Skip to Main Content

Counseling Psychology and Psychotherapy
2021. Vol. 29, no. 2, 145–163
doi:10.17759/cpp.2021290207
ISSN: 2075-3470 / 2311-9446 (online)

Psychological Features in Breast Cancer Patients, Depending on the Presence of Comorbid Post-Traumatic Stress Disorder

444

A.V. Vasileva, T.A. Karavaeva, E.B. Mizinova, E.P. Lukoshkina

PDF (RUS)
Online translation in english
GS
Information
in Google Scholar

Abstract

The paper presents the results of a clinical-psychopathological and experimental psychological study carried out on 91 women with breast cancer (aged 35—65, mean age 55.8±11.08 years). The sample was divided into two groups, 51 women with a diagnosed posttraumatic stress disorder (PTSD) developed as a result of their illness and 40 stress-resistant women. The author’s semi-structured anamnestic interview was used to study the clinical and socio-psychological characteristics of patients. Methods: Trauma Screening Questionnaire (Brewin et al., 2002), Impact of Event Scale (Tarabrina, 2001), Type of Attitude to the Disease measure (Vasserman et al., 2014), G. Ammon’s Ego Structure Test (Tupitsyn et al., 1998), Mental Health Assessment measure (Bocharov, Tupitsyn, 1999), The Personal Views Survey III- R (Leontiev, Rasskazova, 2006), Experiences in Close Relationships (Kazantseva, 2008). Results: In patients with PTSD, low parameters of resilience, the dominance of maladaptive types of attitude to the disease, and deficient and destructive personality structures (aggression, anxiety, deficient external and internal boundaries of the self, and destructive narcissism and sexuality) were revealed.

General Information

Keywords: posttraumatic stress disorder (PTSD), breast cancer, psychotherapy, psy- chotherapy targets, stress resistance

Journal rubric: Empirical Researches

DOI: https://doi.org/10.17759/cpp.2021290207

For citation: Vasileva A.V., Karavaeva T.A., Mizinova E.B., Lukoshkina E.P. Psychological Features in Breast Cancer Patients, Depending on the Presence of Comorbid Post-Traumatic Stress Disorder. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2021. Vol. 29, no. 2, pp. 145–163. DOI: 10.17759/cpp.2021290207. (In Russ., аbstr. in Engl.)

References

  1. Ababkov V.A., Perre M. Adaptatsiya k stressu. Osnovy teorii, diagnostiki, terapii (Psikhologicheskii praktikum) [Adaptation to stress. Fundamentals of theory, diagnosis, therapy (Psychological workshop)]. Saint Petersburg: Rech’, 2004. 166 p.
  2. Vasil’eva A.V., Karavaeva T.A., Lukoshkina E.P. Razvitie posttravmaticheskogo stressovogo rasstroistva u patsientov s onkologicheskimi zabolevaniyami [Development of posttraumatic stress disorder in patients with oncological diseases]. In Belyaev A.M., Chulkova V.A., Semiglazova T.Yu., et al. Onkopsikhologiya dlya vrachei-onkologov i meditsinskikh psikhologov: rukovodstvo [Oncopsychology for oncologists and medical psychologists: A Handbook]. Saint Petersburg: Voprosy onkologii, 2017, pp. 228—241.
  3. Vasil’eva A.V., Karavaeva T.A., Lukoshkina E.P. Sotsial’no-psikhologicheskie faktory riska razvitiya posttravmaticheskogo stressovogo rasstroistva u patsientov s onkologicheskimi zabolevaniyami pryamoi kishki, podvergshikhsya khirurgicheskomu lecheniyu s formirovaniem kolostomy  [Socio-psychological risk factors for the development of  post-traumatic  stress  disorder  in  patients with oncological diseases of the rectum, subjected to surgical treatment with the formation of colostomy]. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva = V.M. Bekhterev Review of Psychiatry and Medical Psychology, 2018, no. 2, pp. 44—53. DOI:10.31363/2313-7053-2018-2-44-53
  4. Vasserman L.I., Iovlev B.V., Karpova E.B., et al. Psikhologicheskaya diagnostika otnosheniya k bolezni. Posobie dlya vrachei [Psychological diagnostics  of attitudes towards the disease. (A guide for doctors)]. Saint Petersburg: NIPNI im. V.M. Bekhtereva, 2005. 33 p.
  5. Kazantseva T.V. Adaptatsiya modifitsirovannoi metodiki “Opyt blizkikh otnoshenii” K. Brennan i R.K. Freili [Adaptation of the modified Experiences in Close Relationships Scale by K. Brennan and R.С. Fraley]. Izvestiya RGPU im. Gertsena = Herzen University Bulletin, 2008, no. 74-2, pp. 139—143.
  6. Leont’ev D.A., Rasskazova E.I. Test zhiznestoikosti [Vitality test]. Moscow: Smysl, 2006. 63 p.
  7. Lukoshkina E.P., Karavaeva T.A., Vasil’eva A.V. Etiologiya, epidemiologiya i psikhoterapiya soputstvuyushchikh psikhicheskikh rasstroistv pri onkologicheskikh zabolevaniyakh [Etiology, epidemiology and psychotherapy of concomitant mental disorders in oncological diseases]. Voprosy Onkologii = Issues of Oncology, 2016, no. 6, pp. 774—784.
  8. Oleinikova I.N., Gens G.P., Korobkova L.I., et al. Diagnostika posttravmaticheskogo stressovogo rasstroistva u bol’nykh rakom yaichnikov [Diagnosis of posttraumatic stress disorder in patients with ovarian cancer]. Voprosy Onkologii = Issues of Oncology, 2013, no. 59 (3), pp. 12—25.
  9. Sirota N.A., Moskovchenko D.V. Psikhodiagnostika strakha progressirovaniya zabolevaniya: rezul’taty aprobatsii russkoyazychnoi versii oprosnika strakha progressirovaniya zabolevaniya [Psychodiagnostics of the fear of disease progression: Results of approbation of the Russian-language version of the questionnaire of Fear of Disease Progression]. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva = V.M. Bekhterev Review of Psychiatry and Medical Psychology, 2014, no. 4, pp. 86—91.
  10. Tarabrina N.V. Posttraumatic stress among cancer patients. Konsul’tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2014. Vol. 22, no. 1, pp. 40—63. (In Russ., аbstr. in Engl.)
  11. Tarabrina N.V., Vorona O.A., Kurchakova M.S., et al. Onkopsikhologiya: posttravmaticheskii stress u bol’nykh rakom molochnoi zhelezy [Oncopsychology: Post-traumatic stress in breast cancer patients]. Moscow: Institut psikhologii RAN, 2010. 175 p.
  12. Tupitsin Yu.Ya.,  Bocharov  V.V.,  Alkhazova  T.V.,  et  al.  Ya-strukturnyi  test G. Ammona: oprosnik dlya otsenki tsentral’nykh lichnostnykh funktsii na strukturnom urovne. Posobie dlya psikhologov i vrachei [Self-structural test of G. Ammon: A questionnaire for the assessment of central personal functions at the structural level. A manual for psychologists and doctors]. Saint Petersburg: NIPNI im. V.M. Bekhtereva, 1998. 70 p.
  13. Usmanova E.B., Shchelkova O.Yu, Isurina G.L., et al. Quality of Life Questionnaire for patients with oncoorthopedic disease. Konsul’tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2019. Vol. 27, no. 2, pp. 147—166. DOI:10.17759/cpp.2019270210. (In Russ., аbstr. in Engl.)
  14. Khain A.E., Kholmogorova A.B., Ababkov V.A. Emotional state and coping strategies of adolescents with oncohematological diseases [Elektronnyi resurs]. Klinicheskaya i spetsial’naya psikhologiya = Clinical Psychology and Special Education, 2018. Vol. 7, no. 4, pp. 131—149. Available at: https://psyjournals.ru/psyclin/2018/n4/Khain_ et_al.shtml (Accessed 15.01.2021). DOI:10.17759/psyclin.2018070408. (In Russ., аbstr. in Engl.)
  15. Shchelkova O.Yu., Usmanova E.B. Vliyanie otnosheniya k bolezni na kachestvo zhizni patsientov s opukholevym porazheniem kostei [Quality of Life Questionnaire for Patients with Oncoorthopedic Disease]. Voprosy Onkologii = Issues of Oncology, 2017. Vol. 63 (1), pp. 115—121.
  16. Abbey G., Thompson S.B.N., Hickish T., at al. Meta-analysis of prevalence rates and moderating factors for cancer-related post-traumatic stress disorder. Psycho- Oncology, 2015. Vol. 24 (4), pp. 371—381. DOI:10.1002/pon.3654
  17. Abrams A.N., Hazen E.P., Penson R.T. Psychosocial issues in adolescents with cancer. Cancer Treatment Revue, 2007. Vol. 33 (7), pp. 622—630. DOI:10.1016/j. ctrv.2006.12.006
  18. Brewin C.R., Rose S., Andrews B., et al. Brief screening instrument for post- traumatic stress disorder. The British Journal of Psychiatry, 2002. Vol. 181 (2), pp. 158—162. DOI:10.1192/bjp.181.2.158
  19. Cordova M.J., Giese-Davis J., Golant M., et al. Breast cancer as trauma: Posttraumatic stress and posttraumatic growth. Journal of Clinical Psychology in Medical Settings, 2007. Vol. 14 (4), pp. 308—319. DOI:10.1007/s10880-007- 9083-6
  20. Einsle F., Kraft D., Koellner V. Post-traumatic stress disorder (PTSD) in cardiology and oncology — which diagnostic tools should be used. Journal of Psychosomatic Research, 2012. Vol. 72 (6), pp. 434—438. DOI:10.1016/j. jpsychores.2012.02.008
  21. Green B.L., Krupnick J.L., Rowlan J.H., et al. Trauma history as a predictor of psychologic symptoms in women with breast cancer. Journal of Clinical Oncology, 2000. Vol. 18 (5), pp. 1084—1093. DOI:10.1200/JCO.2000.18.5.1084
  22. Okamura H., Watanabe T., Narabayashi M., et al. Psychological distress following first recurrence of disease in patients with breast cancer: Prevalence and risk factors. Breast Cancer Research and Treatment, 2000. Vol. 61 (2), pp. 145—151. DOI:10.1023/A:1006483214678
  23. Holland J.C., Breitbart W.C.,  Jacobsen  P.B.,  et  al.  (eds.).  Psycho-Oncology. 3rd ed. Oxford; New York: Oxford University Press, 2015. 864 p. DOI:10.1093/ med/9780199363315.001.0001
  24. Richter J.C., Waydhas C., Pajonk F.G. Incidence of posttraumatic stress disorder after prolonged surgical intensive care unit  treatment.  Psychosomatics,  2006. Vol. 47 (3), pp. 223—230. DOI:10.1176/appi.psy.47.3.223

Information About the Authors

Anna V. Vasileva, Doctor of Medicine, Chief Researcher, Department for Non-psychotic Mental Disorders Treatment and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Associate Professor, Chair of Psychotherapy, Medical Psychology and Sexology, North-Western State Medical Universitynamed after I.I. Mechnikov, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-5116-836X, e-mail: annavdoc@yahoo.com

Tatiana A. Karavaeva, Doctor of Medicine, Chief Researcher, Head of the Department for Non-psychotic Mental Disorders Treatment and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Professor of the Department of Medical Psychology and Psychophysiology of the St. Petersburg State University; Professor of the Department of General and Applied Psychology with courses in Biomedical Disciplines and Pedagogy of the St. Petersburg State Medical Pediatric University of the Ministry of Health of the Russian Federation; leading researcher of the Scientific Department of Innovative Methods of Therapeutic Oncology and Rehabilitation of the National Research University of Oncology N.N. Petrova" Ministry of Health of Russia; Vice-President of the Russian Psychotherapeutic Association, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-8798-3702, e-mail: tania_kar@mail.ru

Elena B. Mizinova, PhD in Psychology, Senior Researcher, Department for Nonpsychotic Mental Disorders Treatment and Psychotherapy, Lecturer, Department of Regional Programs for Professional Retraining of Experts with Higher Psychological Education, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Lecturer, Department of Medical Psychology and Psychophysiology, Saint- Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0003-3178-543X, e-mail: elenamizinova@yandex.ru

Ekaterina P. Lukoshkina, PhD in Psychology, Researcher Department for Non-psychotic Mental Disorders Treatment and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-8865-4070, e-mail: lukoshkina.ekaterina@gmail.com

Metrics

Views

Total: 1114
Previous month: 30
Current month: 27

Downloads

Total: 444
Previous month: 15
Current month: 8