Korean J Psychosom Med.
2012 Dec;20(2):91-97.
Relationship between Psychosocial Factor and Positive Health Behavior Change after Diagnosis in Breast Cancer Patients
- Affiliations
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- 1Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea. hahm@snu.ac.kr
- 2Department of Psychology, Catholic University of Daegu, Daegu, Korea.
- 3Department of Psychiatry, Kangwon National University College of Medicine, Chuncheon, Korea.
- 4Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.
- 5Institute of Human Behavioral Medicine, Medical Research Center, Seoul National University, Seoul, Korea.
Abstract
OBJECTIVES
With the increase in cancer prevalence, the health behavior of cancer survivors has become an important issue. This study was conducted to examine the psychosocial correlates of behavior changes after cancer diagnosis.
METHODS
95 patients completed questionnaires assessing depression, anxiety, insomnia, posttraumatic stress symptoms, social constraints, personal beliefs about cancer cause and health-related behavior changes after cancer diagnosis.
RESULTS
In the multiple logistic regression analysis, insomnia was the only significant predictor of positive change in physical behavior : normal sleep group(Odds ratio=9.462, 95% CI 1.738-51.509) and subthreshold insomnia group(Odds ratio=10.529, 95% CI 1.701-65.161) showed a larger increase compared to the insomnia group. In psychosocial behavior, low age, religion and causal belief in hormonal factors were independent factors that predicted increase in positive change.
CONCLUSIONS
This study showed a difference between predictors of physical and psychosocial health behavior change after breast cancer diagnosis. Multi-faceted approaches are required to promote positive change in health behavior in cancer patients.
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