Journal article
Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool
Psychology, Health & Medicine, Vol.30(3), pp.437-459
2025
PMID: 39580147
Appears in Thompson Institute Research Collection
Abstract
Integrative models of mental illness and health in psycho-oncology are aimed at all types of cancer, although the patients’ experiences and issues may vary. This review summarizes the different theories and models of mental illness and health pertaining to the breast cancer experience and proposes an integrative phasic model applicable to the breast cancer trajectory. Five databases were searched for studies related to breast cancer mental health and illness theories and models. The PRISMA checklist form was used to extract the essential information from the included studies. Eleven theories and models on the experience of breast cancer were found. The integrative model based on these theories and models illustrates that the breast cancer experience is conceptualized as a trajectory with seven landmark ‘events’, each associated with a pathogenic ‘challenge’ leading to six possible ‘symptoms’, 1) psychological distress with anxious features, 2) psychological distress with depressive features, 3) non-specific distress 4) psychological distress with trauma-related features 5) low health-related quality of life, and 6) fear of recurrence. The Breast Cancer Psychological Integrative Phasic Model is supported by a simple clinical tool (BreastCancerPsych – Integrative Clinical Tool) that serves as a valuable resource throughout the care trajectory. These integrative phasic model and clinical tool are designed to help mental health clinicians formulate treatments that are tailored to the needs of their patients, especially for trajectories that are not marked by resilience.
Details
- Title
- Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool
- Authors
- Justine Fortin - Université du Québec à MontréalÉmilie Rudd - Institut Universitaire en Santé Mentale de QuébecClaudia Trudel-Fitzgerald - Université du Québec à Trois-RivièresMatthew J Cordova - Palo Alto UniversityMarie-France Marin - Université du Québec à MontréalAlain Brunet (Corresponding Author) - University of the Sunshine Coast, Queensland, Thompson Institute
- Publication details
- Psychology, Health & Medicine, Vol.30(3), pp.437-459
- Publisher
- Routledge
- Date published
- 2025
- DOI
- 10.1080/13548506.2024.2430796
- ISSN
- 1465-3966
- PMID
- 39580147
- Data Availability
- This review synthesized data exclusively from the published literature. A search of PsycInfo, Web of Science, PubMed, and CINAHL databases was conducted to identify relevant studies published that met the predetermined eligibility criteria. All data analyzed in this review are available in the public domain. Please contact the corresponding author to receive the BreastCancerPsych (BCP) – Integrative Clinical Tool or the first author: fortin.justine.2@courrier.uqam.ca.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991089698602621
- Output Type
- Journal article
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