Mine Özkan1, Nazmiye Yıldırım1, Rian Dişçi2, Ahmet Serkan İlgün3, Dauren Sarsenov3, Gül Alço4, Fatma Aktepe5, Nesiba Kalyoncu1, Filiz İzci6, Derya Selamoğlu7, Çetin Ordu8, Kezban Nur Pilancı9, Zeynep İyigün Erdoğan10, Yeşim Eralp11, Vahit Özmen12. 1. Department of Consultation Liaison Psychiatry, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey. 2. Department of Public Health, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey. 3. Breast Health Center, İstanbul Florence Nightingale Hospital, İstanbul, Turkey. 4. Department of Radiation Oncology, İstanbul Bilim University, İstanbul, Turkey. 5. Department of Pathology, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey. 6. Department of Psychiatry, İstanbul Bilim University School of Medicine, İstanbul, Turkey. 7. Department of General Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey. 8. Radiation Oncology Center, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey. 9. Department of Medical Oncology, İstanbul Haseki Training and Research Hospital, İstanbul, Turkey. 10. Physical Therapy and Rehabilitation Center, İstanbul Florence Nightingale Hospital, İstanbul, Turkey. 11. Department of Medical Oncology, Oncology Institute, İstanbul University, İstanbul, Turkey. 12. Department of General Surgery, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Abstract
OBJECTIVE: The aim of this study was to determine the roles of biopsychosocial risk factors in the development of breast cancer. MATERIALS AND METHODS: This hospital-based case-control study included 491 women with breast cancer (study group) and 512 women who did not have cancer or other serious diseases (control group). Biological, psychological, and social risk factors were compared between the two groups. Data were collected using the semi-structured interview, the Stress Assessment Form, and the Coping Strategy Indicator to assess these factors. RESULTS: When the significantly different biopsychosocial variables between the study and the control groups were evaluated together, independent breast cancer risk factors were found as follows: a stressor experienced in the last 5 years, age 40 years and older, inadequate social support perception, use of avoidance coping strategy, being a housewife, having a family history of cancer, and having a body mass index ≥25. CONCLUSION: This study showed a relationship between breast cancer risk and manageable variables (obesity, stressor and coping strategy, social support, and employment status), age and family history of cancer, which are biopsychosocial factors. Biopsychosocial aspects are becoming a greater part of many different healthcare systems.
OBJECTIVE: The aim of this study was to determine the roles of biopsychosocial risk factors in the development of breast cancer. MATERIALS AND METHODS: This hospital-based case-control study included 491 women with breast cancer (study group) and 512 women who did not have cancer or other serious diseases (control group). Biological, psychological, and social risk factors were compared between the two groups. Data were collected using the semi-structured interview, the Stress Assessment Form, and the Coping Strategy Indicator to assess these factors. RESULTS: When the significantly different biopsychosocial variables between the study and the control groups were evaluated together, independent breast cancer risk factors were found as follows: a stressor experienced in the last 5 years, age 40 years and older, inadequate social support perception, use of avoidance coping strategy, being a housewife, having a family history of cancer, and having a body mass index ≥25. CONCLUSION: This study showed a relationship between breast cancer risk and manageable variables (obesity, stressor and coping strategy, social support, and employment status), age and family history of cancer, which are biopsychosocial factors. Biopsychosocial aspects are becoming a greater part of many different healthcare systems.
Entities:
Keywords:
Breast cancer; coping; psychosocial stress; risk factors; social support
Authors: Stephanie A Robert; Indiana Strombom; Amy Trentham-Dietz; John M Hampton; Jane A McElroy; Polly A Newcomb; Patrick L Remington Journal: Epidemiology Date: 2004-07 Impact factor: 4.822