Impact of major life events on breast-cancer-specific mortality: A case fatality study on 8000 breast cancer patients

Heikkinen, Sanna; Miettinen, Joonas; Pukkala, Eero; Koskenvuo, Markku; Malila, Nea; Pitkäniemi, Janne

doi:10.1016/j.canep.2017.03.008

Cited by 7 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, our results were in line with studies suggesting that familial confounding may affect the associations between life events and DP due to MSD (Harkonmäki et al 2008;Narusyte et al 2011;Kendler and Baker 2007). Additionally, although several confounding factors including sociodemographic and health may play a role too, previous research support our finding that life event "positive change in life" may decrease the risk of DP due to MSD (Peled et al 2008;Heikkinen et al 2017).…”

Section: Discussionsupporting

confidence: 92%

“…This dilution may reflect that life circumstances and other changes in life may play a role. For example, in previous studies, happiness and positive life events have been shown to decrease risk of breast cancer (Peled et al 2008) and breast cancer mortality (Heikkinen et al 2017). Although cancer is a very different disease than chronic musculoskeletal disorder, these findings together suggest that perceived positive change in life may be an indicator of a factor or factors of beneficial for future health.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Life events as predictors for disability pension due to musculoskeletal diagnoses: a cohort study of Finnish twins

Kärkkäinen

Silventoinen

Svedberg

et al. 2019

Int Arch Occup Environ Health

View full text Add to dashboard Cite

Purpose Musculoskeletal diagnoses (MSD) are one of the largest diagnostic groups for disability pensions (DP). This study investigated the associations between life events and DP due to MSD, considering sociodemographic, health, and familial factors. Methods The study sample included 18,530 Finnish twins, 24-64 years old at baseline, who responded to a questionnaire in 1981 including a 21-item life event inventory. Information on DP with diagnosis codes (ICD codes: M00-M99) were obtained from the official national pension registers. Life events were divided into family-and work-related events. "Positive change in life" was analyzed separately. Cox proportional hazards models were used to calculate hazard ratios (HR) with 95% confidence intervals (CI). Results During the follow-up of 23 years, 1273 (7%) individuals were granted DP due to MSD. In discordant pair analysis, family-related events (≥ 4 events) increased (HR 1.63, 95% CI 1.31, 2.03) and the absence of such events decreased (HR 0.68, 95% CI 0.48, 0.95) the risk of DP due to MSD. For work-related events (≥ 3 events), the risk estimates were non-significant when controlling for familial factors. Having had a positive change in life decreased the risk of DP due to MSD (HR 0.79, 95% CI 0.65, 0.96) while controlling for familial confounding, but were non-significant in the full model controlling for various covariates (HR 0.91, 95% CI 0.75, 1.12). Conclusions The associations between life events and the risk of DP due to MSD are complex and potentially affected by familial and other confounding factors including sociodemographics and health.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 90%

Life events as predictors for disability pension due to musculoskeletal diagnoses: a cohort study of Finnish twins

Kärkkäinen

Silventoinen

Svedberg

et al. 2019

Int Arch Occup Environ Health

View full text Add to dashboard Cite

show abstract

“…Aunque un análisis sobre esta cuestión sobrepasa los objetivos y límites del presente estudio, los sucesos vitales se han asociado a la salud física en general (Holmes y David, 1989;Sandín, 1989Sandín, , 1993Sandín, , 2008, la sintomatología somática (Sandín, Chorot, Santed, y Valiente, 2002), y la mayor parte de las perturbaciones y enfermedades físicas, incluidas las enfermedades cardiovasculares (Bernston, Patel, y Steward, 2017;Chorot y Sandín, 1994;Sandín, Chorot, Santed, y Jiménez, 2009), el cán-cer (Chorot y Sandín, 1994;Heikkinen et al, 2017;, los trastornos gastrointestinales (Tobón, Sandín, y Vinaccia, 2006;Tobón, Vinaccia, y Sandín, 2003), la diabetes y en general las enfermedades autoinmunes y la resistencia a la enfermedad (Holmes y David, 1989;Porcelli et al, 2016;.…”

Section: Introductionunclassified

Cuestionario de Sucesos Vitales (CSV): Estructura factorial, características psicométricas y datos normativos

Sandín¹,

Chorot²

2017

RPPC

View full text Add to dashboard Cite

Abstract:The aim of the present study was to validate the Life Events Questionnaire (Cuestionario de Sucesos Vitales, CSV). Two large and independent samples were used (age range 19 to 67 years). A protocol including the CSV, the PANAS Scales, the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure−Adult, the Anxiety Scale (EA), the Depression Questionnaire (CD), and the Health Questionnaire (CS) was completed on two separate occasions (with a 6-month interval). Exploratory and confi rmatory factor analyses revealed a 7-factor structure of the CSV, suggesting seven stress-relevant psychosocial domains. Scores on the questionnaire were predictive of elevated levels of psychopathology, anxiety, depression, and diseases assessed 6 months later, after controlling for the effect of negative and positive affectivity, age and gender. Evidence of reliability, normative data, and validity of the CSV is also reported. We conclude that the CSV provides a suitable measure for psychosocial stress assessment.Keywods: Life Events Questionnaire; CSV; psychosocial stress; negative life events; psychopathology; anxiety; depression; disease.Resumen: El objetivo del estudio fue validar el Cuestionario de Sucesos Vitales (CSV). Se utilizaron dos muestras amplias e independientes (rango de edad: 19-67 años). Se aplicó un protocolo en dos momentos temporales (separados por 6 meses) que incluía el CSV, las escalas PANAS de afecto positivo y negativo, el DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure−Adult), la Escala de Ansiedad (EA), el Cuestionario de Depresión (CD), y el Cuestionario de Salud (CS). Los análisis factoriales exploratorios y confi rmatorios revelaron una estructura de 7 factores que sugieren siete dimensiones psicosociales relevantes al estrés. El CSV predijo las puntuaciones en psicopatología, ansiedad, depresión y enfermedades, evaluadas 6 meses más tarde, tras controlar el efecto de la afectividad negativa y positiva, la edad y el género. También se proporciona evidencia de fi abilidad, datos normativos y validez del CSV. Se concluye que el CSV constituye una herramienta adecuada para la evaluación del estrés psicosocial.Palabras clave: Cuestionario de Sucesos Vitales; CSV; estrés psicosocial; sucesos vitales negativos; psicopatología; ansiedad; depresión; enfermedad.a IntroducciónAparte de la confusión (no sólo popular sino también científi ca) que suele existir en la interpretación sobre lo que es el estrés, su conceptualización ha venido enfatizando diferentes enfoques o puntos de vista, entre los que se incluyen la consideración del estrés como una respuesta (p.ej., activación del sistema hipotálamo-hipó-fi so-corticosuprarrenal), como un estímulo (p.ej., un suceso vital), o como un proceso de interacción entre el estímulo y la respuesta (p.ej., aproximaciones mediacionales o interaccionales del estrés) (véase Sandín, 2009). Los enfoques del estrés basados en el estímulo han tenido gran repercusión sobre la psicología clínica en las últimas décadas, siendo el más infl uyente el conocido como «enfoque ...

show abstract

“…Daily life includes participation in leisure activities, which may mitigate disease-induced stress and reduce feelings of isolation and loneliness [9]. Positively experienced developments in hobbies after diagnosis is shown to reduce deaths from breast cancer [10]. Patients with hobbies lived longer than those without, with an increased number of hobbies reducing the risk of death and curability depending on treatment [9].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Participation in Leisure Activities in Patients after Breast Cancer Surgery

et al. 2021

View full text Add to dashboard Cite

Background: The purpose of this study was to investigate the factors related to patient’s participation in leisure activity in breast cancer patients with axillary lymph node dissection at 3 months after surgery. Methods: In total, 160 women who were employed before their surgery were evaluated. Age, body mass index (BMI), employment, level of lymph node dissection, marital status, children, coresident household members, preoperative chemotherapy, postoperative chemotherapy, postoperative hormonal therapy, postoperative radiotherapy, shoulder range of motion test, upper limb function, quality of life, and patient’s participation in leisure activity were evaluated. Results: Patients who undertook leisure activities constituted the leisure activity group, and patients who did not constituted the non-leisure activity group. Global health status, emotional function, social function, and dyspnea were significantly different between the leisure activity group and the non-leisure activity group at 3 months after surgery (p < 0.05). Regarding factors that affected participation in leisure activities, logistic regression analysis showed that only participation in leisure activities before surgery was significantly associated with participation in leisure activities at 3 months after surgery (p < 0.05). Conclusion: Patients who did not participate in leisure activities prior to surgery were unlikely to participate 3 months after surgery and thus require intervention to encourage their involvement.

show abstract

Impact of major life events on breast-cancer-specific mortality: A case fatality study on 8000 breast cancer patients

Cited by 7 publications

References 23 publications

Life events as predictors for disability pension due to musculoskeletal diagnoses: a cohort study of Finnish twins

Life events as predictors for disability pension due to musculoskeletal diagnoses: a cohort study of Finnish twins

Cuestionario de Sucesos Vitales (CSV): Estructura factorial, características psicométricas y datos normativos

Factors Affecting Participation in Leisure Activities in Patients after Breast Cancer Surgery

Contact Info

Product

Resources

About