Janni Leung1,2,3, Iain Atherton4, Richard G Kyle4, Gill Hubbard5, Deirdre McLaughlin6. 1. School of Public Health, The University of Queensland, Herston, QLD, Australia. j.leung1@uq.edu.au. 2. Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Wacol, QLD, Australia. j.leung1@uq.edu.au. 3. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA. j.leung1@uq.edu.au. 4. School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh, EH14 1DJ, UK. 5. School of Health Sciences, University of Stirling, Scotland, Stirling, FK9 4LA, UK. 6. School of Public Health, The University of Queensland, Herston, QLD, Australia.
Abstract
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.
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.
Entities:
Keywords:
Breast cancer; Mental health; Optimism; Psychological distress; Psychosocial; Self-rated health
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