Journal article
The experience of persistent pain and quality of life among women following treatment for breast cancer: An attachment perspective
Psycho-Oncology, Vol.27(10), pp.2442-2449
2018
PMID: 30067313
Abstract
Objectives:
The aims of this study were to investigate associations between attachment and the presence of persistent pain in women following treatment for breast cancer and to investigate the relationship between attachment, pain, and quality of life (QOL) in women with persistent pain.
Methods:
Women (N = 335) previously diagnosed with primary non‐metastatic breast cancer completed an online survey with measures of attachment, pain, QOL, demographics, and medical history. Variables were compared between women with (N = 128) and without (N = 207) persistent pain. For those reporting pain, regression analyses were conducted to investigate relationships between attachment, pain, and QOL.
Results:
Higher attachment anxiety, but not attachment avoidance, was related to the presence of persistent pain. Among women with persistent pain, associations between attachment anxiety and avoidance and greater pain intensity were lost when pain catastrophizing was considered in analysis. Significant associations between attachment and diminished QOL and perceived effectiveness of pain management were identified in multivariate analysis.
Conclusions:
These findings extend the available literature regarding associations between pain and attachment insecurity. In women with pain after breast cancer treatment, attachment anxiety and avoidance were associated with negative pain and QOL outcomes. Further attention regarding the use of attachment‐informed approaches in supporting women following breast cancer treatment is indicated.
Details
- Title
- The experience of persistent pain and quality of life among women following treatment for breast cancer: An attachment perspective
- Authors
- Michelle D Smith (Corresponding Author) - The University of QueenslandPamela J Meredith (Author) - The University of QueenslandSiong Yin Chua (Author) - The University of Queensland
- Publication details
- Psycho-Oncology, Vol.27(10), pp.2442-2449
- Publisher
- John Wiley & Sons Ltd.
- Date published
- 2018
- DOI
- 10.1002/pon.4848
- ISSN
- 1099-1611; 1057-9249
- PMID
- 30067313
- Copyright note
- This is the peer reviewed version of the following article: Smith, MD, Meredith, PJ, Chua, SY. The experience of persistent pain and quality of life among women following treatment for breast cancer: An attachment perspective. Psycho-Oncology. 2018; 27: 2442– 2449. https://doi.org/10.1002/pon.4848, which has been published in final form at https://doi.org/10.1002/pon.4848. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health - Occupational Therapy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99568007402621
- Output Type
- Journal article
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- Web Of Science research areas
- Oncology
- Psychology
- Psychology, Multidisciplinary
- Social Sciences, Biomedical
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