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Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility.

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Title: Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility.
Authors: Mosher, Catherine E., Tometich, Danielle B., Hirsh, Adam, Rand, Kevin L., Johns, Shelley A., Matthias, Marianne S., Outcalt, Samantha D., Bricker, Jonathan, Schneider, Bryan, Mina, Lida, Storniolo, Anna Maria, Newton, Erin, Miller, Kathy
Source: Psycho-Oncology. Nov2017, Vol. 26 Issue 11, p1944-1951. 8p. 3 Charts.
Subjects: Breast cancer patients, Metastatic breast cancer, Acceptance & commitment therapy, Oncology, Cluster analysis (Statistics)
Abstract: Objective: This study examined symptom-based subgroups of metastatic breast cancer (MBC) patients and the extent to which they differed across key constructs of acceptance and commitment therapy (ACT).Methods: Eighty women with MBC completed self-report surveys assessing 10 common symptoms and several ACT variables (ie, activity engagement, psychological inflexibility, value obstruction, and value progress) during a single time point.Results: A cluster analysis yielded 3 patient subgroups: low symptoms, low-moderate symptoms, and moderate-high symptoms. Relative to the subgroup with low symptoms, the other subgroups reported less activity engagement. In addition, compared with patients with low symptoms, the subgroup with moderate-high symptoms reported greater psychological inflexibility (ie, avoidance of unwanted internal experiences) and greater difficulty living consistently with their values.Conclusions: Women with MBC show heterogeneity in their symptom profiles, and those with higher symptom burden are more likely to disengage from valued activities and avoid unwanted experiences (eg, thoughts, feelings, and bodily sensations). Findings are largely consistent with the ACT model and provide strong justification for testing ACT to address symptom interference in MBC patients. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility.
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  Data: <searchLink fieldCode="AR" term="%22Mosher%2C+Catherine+E%2E%22">Mosher, Catherine E.</searchLink><br /><searchLink fieldCode="AR" term="%22Tometich%2C+Danielle+B%2E%22">Tometich, Danielle B.</searchLink><br /><searchLink fieldCode="AR" term="%22Hirsh%2C+Adam%22">Hirsh, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Rand%2C+Kevin+L%2E%22">Rand, Kevin L.</searchLink><br /><searchLink fieldCode="AR" term="%22Johns%2C+Shelley+A%2E%22">Johns, Shelley A.</searchLink><br /><searchLink fieldCode="AR" term="%22Matthias%2C+Marianne+S%2E%22">Matthias, Marianne S.</searchLink><br /><searchLink fieldCode="AR" term="%22Outcalt%2C+Samantha+D%2E%22">Outcalt, Samantha D.</searchLink><br /><searchLink fieldCode="AR" term="%22Bricker%2C+Jonathan%22">Bricker, Jonathan</searchLink><br /><searchLink fieldCode="AR" term="%22Schneider%2C+Bryan%22">Schneider, Bryan</searchLink><br /><searchLink fieldCode="AR" term="%22Mina%2C+Lida%22">Mina, Lida</searchLink><br /><searchLink fieldCode="AR" term="%22Storniolo%2C+Anna+Maria%22">Storniolo, Anna Maria</searchLink><br /><searchLink fieldCode="AR" term="%22Newton%2C+Erin%22">Newton, Erin</searchLink><br /><searchLink fieldCode="AR" term="%22Miller%2C+Kathy%22">Miller, Kathy</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Nov2017, Vol. 26 Issue 11, p1944-1951. 8p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Breast+cancer+patients%22">Breast cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Metastatic+breast+cancer%22">Metastatic breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Acceptance+%26+commitment+therapy%22">Acceptance & commitment therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Oncology%22">Oncology</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+analysis+%28Statistics%29%22">Cluster analysis (Statistics)</searchLink>
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  Data: <bold>Objective: </bold>This study examined symptom-based subgroups of metastatic breast cancer (MBC) patients and the extent to which they differed across key constructs of acceptance and commitment therapy (ACT).<bold>Methods: </bold>Eighty women with MBC completed self-report surveys assessing 10 common symptoms and several ACT variables (ie, activity engagement, psychological inflexibility, value obstruction, and value progress) during a single time point.<bold>Results: </bold>A cluster analysis yielded 3 patient subgroups: low symptoms, low-moderate symptoms, and moderate-high symptoms. Relative to the subgroup with low symptoms, the other subgroups reported less activity engagement. In addition, compared with patients with low symptoms, the subgroup with moderate-high symptoms reported greater psychological inflexibility (ie, avoidance of unwanted internal experiences) and greater difficulty living consistently with their values.<bold>Conclusions: </bold>Women with MBC show heterogeneity in their symptom profiles, and those with higher symptom burden are more likely to disengage from valued activities and avoid unwanted experiences (eg, thoughts, feelings, and bodily sensations). Findings are largely consistent with the ACT model and provide strong justification for testing ACT to address symptom interference in MBC patients. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.4283
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        Text: English
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        PageCount: 8
        StartPage: 1944
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      – SubjectFull: Breast cancer patients
        Type: general
      – SubjectFull: Metastatic breast cancer
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      – SubjectFull: Acceptance & commitment therapy
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      – SubjectFull: Oncology
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      – TitleFull: Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility.
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              Text: Nov2017
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