Impact of multiple caregiving roles on elevated depressed mood in early-stage breast cancer patients and same-age controls

Bailey, Ellen; Pérez, María; Aft, Rebecca; Liu, Ying; Schootman, Mario; Jeffe, Donna B.

doi:10.1007/s10549-009-0645-1

Cited by 13 publications

(16 citation statements)

References 39 publications

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“…The increased frequency of depression in breast cancer survivors is plausible considering that many report unmet needs in several domains that affect quality of life ( 98 ), including impact on relationships, lifestyle changes induced by the cancer, lack of psychological support, and difficulties obtaining understandable information about the physical long-term effects of the treatments ( 99–101 ). Risk factors for depression in breast cancer patients appear to be similar to those for the general female population, including less social support and lower socio-economic status ( 46 ). Suicide almost always occurs among people suffering from a mental health disorder, most often depression ( 102 , 103 ).…”

Section: Discussionmentioning

confidence: 99%

Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review

Carreira

Williams

Mûller

et al. 2018

JNCI: Journal of the National Cancer Institute

286

179

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BackgroundWe aimed to systematically review the evidence on adverse mental health outcomes in breast cancer survivors (≥1 year) compared with women with no history of cancer.MethodsStudies were identified by searching MEDLINE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature, and the Social Sciences Citation Index, and through backward citation tracking. Two researchers selected the studies, extracted data, and assessed the risk of bias.ResultsSixty studies were included. Of 38 studies of depression, 33 observed more depression in breast cancer survivors; this was statistically significant in 19 studies overall, including six of seven where depression was ascertained clinically, three of four studies of antidepressants, and 13 of 31 that quantified depressive symptoms. Of 21 studies of anxiety, 17 observed more anxiety in breast cancer survivors, statistically significant in 11 studies overall, including two of four with clinical/prescription-based outcomes, and in eight of 17 of anxiety symptoms. Breast cancer survivors also had statistically significantly increased symptoms/frequency of neurocognitive dysfunction (18 of 24 studies), sexual dysfunctions (5 of 6 studies), sleep disturbance (5 of 5 studies), stress-related disorders/PTSD (2 of 3 studies), suicide (2 of 2 studies), somatisation (2 of 2 studies), and bipolar and obsessive-compulsive disorders (1 of 1 study each). Studies were heterogeneous in terms of participants’ characteristics, time since diagnosis, ascertainment of outcomes, and measures reported. Approximately one-half of the studies were at high risk of selection bias and confounding by socio-economic status.ConclusionsThere is compelling evidence of an increased risk of anxiety, depression and suicide, and neurocognitive and sexual dysfunctions in breast cancer survivors compared with women with no prior cancer. This information can be used to support evidence-based prevention and management strategies. Further population-based and longitudinal research would help to better characterize these associations.

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Section: Discussionmentioning

confidence: 99%

Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review

Carreira

Williams

Mûller

et al. 2018

JNCI: Journal of the National Cancer Institute

286

179

View full text Add to dashboard Cite

show abstract

“…Many women in this sample may have been juggling multiple roles (e.g., as daughters, parents, spouses, and employees) that could have affected their social support. Taking a life span perspective would suggest the importance investigating effects of shifting social roles (e.g., parent, caregiver) on social support (Bailey et al, 2010; Thoits, 2011; Umberson et al, 2010), as well as assessing stressors that accumulate over the course of many years (Williams et al, 2016). …”

Section: Discussionmentioning

confidence: 99%

Perceived social support in African American breast cancer patients: Predictors and effects

Thompson

Pérez

Kreuter

et al. 2017

Social Science & Medicine

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Rationale Social support plays an important role in quality of life and health outcomes after breast cancer diagnosis and treatment. Objective To examine changes in perceived social support in African American women during the two years following a new breast cancer diagnosis. Methods This secondary analysis uses data collected from 2009 to 2015 from 227 newly diagnosed, African American women with breast cancer (mean age 56 [SD = 10], 59% household income < $25,000; 28% married/partnered, 72% early stage) participating in a randomized controlled trial testing the effects of a video-communication intervention on quality-of-life and follow-up care. Participants, all of whom received treatment in one metropolitan area of the Midwestern United States, completed five telephone interviews over 2-year follow-up; demographic, psychosocial, quality of life, and clinical data were collected. Growth curve models were used to examine change in perceived social support (measured by the Medical Outcomes Study Social Support Survey) as well as correlates of baseline levels of social support and predictors of change in individuals’ social support. Additional analyses examined whether change in social support over the first year affected depressive symptoms (Center for Epidemiologic Studies Depression Scale) and general health perceptions (RAND SF-36 subscale) at two years. Results Being married, reporting greater spirituality, and reporting fewer depressive symptoms at baseline were significantly associated with higher initial levels of perceived social support. Women whose social support declined during the first year after diagnosis reported more severe depressive symptoms and worse general health perceptions at two years. Conclusion Clinicians should periodically assess perceived social support among African American women with breast cancer to help find support resources for those who have low initial social support and for those whose support declines in the first year after diagnosis.

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“…This study involved a secondary analysis of data collected during a longitudinal QOL study of women with and without early-stage breast cancer [17]. Briefly, patients with newly diagnosed ductal carcinoma in situ (DCIS, stage 0) and early-stage (stage I or IIA) breast cancer were prospectively identified and recruited between October 2003 and June 2007 from the Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine and from Saint Louis University School of Medicine.…”

Section: Methodsmentioning

confidence: 99%

Pre-Existing Diabetes in Early Stage Breast Cancer Patients is Associated with Lack of Improvement in Quality of Life 2 Years After Diagnosis

et al. 2016

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Purpose Type 2 diabetes is a common comorbidity among breast cancer survivors. Our aim was to assess the association between diabetes and quality of life (QOL) in newly diagnosed early-stage (0-IIA) breast cancer patients over a 2-year follow-up. Methods We used data from a longitudinal study of 549 breast cancer patients, aged ≥ 40 years. During four telephone interviews administered 4-6 weeks and 6, 12, and 24 months after definitive surgical treatment, we measured QOL using the Functional Assessment of Cancer Therapy-Breast (FACT-B) scale; higher scores indicate better QOL. Repeated-measures analysis of variance was used to test the change over time in total FACT-B and each of the five subscales (physical, social, emotional and functional well-being, and breast cancer concerns), comparing patients with and without diabetes at baseline. Results After adjusting for covariates (age, race, body mass index, education, marital status, cancer staging, and surgical side effects), patients with (vs. without) diabetes reported lower QOL over time on the total FACT-B (least-squares mean [standard error]: 106.2 [2.1] vs. 112.0 [1.1]; p = 0.0038) and on physical, social, emotional and functional well-being subscales (each p < 0.05). Over the 2-year follow-up, QOL improved significantly for the emotional well-being (p < 0.0001) and breast cancer concern subscales (p = 0.0282) among patients without diabetes, but not among patients with diabetes. Conclusion Early-stage breast cancer patients with diabetes may need additional care considerations to improve QOL.

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Impact of multiple caregiving roles on elevated depressed mood in early-stage breast cancer patients and same-age controls

Cited by 13 publications

References 39 publications

Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review

Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review

Perceived social support in African American breast cancer patients: Predictors and effects

Pre-Existing Diabetes in Early Stage Breast Cancer Patients is Associated with Lack of Improvement in Quality of Life 2 Years After Diagnosis

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