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

• Park B
• Lee MH
• Kong SY
• Lee ES

• KMID: 2437611
• DOI: http://doi.org/10.4143/crt.2017.585

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

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