Cancer Res Treat.  2019 Jan;51(1):178-186. 10.4143/crt.2017.585.

Psychosocial Health of Disease-Free Breast Cancer Survivors Compared with Matched Non-cancer Controls

Affiliations
  • 1Department of Medicine, Hanyang University College of Medicine, Seoul, Korea.
  • 2National Cancer Center Graduate School of Cancer Science and Policy, Goyang, Korea. eslee@ncc.re.kr
  • 3Center for Breast Cancer, Hospital, National Cancer Center, Goyang, Korea.
  • 4Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
  • 5Research Institute, National Cancer Center, Goyang, Korea.
  • 6Department of Laboratory Medicine, Hospital, National Cancer Center, Goyang, Korea.

Abstract

PURPOSE
The present study investigated the psychosocial health of disease-free breast cancer survivors who receive health examinations compared to matched non-cancer controls in a community setting.
MATERIALS AND METHODS
We used baseline data from the Health Examinee cohort, which is composed of subjects participating in health. The disease-free breast cancer survivors were defined as those who were ≥ 2 years from initial diagnosis of breast cancer who had completed treatment. Females without a history of cancer were randomly selected at 1:4 ratio by 5-year age groups, education, and household income as a comparison group. We analyzed results from the Psychosocial Well-being Index-Short Form (PWI-SF) as a psychosocial health measurement.
RESULTS
A total of 347 survivors of breast cancer and 1,388 matched controls were included. Total scores on the PWI-SF were lower in breast cancer survivors than matched non-cancer controls (p=0.006), suggesting a lower level of psychosocial stress in breast cancer survivors. In comparison to the control group, prevalence of drinking, smoking and obesity were lower, while exercising for ≥ 150 min/wk was higher in breast cancer survivors (p < 0.05). These findings suggest that breast cancer survivors have better health behaviors than their noncancer controls. After adjusting for other sociodemographic variables, breast cancer survivors were 36% less likely to be included in the stress group (odds ratio, 0.64; 95% confidence interval, 0.42 to 0.98).
CONCLUSION
The disease-free breast cancer survivors resuming daily life demonstrated better psychosocial health status compared to matched non-cancer controls.

Keyword

Breast cancer survivors; Psychosocial health; Psychosocial Well-being Index-Short Form; Community setting

MeSH Terms

Breast Neoplasms*
Breast*
Cohort Studies
Diagnosis
Drinking
Education
Family Characteristics
Female
Health Behavior
Humans
Obesity
Prevalence
Smoke
Smoking
Survivors*
Smoke

Figure

  • Fig. 1. Study profile of disease-free breast cancer survivors and matched non-cancer controls. HEXA, the Health Examinee cohort; PWI-SF, Psychosocial Well-being Index-Short Form.


Reference

References

1. Bray F, Ren JS, Masuyer E, Ferlay J. Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer. 2013; 132:1133–45.
Article
2. International Agency for Research on Cancer. Latest world cancer statistics. Global cancer burden rises to 14.1 million new cases in 2012: marked increase in breast cancers must be addressed. Lyon: International Agency for Research on Cancer;2013.
3. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015; 47:127–41.
Article
4. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012; 104:386–405.
Article
5. Bredart A, Kop JL, Fiszer C, Sigal-Zafrani B, Dolbeault S. Breast cancer survivors' perceived medical communication competence and satisfaction with care at the end of treatment. Psychooncology. 2015; 24:1670–8.
6. Gallicchio L, Kalesan B, Hoffman SC, Helzlsouer KJ. Non-cancer adverse health conditions and perceived health and function among cancer survivors participating in a communitybased cohort study in Washington County, Maryland. J Cancer Surviv. 2008; 2:12–9.
Article
7. Agrawal S. Late effects of cancer treatment in breast cancer survivors. South Asian J Cancer. 2014; 3:112–5.
Article
8. Eakin EG, Youlden DR, Baade PD, Lawler SP, Reeves MM, Heyworth JS, et al. Health status of long-term cancer survivors: results from an Australian population-based sample. Cancer Epidemiol Biomarkers Prev. 2006; 15:1969–76.
Article
9. Chopra I, Kamal KM. A systematic review of quality of life instruments in long-term breast cancer survivors. Health Qual Life Outcomes. 2012; 10:14.
Article
10. Perry S, Kowalski TL, Chang CH. Quality of life assessment in women with breast cancer: benefits, acceptability and utilization. Health Qual Life Outcomes. 2007; 5:24.
Article
11. Bloom JR, Petersen DM, Kang SH. Multi-dimensional quality of life among long-term (5+ years) adult cancer survivors. Psychooncology. 2007; 16:691–706.
Article
12. Stagl JM, Bouchard LC, Lechner SC, Blomberg BB, Gudenkauf LM, Jutagir DR, et al. Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-year follow-up of a randomized controlled trial. Cancer. 2015; 121:1873–81.
Article
13. Mols F, Vingerhoets AJ, Coebergh JW, van de Poll-Franse LV. Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer. 2005; 41:2613–9.
Article
14. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ. 2005; 330:702.
Article
15. Massie MJ. Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr. 2004; 57–71.
Article
16. Health Examinees Study Group. The Health Examinees (HEXA) study: rationale, study design and baseline characteristics. Asian Pac J Cancer Prev. 2015; 16:1591–7.
17. Chang S. Standardization of collection and measurement of health statistics data. Seoul: Korean Society for Preventive Medicine;2000.
18. Chang WH, Sohn MK, Lee J, Kim DY, Lee SG, Shin YI, et al. Korean Stroke Cohort for functioning and rehabilitation (KOSCO): study rationale and protocol of a multi-centre prospective cohort study. BMC Neurol. 2015; 15:42.
Article
19. Koh DH, Han SS, Kim HR, Chang SJ, Choi SH, Won JU, et al. Analysis of the role of social support on job stress and psychosocial stress in automobile factory workers using Structural Equation Model. Korean J Occup Environ Med. 2005; 17:79–84.
Article
20. Lim DK, Baek KO, Chung IS, Lee MY. Factors related to sleep disorders among male firefighters. Ann Occup Environ Med. 2014; 26:11.
Article
21. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012; 62:243–74.
Article
22. Hsu T, Ennis M, Hood N, Graham M, Goodwin PJ. Quality of life in long-term breast cancer survivors. J Clin Oncol. 2013; 31:3540–8.
Article
23. Koch L, Jansen L, Herrmann A, Stegmaier C, Holleczek B, Singer S, et al. Quality of life in long-term breast cancer survivors: a 10-year longitudinal population-based study. Acta Oncol. 2013; 52:1119–28.
24. Lee ES, Lee MK, Kim SH, Ro JS, Kang HS, Kim SW, et al. Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: a prospective cohort study. Ann Surg. 2011; 253:101–8.
25. Hawkes AL, Pakenham KI, Chambers SK, Patrao TA, Courneya KS. Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial. Ann Behav Med. 2014; 48:359–70.
Article
26. Kye SY, Park K. Psychosocial factors and health behavior among Korean adults: a cross-sectional study. Asian Pac J Cancer Prev. 2012; 13:49–56.
Article
27. Blanchard CM, Courneya KS, Stein K; American Cancer Society's SCS-II. Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. J Clin Oncol. 2008; 26:2198–204.
Article
28. Hoebel J, Starker A, Jordan S, Richter M, Lampert T. Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study. BMC Public Health. 2014; 14:913.
Article
29. Westreich D. Berkson's bias, selection bias, and missing data. Epidemiology. 2012; 23:159–64.
Article
30. Choi KH, Park SM. Psychological status and associated factors among Korean cancer survivors: a cross-sectional analysis of the fourth & fifth Korea National Health and Nutrition Examination Surveys. J Korean Med Sci. 2016; 31:1105–13.
31. Cho LY, Kim CS, Li L, Yang JJ, Park B, Shin A, et al. Validation of self-reported cancer incidence at follow-up in a prospective cohort study. Ann Epidemiol. 2009; 19:644–6.
Article
32. Bergmann MM, Calle EE, Mervis CA, Miracle-McMahill HL, Thun MJ, Heath CW. Validity of self-reported cancers in a prospective cohort study in comparison with data from state cancer registries. Am J Epidemiol. 1998; 147:556–62.
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