Abstract
Dentro de las neoplasias malignas, el cáncer de mama es el que se presenta con mayor frecuencia en mujeres. A pesar de su elevada prevalencia, la investigación e intervenciones en estas pacientes se enfocan, en su mayoría, a los aspectos físicos de la enfermedad, dejando de lado los factores psicológicos y sociales que impactan en la calidad de vida de la paciente. La aplicación de psicoterapia, en sus diversas modalidades, ha demostrado con anterioridad su efectividad para reducir la depresión y ansiedad en las pacientes con cáncer de mama, mejorando su calidad de vida. La inclusión de los aspectos psicológicos como parte integral del tratamiento del cáncer de mama podría traer beneficios tanto para la paciente como para el sistema de salud que las trata.
The importance of psychological well-being for breast cancer patients
Abstract
Among malignant neoplasms, breast cancer is the one that occurs most frequently in women. Even with its high prevalence, research and interventions in these patients focus, for the most part, on the physical aspects of the disease, leaving aside the psychological and social factors that impact the patient's quality of life. The application of psychotherapy, in its various modalities, has previously demonstrated its effectiveness in reducing depression and anxiety in breast cancer patients, as well as improving their quality of life. The inclusion of psychological aspects as an integral part of breast cancer treatment could bring benefits to both the patient and the health system that treats them.
References
Abed, M., Hossein, J., Shahrbanoo, S., Masoud, G. L., & Hajhosseini, M. (2020). Effectiveness of Intensive Short-term Psychodynamic Psychotherapy on Reduced Death Anxiety, Depression and Feeling of Loneliness Among Women with Breast Cancer. Journal of Advanced Pharmacy Education & Research| Jan-Mar, 10(1), 121.
Arvidsdotter, T., Marklund, B., Kylén, S., Taft, C., & Ekman, I. (2015). Understanding Persons with Psychological Distress in Primary Health Care. Scandinavian Journal of Caring Sciences, 30(4), 687–694. doi:10.1111/scs.12289
Beutel, M. E., Weißflog, G., Leuteritz, K., Wiltink, J., Haselbacher, A., Ruckes, C., & Brähler, E. (2014). Efficacy of Short-term Psychodynamic Psychotherapy (STPP) with Depressed Breast Cancer Patients: Results of a Randomized Controlled Multicenter Trial. Annals of oncology, 25(2), 378-384.
Blanco, C., Markowitz, J. C., Hellerstein, D. J., Nezu, A. M., Wall, M., Olfson, M. Hershman, D. L. (2018). A Randomized Trial of interpersonal Psychotherapy, Problem Solving Therapy, and Supportive Therapy for Major Depressive Disorder in Women with Breast Cancer. Breast Cancer Research and Treatment. Doi:10.1007/s10549-018-4994-5
Chávarri-Guerra, Y., Villarreal-Garza, C., Liedke, P. E., Knaul, F., Mohar, A., Finkelstein, D. M., & Goss, P. E. (2012). Breast Cancer in Mexico: a Growing Challenge to Health and the Health System. The Lancet Oncology, 13(8), e335–e343. Doi: 10.1016/s1470-2045(12)70246-2
Connolly-Zubot, A., Timulak, L., Hession, N., & Coleman, N. (2019). Emotion-Focused Therapy for Anxiety and Depression in Women with Breast Cancer. Journal of Contemporary Psychotherapy, 50(2), 113–122. Doi:10.1007/s10879-019-09439-2
Cortés-Flores, A. O., Morgan-Villela, G., del Valle, C. J. Z.-F., Jiménez-Tornero, J., Juárez-Uzeta, E., Urias-Valdez, D. P., … González-Ojeda, A. (2014). Quality of Life Among Women Treated for Breast Cancer: A Survey of Three Procedures in Mexico. Aesthetic Plastic Surgery, 38(5), 887–895. Doi:10.1007/s00266-014-0384-5
Fulton, J. J., Nevins, A. R., Porter, L. S., y Ramos, K. (2018). Psychotherapy Targeting Depression and Anxiety for Use in Palliative Care: A Meta-Analysis. Journal of Palliative Medicine, 21(7), 1024–1037. Doi:10.1089/jpm.2017.0576
Hsiao, F. H., Jow, G. M., Kuo, W. H., Chang, K. J., Liu, Y. F., Ho, R. T., ... & Chen, Y. T. (2012). The Effects of Psychotherapy on Psychological Well-being and Diurnal Cortisol Patterns in Breast Cancer Survivors. Psychotherapy and Psychosomatics, 81(3), 173-182.
Hubbeling, H. G., Rosenberg, S. M., González-Robledo, M. C., Cohn, J. G., Villarreal-Garza, C., Partridge, A. H., & Knaul, F. M. (2018). Psychosocial Needs of Young Breast Cancer Survivors in Mexico City, Mexico. PLoS One, 13(5), e0197931.
Instituto Nacional de Estadística y Geografía (INEGI) (2020). Estadísticas a propósito del día mundial de la lucha contra el cáncer de mama (19 de octubre). Recuperado de https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2020/Cancermama20.pdf.
Kantelhardt, E. J., Muluken, G., Sefonias, G., Wondimu, A., Gebert, H. C., Unverzagt, S., y Addissie, A. (2015). A Review on Breast Cancer Care in Africa. Breast Care, 10(6), 364–370. Doi: 10.1159/000443156
Katsi, V., Kallistratos, M., Kontoangelos, K., Sakkas, P., Souliotis, K., Tsioufis, C., Nihoyannopoulos, p., Papadimitriou, G. y Tousoulis, D. (2017). Arterial Hypertension and Health-Related Quality of Life. Frontiers in Psychiatry, 8(270). Doi: 10.3389/fpsyt.2017.00270
Moorin, R., Gibson, D., Bulsara, C. E., y Holman, C. D. J. (2011). Challenging the Perceptions of Cancer Service Provision for the Disadvantaged: Evaluating Utilization of Cancer Support Services in Western Australia. Supportive Care in Cancer, 20(8), 1687–1697. Doi: 10.1007/s00520-011-1262-1
Pérez‐Fortis, A., Fleer, J., Schroevers, M. J., Alanís López, P., Sánchez Sosa, J. J., Eulenburg, C., & Ranchor, A. V. (2018). Course and Predictors of Supportive Care Needs among Mexican Breast Cancer Patients: A Longitudinal Study. Psycho‐Oncology, 27(9), 2132-2140.
Pitman, A., Suleman, S., Hyde, N., y Hodgkiss, A. (2018). Depression and Anxiety in Patients with Cancer. BMJ, 361. Doi:10.1136/bmj.k1415´
Secretaria de Salud (2015). Programa de Acción Específico Prevención y Control del Cáncer de la Mujer 2013 – 2018. Recuperado de https://www.gob.mx/cms/uploads/attachment/file/242390/PrevencionyControldelCancerdelaMujer_2013_2018.pdf.
Soto-Pérez-de-Celis, E., Chavarri-Guerra, Y., Ramos-Lopez, W. A., Alcalde-Castro, J., Covarrubias-Gomez, A., Navarro-Lara, Á., Quiroz-Friedman, P., Sánchez-Román, S., Alcocer-Castillejos, N., Aguilar-Velazco, J. C., Bukowski, A., Chávarri-Maldonado, J. A., Contreras-Garduño, S., Krush, L., Inoyo, I., Medina-Campos, A., Moreno-García, M. L., Perez-Montessoro, V., Bourlon, M. T., de la Peña-Lopez, R., … Goss, P. E. (2021). Patient Navigation to Improve Early Access to Supportive Care for Patients with Advanced Cancer in Resource-Limited Settings: A Randomized Controlled Trial. The oncologist, 26(2), 157–164. Doi: 10.1002/onco.13599
Torres-Mejía, G., Ortega-Olvera, C., Ángeles-Llerenas, A., Villalobos-Hernández, A. L., Salmerón-Castro, J., Lazcano-Ponce, E., y Hernández-Ávila, M. (2013). Patrones de utilización de programas de prevención y diagnóstico temprano de cáncer en la mujer. Salud pública de México, 55, S241-S248. Doi: 10.21149/spm.v55s2.5121
Urzúa, A., Caqueo-Urízar, A. (2012) Calidad de vida: una revisión teórica del concepto. Terapia psicológica, 30(1), 61-71.
Velasco, L., Gutiérrez Hermoso, L., Alcocer Castillejos, N., Quiroz Friedman, P., Peñacoba, C., Catalá, P., & Sánchez-Román, S. (2020). Association Between Quality of Life and Positive Coping Strategies in Breast Cancer Patients. Women & Health, 60(9), 1063–1069. Doi:10.1080/03630242.2020.1802398