TY - JOUR
T1 - Psychological distress, optimism and general health in breast cancer survivors
T2 - a data linkage study using the Scottish Health Survey
AU - Leung, Janni
AU - Atherton, Iain
AU - Kyle, Richard G.
AU - Hubbard, Gill
AU - McLaughlin, Deirdre
N1 - Publisher Copyright:
© 2015, Springer-Verlag Berlin Heidelberg.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Purpose: The aim of this study is to examine the association between optimism and psychological distress in women with breast cancer after taking into account their self-rated general health. Methods: Data were aggregated from the Scottish Health Survey (2008 to 2011) to derive a nationally representative sample of 12,255 women (11,960 cancer-free controls, and 295 breast cancer cases identified from linked cancer registry data). The explanatory variables were optimism and general health, and the outcome variable was symptoms of psychological distress. Logistic regression analyses were conducted, with optimism entered in step 1 and general health entered in step 2. Results: In an unadjusted model, higher levels of optimism were associated with lower odds of psychological distress in both the control group (OR = 0. 57, 95 % CI = 0.51–0.60) and breast cancer group (OR = 0. 64, 95 % CI = 0.47–0.88). However, in a model adjusting for general health, optimism was associated with lower odds of psychological distress only in the control group (OR = 0.50, 95 % CI = 0.44–0.57), but not significantly in the breast cancer group (OR = 1.15, 95 % CI = 0.32–4.11). In the breast cancer group, poor general health was a stronger associate of psychological distress (OR = 4. 98, 95 % CI = 1.32–18.75). Results were consistent after adjusting for age, years since breast cancer diagnosis, survey year, socioeconomic status, education, marital status, body mass index, smoking status, and alcohol consumption. Conclusion: This research confirms the value of multicomponent supportive care interventions for women with breast cancer. Specifically, it suggests that following breast cancer diagnosis, health care professionals need to provide advice and signpost to services that assist women to maintain or improve both their psychological and general health.
AB - Purpose: The aim of this study is to examine the association between optimism and psychological distress in women with breast cancer after taking into account their self-rated general health. Methods: Data were aggregated from the Scottish Health Survey (2008 to 2011) to derive a nationally representative sample of 12,255 women (11,960 cancer-free controls, and 295 breast cancer cases identified from linked cancer registry data). The explanatory variables were optimism and general health, and the outcome variable was symptoms of psychological distress. Logistic regression analyses were conducted, with optimism entered in step 1 and general health entered in step 2. Results: In an unadjusted model, higher levels of optimism were associated with lower odds of psychological distress in both the control group (OR = 0. 57, 95 % CI = 0.51–0.60) and breast cancer group (OR = 0. 64, 95 % CI = 0.47–0.88). However, in a model adjusting for general health, optimism was associated with lower odds of psychological distress only in the control group (OR = 0.50, 95 % CI = 0.44–0.57), but not significantly in the breast cancer group (OR = 1.15, 95 % CI = 0.32–4.11). In the breast cancer group, poor general health was a stronger associate of psychological distress (OR = 4. 98, 95 % CI = 1.32–18.75). Results were consistent after adjusting for age, years since breast cancer diagnosis, survey year, socioeconomic status, education, marital status, body mass index, smoking status, and alcohol consumption. Conclusion: This research confirms the value of multicomponent supportive care interventions for women with breast cancer. Specifically, it suggests that following breast cancer diagnosis, health care professionals need to provide advice and signpost to services that assist women to maintain or improve both their psychological and general health.
KW - Breast cancer
KW - Mental health
KW - Optimism
KW - Psychological distress
KW - Psychosocial
KW - Self-rated health
UR - http://www.scopus.com/inward/record.url?scp=84959116966&partnerID=8YFLogxK
U2 - 10.1007/s00520-015-2968-2
DO - 10.1007/s00520-015-2968-2
M3 - Article
C2 - 26438147
AN - SCOPUS:84959116966
SN - 0941-4355
VL - 24
SP - 1755
EP - 1761
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 4
ER -