Nancy A Borstelmann1, Shoshana Rosenberg1,2, Shari Gelber1, Yue Zheng1, Meghan Meyer1, Kathryn J Ruddy3, Lidia Schapira4, Steven Come2,5, Virginia Borges6, Tamara Cadet7, Peter Maramaldi7,8, Ann H Partridge1,2. 1. Dana-Farber Cancer Institute, Boston, Massachusetts, USA. 2. Harvard Medical School, Boston, Massachusetts, USA. 3. Mayo Clinic, Rochester, Minnesota, USA. 4. Stanford University Medical Center, Stanford, California, USA. 5. Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. 6. University of Colorado, Aurora, Colorado, USA. 7. Simmons College School of Social Work, Boston, Massachusetts, USA. 8. Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Abstract
PURPOSE: Evaluation of psychosocial concerns, coping style, and mental health in partners of young (diagnosed at ≤40 years) survivors of early-stage breast cancer (BC). DESIGN: Cross-sectional; partners participated in a one-time survey. SAMPLE: 289 participants; most were male, white, working full-time, college educated, with median age of 43 years, parenting children <18 years old. METHODS: Logistic regression was used to explore associations with anxiety and depression (≥8 on Hospital Anxiety and Depression sub-scales). FINDINGS: Overall, 41% reported symptoms of anxiety, 18% reported symptoms of depression, and 44% identified maladaptive coping. Multivariable regression analyses revealed: lower social support and poorer quality of life significantly associated with depression (p < .05); maladaptive coping, fulltime employment, poorer caregiver QOL, and less education significantly associated with anxiety. CONCLUSIONS: Partners of young BC survivors who use more maladaptive coping strategies, report less social support, work fulltime, and/or who have lower education levels experience negative mental health outcomes. IMPLICATIONS FOR PSYCHOSOCIAL ONCOLOGY: Enhancing constructive coping and ensuring all partners have access to supportive resources may improve partners' emotional adjustment.
PURPOSE: Evaluation of psychosocial concerns, coping style, and mental health in partners of young (diagnosed at ≤40 years) survivors of early-stage breast cancer (BC). DESIGN: Cross-sectional; partners participated in a one-time survey. SAMPLE: 289 participants; most were male, white, working full-time, college educated, with median age of 43 years, parenting children <18 years old. METHODS: Logistic regression was used to explore associations with anxiety and depression (≥8 on Hospital Anxiety and Depression sub-scales). FINDINGS: Overall, 41% reported symptoms of anxiety, 18% reported symptoms of depression, and 44% identified maladaptive coping. Multivariable regression analyses revealed: lower social support and poorer quality of life significantly associated with depression (p < .05); maladaptive coping, fulltime employment, poorer caregiver QOL, and less education significantly associated with anxiety. CONCLUSIONS: Partners of young BC survivors who use more maladaptive coping strategies, report less social support, work fulltime, and/or who have lower education levels experience negative mental health outcomes. IMPLICATIONS FOR PSYCHOSOCIAL ONCOLOGY: Enhancing constructive coping and ensuring all partners have access to supportive resources may improve partners' emotional adjustment.
Entities:
Keywords:
Anxiety; breast cancer; coping; partners; survivorship; young women
Authors: Nancy A Borstelmann; Tamryn F Gray; Shari Gelber; Shoshana Rosenberg; Yue Zheng; Meghan Meyer; Kathryn J Ruddy; Lidia Schapira; Steven Come; Virginia Borges; Tamara Cadet; Peter Maramaldi; Ann H Partridge Journal: Support Care Cancer Date: 2022-01-28 Impact factor: 3.603