ORIGINAL PAPER
Social support and quality of life in Greek women with breast cancer during chemotherapy and two years later
 
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1
Department of Psychology, University of Central Lancashire, United Kingdom
2
Department of Nursing, University of West Attica, Athens, Greece
3
Ippokrateio General Hospital of Athens, Greece
4
Frederick University, Nicosia, Cyprus
5
Department of Nursing, University of Peloponnese, Tripoli, Greece
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General Direction of Health Services, Ministry of Health, Athens, Greece
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Institution for Counseling & Psychological Studies, Athens, Greece
Submission date: 2020-01-06
Final revision date: 2020-02-20
Acceptance date: 2020-02-20
Online publication date: 2020-03-17
Publication date: 2020-03-17
 
Health Psychology Report 2020;8(2):97–106
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Social support in women with breast cancer is associated with quality of life (QoL) and it appears to be vital for treating breast cancer and adaptation to disease. Social support seems to decrease quantitatively and over time while significant improvement in the patients’ long-term emotional and physical function is observed. Therefore, the aim of this study was to investigate the differences in levels of social support and QoL in two independent groups of patients: women with breast cancer (i) during chemotherapy and (ii) two years after the chemotherapy.

Participants and procedure:
In this cross-sectional study 74 women with breast cancer “during chemotherapy” (n = 41) and “two years after chemotherapy” (n = 33) completed the Greek version of Multi-dimensional Scale of Perceived Social Support (MSPSS) and the Greek version of the Missoula-VITAS Quality of Life Index (MVQoLI-15) to measure social support and QoL respectively. All statistical analyses were performed with SPSS 25 with significance set at p < .05.

Results:
The group “two years after chemotherapy” reported better QoL than the “during chemotherapy” group. There was no difference in perceived social support between the two groups. The higher the patients’ age, the lower the QoL for the “during chemotherapy” group and the higher the social support for the “two years after chemo-therapy” group.

Conclusions:
QoL improves over time, emphasizing the ability of women to manage difficult situations. Social support re-mains important in both periods.

 
REFERENCES (41)
1.
Adamopoulou, F., Alikari, V., Zyga, S., Tsironi, M., Tzavella, F., Giannakopoulou, N., & Theofilou, P. (2019). The effect of fatigue and pain self-efficacy on health-related quality of life among patients with multiple sclerosis. Materia Socio-medica, 31, 40–44. https://doi.org/10.5455/msm.20....
 
2.
Akechi, T., Uchida, M., Nakaguchi, T., Okuyama, T., Sakamoto, N., Toyama, T., & Yamashita, H. (2015). Difference of patient’s perceived need in breast cancer patients after diagnosis. Japanese Journal of Clinical Oncology, 45, 75–80. https://doi.org/10.1093/jjco/h....
 
3.
Aloba, O., Opakunle, T., & Ogunrinu, O. (2019). Psychometric characteristics and measurement invari-ance across genders of the Multidimensional Scale of Perceived Social Support (MSPSS) among Nigerian adolescents. Health Psychology Report, 7, 69–80. https://doi.org/10.5114/hpr.20....
 
4.
Arora, N. K., Rutten, L. J. F., Gustafson, D. H., Moser, R., & Hawkins, R. P. (2007). Perceived help-fulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology, 16, 474–486. https://doi.org/10.1002/pon.10....
 
5.
Bloom, J. R., Stewart, S. L., Johnston, M., Banks, P. & Fobair, P. (2001). Sources of social Support and the physical and mental well-being of young women with breast cancer. Social Science & Medicine, 53, 1513–1524. https://doi.org/10.1016/S0277-....
 
6.
Bloom, J. R., Stewart, S. L., Chang, S., & Banks, P. J. (2004). Then and now: Quality of life of young breast cancer survivors. Psycho-Oncology, 13, 147–160. https://doi.org/10.1002/pon.79....
 
7.
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: Five year observational cohort study. British Medical Journal, 330, 702–705. https://doi.org/10.1136/bmj.38....
 
8.
Byock, I. R., & Merriman, M. P. (1998). Measuring quality of life for patients with terminal illness: the Missoula-VITAS quality of life index. Palliative Medicine, 12, 231–244. https://doi.org/10.1191/026921....
 
9.
Coelho, R. C. F. P., Nunes Garcia, S., Marcondes, L., da Silva, F. A. J., de Paula, A., & Puchalski Kalinke, L. (2018). Impact on the quality of life of women with breast cancer undergoing chemo-therapy in public and private care. Investigación y Educación en Enfermería, 36, e4. https://doi.org/10.17533/udea.....
 
10.
Dimova, R., Keskinova, D., Tzekov, V., & Ginova-Noncheva, G. (2019). Health-related quality of life in end-stage renal disease patients, using the Missoula-Vitas quality of life index: a multicenter study. Medicine and Pharmacy Reports, 92, 374–381. https://doi.org/10.15386/mpr-1....
 
11.
Dumrongpanapakorn, P., & Liamputtong, P. (2017). Social support and coping means: The lived ex-periences of Northeastern Thai women with breast cancer. Health Promotion International, 32, 768–777. https://doi.org/10.1093/heapro....
 
12.
Engel, J., Kerr, J., Schlesinger-Raab, A., Eckel, R., Sauer, H., & Hölzel, D. (2003). Predictors of quali-ty of life of breast cancer patients. Acta Oncologica, 42, 710–718. https://doi.org/10.1080/028418....
 
13.
Fradelos, E. C., Papathanasiou, I. V., Veneti, A., Daglas, A., Christodoulou, E., Zyga, S., & Kourakos, M. (2017). Psychological distress and resilience in women diagnosed with breast can-cer in Greece. Asian Pacific Journal of Cancer Prevention, 18, 2545–2550. https://doi.org/10.22034/APJCP....
 
14.
Gibek, K., & Sacha, T. (2019). Comparison of health locus of control in oncological and non-oncological patients. Contemporary Oncology, 23, 115–120. https://doi.org/10.5114/wo.201....
 
15.
Grassi, L., Spiegel, D., & Riba, M. (2017). Advancing psychosocial care in cancer patients. F1000Research, 6, 2083. https://doi.org/10.12688/f1000....
 
16.
Hwang, S. Y., Chang, S. J., & Park, B. W. (2013). Does chemotherapy really affect the quality of life of women with breast cancer? Journal of Breast Cancer, 16, 229–235. https://doi.org/10.4048/jbc.20....
 
17.
Kameo, S. Y. & Sawada, N. O. (2016). Quality of life and adverse reactions caused by chemotherapy in breast cancer: an integrative review. IOSR Journal of Pharmacy, 6, 51–61.
 
18.
Kırca, K., & Kutlutürkan, S. (2018). Symptoms experience and quality of life in the patients with breast cancer receiving the taxane class of drugs. European Journal of Breast Health, 14, 148–155. https://doi.org/10.5152/ejbh.2....
 
19.
Lavdaniti, M., Owens, D. A., Liamopoulou, P., Marmara, K., Zioga, E., Mantzanas, M. S., Evangeli-dou, E., & Vlachou, E. (2019). Factors influencing quality of life in breast cancer patients six months after the completion of chemotherapy. Diseases, 7, e26. https://doi.org/10.3390/diseas....
 
20.
Lilympaki, I., Makri, A., Vlantousi, K., Koutelekos, I., Babatsikou, F., & Polikandrioti, M. (2016). Effect of perceived social support on the levels of anxiety and depression of hemodialysis patients. Ma-teria Sociomedica, 28, 361–365. https://doi.org/10.5455/msm.20....
 
21.
Martínez, M. E., Unkart, J. T., Tao, L., Kroenke, C. H., Schwab, R., Komenaka, I., & Gomez, S. L. (2017). Prognostic significance of marital status in breast cancer survival: a population-based study. PLoS One, 12, e0175515. https://doi.org/10.1371/journa....
 
22.
Ozdemir, D., & Tas Arslan, F. (2018). An investigation of the relationship between social support and coping with stress in women with breast cancer. Psycho-Oncology, 27, 2214–2219. https://doi.org/10.1002/pon.47....
 
23.
Pettit, J. W., Roberts, R. E., Lewinsohn, P. M., Seeley, J. R., & Yaroslavsky, I. (2011). Developmental relations between perceived social support and depressive symptoms through emerging adult-hood: blood is thicker than water. Journal of Family Psychology, 25, 127–136. https://doi.org/10.1037/a00223....
 
24.
Rivera, E., & Cianfrocca, M. (2015). Overview of neuropathy associated with taxanes for the treatment of metastatic breast cancer. Cancer Chemotherapy and Pharmacology, 75, 659–670. https://doi.org/10.1007/s00280....
 
25.
Rizalar, S., Ozbas, A., Akyolcu, N., & Gungor, B. (2014). Effect of perceived social support on psy-chosocial adjustment of Turkish patients with breast cancer. Asian Pacific Journal of Cancer Pre-vention, 15, 3429–3434. https://doi.org/10.7314/apjcp.....
 
26.
Rustøen, T., & Schjølberg, T. K. (2000). Cancer nursing research priorities: a Norwegian perspective. Cancer Nursing, 23, 375–381. https://doi.org/10.1097/000028....
 
27.
Salim, N. F., Borhani, F., Pour, M. B., & Khabaz-khoob, M. (2019). Correlation between perceived so-cial support and resilience in the family of patients with cancer. Journal of Research in Medical and Dental Science, 7, 158–162.
 
28.
Salonen, P., Tarkka, M. T., Kellokumpu-Lehtinen, P. L., Koivisto, A. M., Aalto, P., & Kaunonen, M. (2013). Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study. Scandinavian Journal of Caring Sciences, 27, 396–405. https://doi.org/10.1111/j.1471....
 
29.
Sammarco, A. (2009). Quality of life of breast cancer survivors: a comparative study of age cohorts. Cancer Nursing, 32, 347–358. https://doi.org/10.1097/NCC.0b....
 
30.
Sharma, N., & Purkayastha, A. (2017). Factors affecting quality of life in breast cancer patients: a descriptive and cross-sectional study with review of literature. Journal of Mid-Life Health, 8, 75–83. https://doi.org/10.4103/jmh.JM....
 
31.
Theofilou, P. (2015). Translation and cultural adaptation of the Multidimensional Scale of Perceived Social Support for Greece. Health Psychology Research, 3, 1061. https://doi.org/10.4081/hpr.20....
 
32.
Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: Related quality of life in hemodialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQoLI-15) in Greece. Health Psychology Research, 1, e17. https://doi.org/10.4081/hpr.20....
 
33.
Theofilou, P., Kapsalis, F., & Panagiotaki, H. (2012). Greek version of MVQoLI-15: Translation and cultural adaptation. International Journal of Caring Sciences, 5, 289–294.
 
34.
Theofilou, P., Zyga, S., Tzitzikos, G., Malindretos, P., & Kotrotsiou, E. (2013). Assessing social sup-port in Greek patients on maintenance hemodialysis: Psychometric properties of the Multi-Dimensional Scale of Perceived Social Support. In E. Abdel-Rahman, R. A. Balogun, & S. A. Ba-logun (Eds.), Chronic kidney disease: Signs/symptoms, management options and potential complica-tions (pp. 265–279). Hauppauge, NY: Nova Science Publishers.
 
35.
Thompson, T., Rodebaugh, T. L., Pérez, M., Schootman, M., & Jeffe, D. B. (2013). Perceived social support change in patients with early stage breast cancer and controls. Health Psychology, 32, 886–895. https://doi.org/10.1037/a00318....
 
36.
Tiezzi, M. F., de Andrade, J. M., Romão, A. P., Tiezzi, D. G., Lerri, M. R., Carrara, H. A., & Lara, L. A. (2017). Quality of life in women with breast cancer treated with or without chemotherapy. Cancer Nursing, 40, 108–116. https://doi.org/10.1097/NCC.00....
 
37.
Timperi, A. W., Ergas, I. J., Rehkopf, D. H., Roh, J. M., Kwan, M. L., & Kushi, L. H. (2013). Employ-ment status and quality of life in recently diagnosed breast cancer survivors. Psycho-Oncology, 22, 1411–1420. https://doi.org/10.1002/pon.31....
 
38.
Turgay, A. S., Khorshid, L., & Eser, I. (2008). Effect of the first chemotherapy course on the quality of life of cancer patients in Turkey. Cancer Nursing, 31, 9–23. https://doi.org/10.1097/01.NCC....
 
39.
Villar, R. R., Fernández, S. P., Garea, C. C., Pillado, M., Barreiro, V. B., & Martín, C. G. (2017). Quality of life and anxiety in women with breast cancer before and after treatment. Revista Latino-Americana de Enfermagem, 25, e2958. https://doi.org/10.1590/1518-8....
 
40.
Wyatt, G., Beckrow, K. C., Gardiner, J., & Pathak, D. (2008). Predictors of postsurgical subacute emotional and physical well-being among women with breast cancer. Cancer Nursing, 31, E28–E39. https://doi.org/10.1097/01.NCC....
 
41.
Zimet, D. G., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Per-ceived Social Support. Journal of Personality Assessment, 52, 30–41. https://doi.org/10.1207/s15327....
 
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