Necessidades biopsicossociais de sobreviventes de câncer de testículo e evidência de validação de escala breve
Palavras-chave:
Ansiedade, Depressão, Distress, Qualidade de vida, Neoplasias testicularesResumo
O prognóstico favorável do câncer de testículo não minimiza as implicações biopsicossociais imediatas e tardias. Este estudo objetiva determinar essas necessidades e avaliar a evidência de validação de escala breve e específica para essa população. Uma amostra de 29 pacientes sobreviventes de câncer de testículo foi avaliada quanto ao distress (Termômetro de Distress), ansiedade e depressão (Escala de Ansiedade e Depressão), qualidade de vida e prejuízo cognitivo (Functional Assessment of Chronic Illness Therapy-General e Cognitive Function) e demandas específicas (Cancer Assessment for Young Adults-Testicular12). Observou-se alta prevalência de distress (41,4%), baixa prevalência de ansiedade (6,9%) e depressão (6,9%) e moderado impacto na qualidade de vida e cognição. Autoimagem e função sexual foram os problemas mais preponderantes. A evidência de validação do Cancer Assessment for Young Adults-Testicular12 foi constatada na avaliação psicométrica. Notavelmente, as necessidades biopsicossociais identificadas nas escalas globais e, particularmente no Cancer Assessment for Young Adults-Testicular12, auxiliaram no entendimento dessas especificidades e no planejamento terapêutico.
Downloads
Referências
Abouassaly, R., Fossa, S. D., Giwercman, A., Kollmannberger, C., Motzer, R. J., Schmoll, H. J., & Sternberg, C. N. (2011). Sequelae of treatment in long-term survivors of testis cancer. European Urology, 60, 516-526. http://dx.doi.org/10.1016/j.eururo.2011.05.055
Acquati, C., Zebrack, B. J., Faul, A. C., Embry, L., Aguilar, C., Block, R., … Cole, S. (2018). Sexual functioning among young adult cancer patients: A 2-year longitudinal study. Cancer, 124(2), 398-405. http://dx.doi.org/10.1002/cncr.31030
Arnold, B. J., Eremenco, S., Chang, C. H., Odom, L., Ribaudo, J., & Cella, D. (2000). Development of a single Portuguese language version of the functional assessment of cancer therapy general (FACT-G) scale. Quality of Life Research, 9(3), 316.
Azevedo, I. M., Zayat, C. G., Okuma, G. Y., De Domenico, E. B. L., & Bergerot, C. D. (2017). Sintomas biopsicossociais em pacientes com câncer incurável no Brasil. Brazilian Journal of Oncology, 13(45), 1-8. http://dx.doi.org/10.26790/BJO20171345A92
Bergerot, C. D., Bergerot, P. G., Philip, E. J., De Domenico, E. B. L., Manhães, M. F. M., Pedras, R. N., ... Pal, S. K. (2018). Assessment of distress and quality of life in rare cancers. Psycho-Oncology, 27(12), 2740-2746. http://dx.doi.org/10.1002/pon.4873
Bergerot, C. D., Philip, E. J., Zayat, C. G., Azevedo, I. M., Araujo, T. C. C. F., & De Domenico, E. B. L. (2016). Investigating the two-tiered system of psychosocial cancer care in Brazil using a distress screening measure. Journal of Global Oncology, 3(1), 1-6. http://dx.doi.org/10.1200/JGO.2016.004978
Bergerot, C. D., Zayat, C. G., Azevedo, I. M., Okuma, G. Y., Pedras, R. N., Marcusso, M. F. M., & De Domenico, E. B. L. (2017). Implementação de programa de psico-oncologia segundo recomendações internacionais aplicadas em serviço público brasileiro. Estudos de Psicologia (Natal), 22(4), 350-357. http://dx.doi.org/10.22491/1678-4669.20170036
Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr., C., & Pereira, W. A. (1995). Transtorno de humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Revista de Saúde Pública, 29(5), 355-363. http://dx.doi.org/10.1590/S0034-89101995000500004
Brucker, P. S., Yost, K., Cashy, J., Webster, K., & Cella, D. (2005). General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Evaluation & the Health Professions, 28(2), 192-211. http://dx.doi.org/10.1177/0163278705275341
Cappuccio, F., Rossetti, S., Cavaliere, C., Iovane, G., Taibi, R., D’Aniello, C., … Facchini, G. (2018). Health-related quality of life and psychosocial implications in testicular cancer survivors: A literature review. European Review for Medical and Pharmacological Sciences, 22(3), 645-661. http://dx.doi.org/10.26355/eurrev_201802_14290
Carpentier, M. Y., Fortenberry, J. D., Ott, M. A., Brames, M. J., & Einhorn, L. H. (2011). Perceptions of masculinity and self-image in adolescent and young adult testicular cancer survivors: Implications for romantic and sexual relationship. Psycho-Oncology, 20(7), 738-745. http://dx.doi.org/10.1002/pon.1772
Chovanec, M., Vasilkova, L., Setteyova, L., Obertova, J., Palacka, P., Rejlekova, K., … Mego, M. (2018). Long-term cognitive functioning in testicular germ-cell tumor survivors. The Oncologist, 23, 1-7. http://dx.doi.org/10.1634/theoncologist.2017-0457
Decat, C. S., Laros, J. A., & Araujo, T. C. C. F. (2009). Termômetro de distress: validação de um instrumento breve para avaliação diagnóstica de pacientes oncológicos. Psico-USF, 14(3), 253-260. http://dx.doi.org/10.1590/S1413-82712009000300002
Fossa, S. D., de Wit, R., Roberts, J. T., Wilkinson, P. M, de Mulder, P. H., Mead, G. M., … Collete, L. (2003). Quality of life in good prognosis patients with metastatic germ cell cancer: A prospective study of the European Organization for Research and Treatment of Cancer Genitourinary Group/Medical Research Council Testicular Cancer Study Group (30941/TE20). Journal of Clinical Oncology, 21(6), 1107-1118. http://dx.doi.org/10.1200/JCO.2003.02.075
Giese-Davis, J., Waller, A., Carlson, L. E., Groff, S., Zhong, L., Neri, E., … Bultz, B. D. (2012). Screening for distress, the 6th vital sign: Common problems in cancer outpatients over one year in usual care: Associations with marital status, sex, and age. BioMed Central Cancer, 12, 441-452. http://dx.doi.org/10.1186/1471-2407-12-441
Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., ... Greiner, C. B. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190-209.
Horick, N. K., Manful, A., Lowery, J., Domchek, S., Moorman, P., Griffin, C., … Finkelstein, D. M. (2017). Physical and psychological health in rare cancer survivors. Journal of Cancer Survivor, 11(1), 158-165. http://dx.doi.org/10.1007/s11764-016-0573-0
Hoyt, M. A., Cano, S. J., Saigal, C. S., & Stanton, A. L. (2013). Health-related quality of life in young men with testicular cancer: Validation of the Cancer Assessment for Young Adults (CAYA). Journal of Cancer Survivors, 7(4), 630-640. http://dx.doi.org/10.1007/s11764-013-0302-x
Hoyt, M. A., McCann, C., Savone, M., Saigal, C. S., & Stanton, A. L. (2015). Interpersonal sensitivity and sexual functioning in young men with testicular cancer: The moderating role of coping. International Journal of Behavioral Medicine, 22(6), 709-716. http://dx.doi.org/10.1007/s12529-015-9472-4
Jacobsen, P. B., Nipp, R. D., & Ganz, P. A. (2017). Addressing the survivorship care needs of patients receiving extended cancer treatment. American Society of Clinical Oncology Educational Book, 37, 674-683. http://dx.doi.org/10.14694/EDBK_175673
Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncology, 12(2), 160-174. http://dx.doi.org/10.1016/S1470-2045(11)70002-X
National Comprehensive Cancer Center. (2018). Testicular cancer: Version 2. Retrieved January 10, 2018, from http://www.nccn.org/professionals/physician_gls/pdf/testicular_blocks.pdf
Rossen P. B., Pedersen, A. F., Zachariae, R., & von der Maase, H. (2009). Health-related quality of life in long-term survivors of testicular cancer. Journal of Clinical Oncology, 27(35), 5993-5999. http://dx.doi.org/10.1200/JCO.2008.19.6931
Rossen, P., Pedersen, A. F., Zachariae, R., & von der Maase, H. (2012). Sexuality and body image in long-term survivors of testicular cancer. European Journal of Cancer, 48(4), 571-578. http://dx.doi.org/10.1016/j.ejca.2011.11.029
Shen, A. H., Howell, D., Edwards, E., Warde, P., Matthew, A., & Jones, J. M. (2016). The experience of patients with early-stage testicular cancer during the transition from active treatment to follow-up surveillance. Urologic Oncology, 34(4), 11-20. http://dx.doi.org/10.1016/j.urolonc.2015.09.016
Skoogh, J., Steineck, G., Cavallin-Ståhl, E., Wilderäng, U., Håkansson, U. K., Johansson, B., & Stierner, U. (2011). Feelings of loss and uneasiness or shame after removal of a testicle by orchiectomy: A population-based long-term follow-up of testicular cancer survivors. International Journal of Andrology, 34(2), 183-192. http://dx.doi.org/10.1111/j.1365-2605.2010.01073.x
Skoogh, J., Steineck, G., Johansson, B., Wilderang, U., & Stierner, U. (2013). Psychological needs when diagnosed with testicular cancer: Findings from a population-based study with long-term follow-up. British Journal of Urology International, 111(8), 1287-1293. http://dx.doi.org/10.1111/j.1464-410X.2012.11696.x
Smith, A. B., King, M., Butow, P., Luckett, T., Grimison, P., Tones, G. C., … Oliver, I. (2013). The prevalence and correlates of supportive care needs in testicular cancer survivors: A cross-sectional study. Psycho-Oncology, 22(11), 2557-2564. http://dx.doi.org/10.1002/pon.3323
Smith, A. B., Rutherford, C., Butow, P., Olver, I., Luckett, T., Grimison, P., … King, M. (2018). A systematic review of quantitative observational studies investigating psychosocial distress in testicular cancer survivors. Psycho-Oncology, 27(4), 1129-1137. http://dx.doi.org/10.1002/pon.4596
Ten Berge, J. M. F., & Zegers, F. E. (1978). A series of lower bounds to the reliability of a test. Psychometrika, 43(4), 575- 579. http://dx.doi.org/10.1007/BF02293815
Travis, L. B., Beard, C., Allan, J. M., Dahl, A. A., Feldman, D. R., Oldenburg, J., … Fossa, S. D. (2010). Testicular cancer: Research strategies and recommendations. Journal of National Cancer Institute, 102(15), 1114-1130. http://dx.doi.org/10.1093/jnci/djq216
Vehling, S., Mehnert, A., Hartmann, M., Oing, C., Bokemeyer, C., & Oechsle, K. (2016). Anxiety and depression in long-term testicular germ cell tumor survivors. General Hospital Psychiatry, 38, 21-25. http://dx.doi.org/10.1016/j.genhosppsych.2015.09.001
Wagner, L. I., Sweet, J., Butt, Z., Lai, J., & Cella, D. (2009). Measuring patient self-reported cognitive function: Development of the functional assessment of cancer therapy–cognitive function instrument. The Journal of Supportive Oncology, 7(6), W32-W39.
Winter, J. C. F., Dodou, D., & Wieringa, P. A. (2009). Exploratory factor analysis with small sample sizes. Multivariate Behavioral Research, 44(2), 147-181. http://dx.doi.org/10.1080/00273170902794206
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Maria Fernanda Marcusso MANHÃES, Getulio Yuzo OKUMA, Renata Nunes PEDRAS, Edvane Birelo Lopes DE DOMENICO, Cristiane Decat BERGEROT
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
