Psychology, University of Crete.
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March 27, 2025
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View abstract on PubMed
Summary
This summary is machine-generated.Illness representations impact breast cancer patients' physical well-being over time, but the relationship is complex. Changes in timeline and emotional representations specifically influenced physical functioning and symptoms within individuals.
Area Of Science
- Psychology
- Oncology
- Health Sciences
Background
- Illness representations are known to influence breast cancer patients' well-being.
- Few studies have explored the bidirectional, long-term relationship between illness representations and physical well-being.
Purpose Of The Study
- To investigate the long-term, within-person, bidirectional effects between physical well-being and illness representations in breast cancer patients.
Main Methods
- Longitudinal study of 706 female breast cancer patients, assessed 2-5 weeks post-surgery/biopsy.
- Illness representations and physical well-being measured at 6, 12, and 18 months.
- Random-intercept cross-lagged panel models analyzed intrapersonal changes.
Main Results
- Strong between-person associations between illness representations and physical well-being were observed.
- Within-person, changes in timeline and emotional representations predicted subsequent physical functioning and breast/arm symptoms, respectively.
- No other significant cross-lagged effects were detected.
Conclusions
- The impact of illness representations on physical well-being varies significantly at the within-person level.
- Complex intrapersonal interplay necessitates new theoretical frameworks for long-term effects in breast cancer patients.
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