Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria
Abstract Background Breast cancer is the most commonly diagnosed cancer and a leading cause of cancer-related deaths among women globally. The cases of breast cancer have continued to rise in Nigeria and surgery remains one of the commonest treatment modalities. However, little is known about the ps...
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2025-02-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-025-06548-2 |
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| author | Ayodeji A. Bioku Jummai D. Jimeta-Tuko Paige Harris Bonnie Lu Adenike Kareem Foluke O. Sarimiye Olubukola F. Kolawole Obiora E. Onwuameze Britta K. Ostermeyer Andrew Toyin Olagunju |
| author_facet | Ayodeji A. Bioku Jummai D. Jimeta-Tuko Paige Harris Bonnie Lu Adenike Kareem Foluke O. Sarimiye Olubukola F. Kolawole Obiora E. Onwuameze Britta K. Ostermeyer Andrew Toyin Olagunju |
| author_sort | Ayodeji A. Bioku |
| collection | DOAJ |
| description | Abstract Background Breast cancer is the most commonly diagnosed cancer and a leading cause of cancer-related deaths among women globally. The cases of breast cancer have continued to rise in Nigeria and surgery remains one of the commonest treatment modalities. However, little is known about the psychosocial wellbeing of patients with breast cancer following surgery in Sub-Saharan Africa. The study investigates the psychosocial well-being and its determinants among patients with breast cancer post-surgery. Methods This cross-sectional study was conducted among 72 patients with breast cancer post-surgery in Northern Nigeria. A clinico-demographic questionnaire, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the 12-item General Health Questionnaire (GHQ-12) were administered to all participants to gather information on their background and psychosocial wellbeing. Results The participants’ mean (± SD) age was 45.94 (± 9.05) years. The prevalence of psychological distress was 36.1% based on GHQ-12. A three-factor analysis of the GHQ-12 showed participants’ mean (± SD) scores for anxiety/depression, social dysfunction, and loss of confidence were 9.25 (± 3.93), 14.17 (± 5.62) and 4.59 (± 1.97) respectively. About 15% (n = 11) of the participants reported their QoL as poor with mean total score of 50.91 (± 12.62), and social relationship 9.81 (± 5.09) was mostly affected across the four domains of WHOQOL-BREF. A lack of psychological counseling pre-surgery, unemployment, low level of education, post-surgical complications, and presence of psychological distress were associated with poor QoL. However, a lack of psychological counseling, post-surgical complications, and psychological distress were key predictors of poor QoL after controlling for cofounders. Conclusion Evidence informed holistic care is indicated among individuals with surgical treatment for breast cancer. There is a need for resources, capacity development and training of healthcare professionals involved in the management of breast cancer to deliver holistic care to enhance their psychosocial wellbeing. Future prospective studies are needed to inform evidence-based psychosocial interventions. |
| format | Article |
| id | doaj-art-ca2d950ef3ab40b4bbcea5b4a40371dc |
| institution | OA Journals |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-ca2d950ef3ab40b4bbcea5b4a40371dc2025-08-20T02:16:55ZengBMCBMC Psychiatry1471-244X2025-02-0125111110.1186/s12888-025-06548-2Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern NigeriaAyodeji A. Bioku0Jummai D. Jimeta-Tuko1Paige Harris 2Bonnie Lu3Adenike Kareem4Foluke O. Sarimiye5Olubukola F. Kolawole6Obiora E. Onwuameze7Britta K. Ostermeyer8Andrew Toyin Olagunju9Federal Medical CentreOncology unit, Medical Services Department, Diagnostic and Treatment center, Central Bank of NigeriaMichael G. Degroote School of Medicine, McMaster UniversityMichael G. Degroote School of Medicine, McMaster UniversityDepartment of Quality Technology Strategy, Centene CorporationDepartment of Radiation Oncology, University of IbadanMichael G. Degroote School of Medicine, McMaster UniversityDepartment of Psychiatry, Southern Illinois University School of MedicineDepartment of Psychiatry and Behavioral Sciences, University of OklahomaMichael G. Degroote School of Medicine, McMaster UniversityAbstract Background Breast cancer is the most commonly diagnosed cancer and a leading cause of cancer-related deaths among women globally. The cases of breast cancer have continued to rise in Nigeria and surgery remains one of the commonest treatment modalities. However, little is known about the psychosocial wellbeing of patients with breast cancer following surgery in Sub-Saharan Africa. The study investigates the psychosocial well-being and its determinants among patients with breast cancer post-surgery. Methods This cross-sectional study was conducted among 72 patients with breast cancer post-surgery in Northern Nigeria. A clinico-demographic questionnaire, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the 12-item General Health Questionnaire (GHQ-12) were administered to all participants to gather information on their background and psychosocial wellbeing. Results The participants’ mean (± SD) age was 45.94 (± 9.05) years. The prevalence of psychological distress was 36.1% based on GHQ-12. A three-factor analysis of the GHQ-12 showed participants’ mean (± SD) scores for anxiety/depression, social dysfunction, and loss of confidence were 9.25 (± 3.93), 14.17 (± 5.62) and 4.59 (± 1.97) respectively. About 15% (n = 11) of the participants reported their QoL as poor with mean total score of 50.91 (± 12.62), and social relationship 9.81 (± 5.09) was mostly affected across the four domains of WHOQOL-BREF. A lack of psychological counseling pre-surgery, unemployment, low level of education, post-surgical complications, and presence of psychological distress were associated with poor QoL. However, a lack of psychological counseling, post-surgical complications, and psychological distress were key predictors of poor QoL after controlling for cofounders. Conclusion Evidence informed holistic care is indicated among individuals with surgical treatment for breast cancer. There is a need for resources, capacity development and training of healthcare professionals involved in the management of breast cancer to deliver holistic care to enhance their psychosocial wellbeing. Future prospective studies are needed to inform evidence-based psychosocial interventions.https://doi.org/10.1186/s12888-025-06548-2Breast cancerMastectomyPsychological distressQuality of lifeSurgery |
| spellingShingle | Ayodeji A. Bioku Jummai D. Jimeta-Tuko Paige Harris Bonnie Lu Adenike Kareem Foluke O. Sarimiye Olubukola F. Kolawole Obiora E. Onwuameze Britta K. Ostermeyer Andrew Toyin Olagunju Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria BMC Psychiatry Breast cancer Mastectomy Psychological distress Quality of life Surgery |
| title | Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria |
| title_full | Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria |
| title_fullStr | Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria |
| title_full_unstemmed | Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria |
| title_short | Psychosocial wellbeing of patients with breast cancer following surgical treatment in Northern Nigeria |
| title_sort | psychosocial wellbeing of patients with breast cancer following surgical treatment in northern nigeria |
| topic | Breast cancer Mastectomy Psychological distress Quality of life Surgery |
| url | https://doi.org/10.1186/s12888-025-06548-2 |
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