1482P - Concerns of young women with breast cancer and theirs partners from chemotherapy to follow-up: a cross-sectional study

Date 09 October 2016
Event ESMO 2016 Congress
Session Poster display
Topics Supportive Measures
Presenter Laurence Vanlemmens
Citation Annals of Oncology (2016) 27 (6): 497-521. 10.1093/annonc/mdw390
Authors L. Vanlemmens1, A. Congard2, C. Duprez3, A. Baudry3, A. Lesur4, C. Loustalot5, C. Guillemet6, M. Leclercq7, C. Levy8, D. Carlier9, C. Lefeuvre-Plesse10, H. Simon11, J. Frenel12, P. Antoine3, V. Christophe3
  • 1Breast Cancer Department, Centre Oscar Lambret, 59020 - Lille/FR
  • 2Centre De Recherche PsyclÉ (ea 3273), Aix-Marseille Université, Aix-en-Provence/FR
  • 3Scalab Umr Cnrs 9193, Université de Lille, Villeneuve d'Ascq/FR
  • 4Breast Cancer Department, Institut de Cancérologie de Lorraine, Nancy/FR
  • 5Surgical Department, Centre Georges-François Leclerc (Dijon), Dijon/FR
  • 6Medical Oncology, Centre Henri Becquerel, Rouen/FR
  • 7-, -, Marcq En Baroeul/FR
  • 8Oncology, Centre Francois Baclesse, Caen/FR
  • 9Radio-chemotherapy, Clinique d'Imagerie du Pont Saint Vaast, Douai/FR
  • 10Breast And Gynecologic Oncology, Centre Eugene - Marquis, Rennes/FR
  • 11Medical Oncology, C.H.U. Brest - Hôpital Morvan, Brest/FR
  • 12Medical Oncology, ICO Institut de Cancerologie de l'Ouest René Gauducheau, 44805 - St. Herblain/FR

Abstract

Background

Better understanding the concerns of couples facing cancer appears crucial for care quality. This study aims to clarify the subjective experience in couples in which the woman is diagnosed with early breast cancer at a young age ( 

Methods

491 couples (28.7% of which non-metastatic breast cancer women were under chemotherapy, 10.2% under trastuzumab, 33.9% under hormone therapy and 28.1% under follow-up) completed a self-administered questionnaire (for patient : YW-BCI36 and for partner : corresponding version : partner YW-BCI36 (Christophe and al. Health Qual Life Outcomes 2015)), scale to identify respective subjective experience of the disease (36 items, 8 dimensions).

Results

Patients reported more difficulties than partners in the management of child(ren) and the everyday life, body image and sexuality, negative affectivity and apprehension about the future, career management, and finances. Although the difficulties were generally more marked during chemotherapy and Trastuzumab than during hormone therapy and follow-up, the negative affectivity and apprehension about the future was high in every stage of treatment, especially in patients. The partners reported more difficulties in sharing with their close relatives, these difficulties increasing over time and also in patients. No difference appeared between patients and partners in the couple cohesion and deterioration of relationships with relatives.

Conclusions

Couples' difficulties are particularly severe in the early care pathway and decrease over time, reflecting a progressive adjustment. A longitudinal study will substantiate this finding and allow to better identify some explanatory processes of these differences and similarities in the daily experience of the disease in couples.

Clinical trial identification

Legal entity responsible for the study

Centre Oscar Lambret

Funding

This paper presents independent research funded by the Ligue Nationale contre le Cancer, the Conseil Régional du Nord-Pas de Calais, the Prix Ruban Rose 2010, and Sanofi, Roche and Novartis

Disclosure

All authors have declared no conflicts of interest.