Emotion-focused perspective on breast cancer patients’ experiences of comorbid anxiety and depression: a qualitative case analysis of three clients’ in-session presentations

References

• American Psychiatric Association [APA]. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
   Google Scholar
• Arman, M., & Rehnsfeldt, A. (2002). Living with breast cancer – A challenge to expansive and creative forces. European Journal of Cancer Care, 11(4), 290–296.
   PubMed Web of Science ®Google Scholar
• Badger, T. A., Braden, C. J., & Mishel, M. H. (2001). Depression burden, self-help interventions, and side effect experience in women receiving treatment for breast cancer. Oncology Nursing Forum, 28(3), 567–574. doi:10.1016/j.ejon.2015.06.001
   PubMedGoogle Scholar
• Boss, P. (2009). The trauma and complicated grief of ambiguous loss. Pastoral Psychology, 59(2), 137–145.
   Google Scholar
• Boyes, A. W., Girgis, A., D’Este, C., & Zucca, A. C. (2011). Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6months after diagnosis. Journal of Affective Disorders, 135(1), 184–192.
   PubMed Web of Science ®Google Scholar
• Boyes, A. W., Girgis, A., D’Este, C. A., Zucca, A. C., Lecathelinais, C., & Carey, M. L. (2013). Prevalence and predictors of the short-term trajectory of anxiety and depression in the first year after a cancer diagnosis: A population-based longitudinal study. Journal of Clinical Oncology, 31(21), 2724–2729.
   PubMed Web of Science ®Google Scholar
• Brennan, J. (2001). Adjustment to cancer - coping or personal transition? Psycho-Oncology, 10(1), 1–18.
   PubMed Web of Science ®Google Scholar
• Brennan, J. (2004). Cancer in context: A practical guide to supportive care. Oxford, UK: Oxford University Press.
   Google Scholar
• Brown, L. F., Kroenke, K., Theobald, D. E., Wu, J., & Tu, W. (2010). The association of depression and anxiety with health‐related quality of life in cancer patients with depression and/or pain. Psycho‐Oncology, 19(7), 734–741.
   PubMed Web of Science ®Google Scholar
• Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: Five year observational cohort study. BMJ, 330(7493), 702–705.
   PubMed Web of Science ®Google Scholar
• Cacioppo, J. T., Hughes, M., Waite, L., Hawkley, L., & Thisted, R. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140–151.
   PubMed Web of Science ®Google Scholar
• Carlson, L., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., & Bultz, B. D. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304.
   PubMed Web of Science ®Google Scholar
• Civilotti, C., Castelli, L., Binaschi, L., Cussino, M., Tesio, V., Di Fini, G., … Torta, R. (2015). Dissociative symptomatology in cancer patients. Frontiers in Psychology, 6, 118.
   PubMed Web of Science ®Google Scholar
• Colleoni, M., Mandala, M., Peruzzotti, G., Robertson, C., Bredart, A., & Goldhirsch, A. (2000). Depression and degree of acceptance of adjuvant cytotoxic drugs. The Lancet, 356(9238), 1326–1327.
   PubMed Web of Science ®Google Scholar
• Connolly-Zubot, A., Timulak, L., Hession, N., & Coleman, N. (2019). Emotion-focused therapy for anxiety and depression in women with breast cancer. Journal of Contemporary Psychotherapy, 1–10. doi:10.1007/s10879-019-09439-2
   Google Scholar
• Curtis, R., Groarke, A., McSharry, J., & Kerin, M. (2014). Experience of breast cancer: Burden, benefit, or both? Cancer Nursing, 37(3), 21–30.
   Web of Science ®Google Scholar
• Denieffe, S., & Gooney, M. (2011). A meta‐synthesis of women’s symptoms experience and breast cancer. European Journal of Cancer Care, 20(4), 424–435.
   PubMed Web of Science ®Google Scholar
• Derogatis, L. R. (1994). SCL-90-R: Administration, scoring and procedures manual (3rd ed.). Minneapolis, MN: NCS Pearson.
   Google Scholar
• Elliott, R., & Timulak, L. (2005). Descriptive and interpretative approaches to qualitative research. In J. Miles & P. Gilbert (Eds.), A handbook of research methods in clinical and health psychology (pp. 147–160). Oxford: Oxford University Press.
   Google Scholar
• Fann, J. R., Thomas-Rich, A. M., Katon, W. J., Cowley, D., Pepping, M., McGregor, B. A., & Gralow, J. (2008). Major depression after breast cancer: A review of epidemiology and treatment. General Hospital Psychiatry, 30(2), 112–126.
   PubMed Web of Science ®Google Scholar
• Fatiregun, O. A., Olagunju, A. T., Erinfolami, A. R., Fatiregun, O. A., Arogunmati, O. A., & Adeyemi, J. D. (2016). Anxiety disorders in breast cancer: Prevalence, types, and determinants. Journal of Psychosocial Oncology, 34(5), 432–447.
   PubMed Web of Science ®Google Scholar
• First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. (SCID-I/P). New York, NY: Biometrics Research, New York State Psychiatric Institute.
   Google Scholar
• Frick, E., Tyroller, M., & Panzer, M. (2007). Anxiety, depression and quality of life of cancer patients undergoing radiation therapy: A cross-sectional study in a community hospital outpatient centre. European Journal of Cancer Care, 16(2), 130–136.
   PubMed Web of Science ®Google Scholar
• Greenberg, L. S., & Watson, J. C. (2006). Emotion focused therapy for depression. Washington, DC: American Psychological Association.
   Google Scholar
• Iwakabe, S., & Gazzola, N. (2009). From single-case studies to practice-based knowledge: Aggregating and synthesizing case studies. Psychotherapy Research, 19(4–5), 601–611.
   PubMed Web of Science ®Google Scholar
• Kernan, W. D., & Lepore, S. J. (2009). Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect. Social Science & Medicine, 68(6), 1176–1182.
   PubMed Web of Science ®Google Scholar
• Klein, M. (1948). A contribution to the theory of anxiety and guilt. The International Journal of Psychoanalysis, 29, 114–123.
   Web of Science ®Google Scholar
• Koch, L., Bertram, H., Eberle, A., Holleczek, B., Schmid-Höpfner, S., Waldmann, A., … Arndt, V. (2013). Fear of recurrence in long-term breast cancer survivors-still an issue. Results on prevalence, determinants, and the association with quality of life and depression from the Cancer Survivorship-a multi-regional population-based study. Psycho-Oncology, 23(5), 547–554.
   PubMed Web of Science ®Google Scholar
• Koch, L., Jansen, L., Brenner, H., & Arndt, V. (2013). Fear of recurrence and disease progression in long-term (≥5years) cancer survivors—a systematic review of quantitative studies. Psycho-Oncology, 22(1), 1–11.
   PubMed Web of Science ®Google Scholar
• Krebber, A. M. H., Buffart, L. M., Kleijn, G., Riepma, I. C., Bree, R., Leemans, C. R., … Verdonck‐de Leeuw, I. M. (2014). Prevalence of depression in cancer patients: A meta‐analysis of diagnostic interviews and self‐report instruments. Psycho‐Oncology, 23(2), 121–130.
   PubMed Web of Science ®Google Scholar
• Lee, V. (2008). The existential plight of cancer: Meaning making as a concrete approach to the intangible search for meaning. Supportive Care in Cancer, 16(7), 779–785.
   PubMed Web of Science ®Google Scholar
• Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006a). Meaning-making and psychological adjustment to cancer: Development of an intervention and pilot results. Oncology Nursing Forum, 33(2), 291–302.
   PubMed Web of Science ®Google Scholar
• Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006b). Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Social Science & Medicine, 62(12), 3133–3145.
   PubMed Web of Science ®Google Scholar
• Lindberg, P., Koller, M., Steinger, B., Lorenz, W., Wyatt, J. C., Inwald, E. C., & Klinkhammer-Schalke, M. (2015). Breast cancer survivors’ recollection of their illness and therapy seven years after enrolment into a randomised controlled clinical trial. BMC Cancer, 15(1), 1573–1576.
   Google Scholar
• Little, M., Paul, K., Jordens, C., & Sayers, E. (2002). Survivorship and discourses of identity. Psycho-Oncology, 11(2), 170–178.
   PubMed Web of Science ®Google Scholar
• Maass, S. W. M. C., Roorda, C., Berendsen, A. J., Verhaak, P. F. M., & de Bock, G. H. (2015). The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review. Maturitas, 82(1), 100–108.
   PubMed Web of Science ®Google Scholar
• McLeod, J. (2010). Case study research in counselling and psychotherapy. London, UK: Sage Publications.
   Google Scholar
• McLeod, J. (2013). Increasing the rigor of case study evidence in therapy research. Pragmatic Case Studies in Psychotherapy, 9(4), 382–402.
   Google Scholar
• McLeod, J., & Elliott, R. (2011). Systematic case study research: A practice-oriented introduction to building an evidence base for counselling and psychotherapy. Counselling and Psychotherapy Research, 11(1), 1–10.
   Google Scholar
• Mehnert, A., & Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: A prospective study. Psycho-Oncology, 16(3), 181–188.
   PubMed Web of Science ®Google Scholar
• 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. The Lancet Oncology, 12(2), 160–174.
   PubMed Web of Science ®Google Scholar
• O’Brien, K., O’Keeffe, N., Cullen, H., Durcan, A., Timulak, L., & McElvaney, J. (2019). Emotion-focused perspective on generalized anxiety disorder: A qualitative analysis of clients’ in-session presentations. Psychotherapy Research, 29, 524–540. doi:10.1080/10503307.2017.1373206
   PubMed Web of Science ®Google Scholar
• Oleske, D. M., Cobleigh, M. A., Phillips, M., & Nachman, K. L. (2004). Determination of factors associated with hospitalization in breast cancer survivors. Oncology Nursing Forum, 31(6), 1081–1088.
   PubMed Web of Science ®Google Scholar
• Pascual-Leone, A. (2009). Dynamic emotional processing in experiential therapy: Two steps forward, one step back. Journal of Consulting and Clinical Psychology, 77, 113–126.
   PubMed Web of Science ®Google Scholar
• Pascual-Leone, A., & Greenberg, L. S. (2007). Emotional processing in experiential therapy: Why “The only way out is through”. Journal of Consulting and Clinical Psychology, 75, 875–887.
   PubMed Web of Science ®Google Scholar
• Pillai-Friedman, S., & Ashline, J. L. (2014). Women, breast cancer survivorship, sexual losses, and disenfranchised grief – A treatment model for clinicians. Sexual and Relationship Therapy, 29(4), 436–453.
   Web of Science ®Google Scholar
• Rosedale, M. (2009). Survivor loneliness of women following breast cancer. Oncology Nursing Forum, 36(2), 175–183.
   PubMed Web of Science ®Google Scholar
• Singer, S., Das-Munshi, J., & Brähler, E. (2009). Prevalence of mental health conditions in cancer patients in acute care—A meta-analysis. Annals of Oncology, 21(5), 925–930.
   PubMed Web of Science ®Google Scholar
• Spiegel, D., & Diamond, S. (2001). Psychosocial interventions in cancer. In A. Baum & A. L. Anderson (Eds.), Psychosocial interventions for cancer (pp. 215–233). Washington, DC: American Psychological Association.
   Google Scholar
• Stein, D. J. (2014). Nosology and classification. In P. Emmelkamp & T. Ehring (Eds.), The Wiley Handbook of anxiety disorders (pp. 13–25). Chichester, UK: Wiley Blackwell.
   Google Scholar
• Thomas-MacLean, R. (2004). Memories of treatment: The immediacy of breast cancer. Qualitative Health Research, 14(5), 628–643.
   PubMed Web of Science ®Google Scholar
• Timulak, L., & Pascual-Leone, A. (2015). New developments for case conceptualization in emotion-focused therapy. Clinical Psychology & Psychotherapy, 22(6), 619–636.
   PubMed Web of Science ®Google Scholar
• World Health Organization. (2016). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva, Switzerland: Author.
   Google Scholar
• Yalom, I. D. (1980). Existential psychotherapy. New York, NY: Basic Books.
   Google Scholar
• Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatric Scandinavian, 67(6), 361–370.
   PubMed Web of Science ®Google Scholar