Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort)
•In the cohort Dama 15% of women has some degree of depression and 485% has some degree of anxiety.•Younger women suffer more anxiety. In contrast, the rate of depression is lowest in younger women (
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creator | Puigpinós-Riera, R. Graells-Sans, A. Serral, G. Continente, X. Bargalló, X. Domènech, M. Espinosa-Bravo, M. Grau, J. Macià, F. Manzanera, R. Pla, M. Quintana, M.J. Sala, M. Vidal, E. |
description | •In the cohort Dama 15% of women has some degree of depression and 485% has some degree of anxiety.•Younger women suffer more anxiety. In contrast, the rate of depression is lowest in younger women ( |
doi_str_mv | 10.1016/j.canep.2018.06.002 |
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Anxiety and depression are the most prevalent mental health pathologies among women with breast cancer. Social, clinical and contextual variables may influence emotional stress among women with breast cancer.
The aim of this work is to study anxiety and depression in a cohort of women diagnosed with breast cancer between 2003 and 2013 in Barcelona. We evaluate social and clinical determinants.
We performed a mixed cohort study (prospective and retrospective) using a convenience sample of women diagnosed with breast cancer. The information sources were the Hospital Anxiety and Depression questionnaire and hospital medical records. Dependent variables were anxiety and depression; independent variables were social class, age, employment status, tumour stage at diagnosis, time since diagnosis, social network and social support. We performed a descriptive analysis, a bivariate analysis, and a multivariate logistic regression analysis.
A total of 1086 (48.6%) women had some degree of anxiety-related problem. As for depression. In the case of depression, 225 (15%) women had some degree of depression-related problem. Low emotional support and social isolation were clear risk factors for having more anxiety and depression. Low social class was also a risk factor, and age also played a role.
Our results show that women long period of cancer survival have high prevalences of anxiety than depression, and this prevalence of anxiety is higher than the general population. In addition, we found inequalities between social classes and the isolation and social support are worse too in low social class.</description><identifier>ISSN: 1877-7821</identifier><identifier>EISSN: 1877-783X</identifier><identifier>DOI: 10.1016/j.canep.2018.06.002</identifier><identifier>PMID: 29940418</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Aged ; Ansietat ; Anxiety ; Anxiety disorder ; Anxiety disorders ; Anxiety Disorders - etiology ; Anxiety Disorders - prevention & control ; Bivariate analysis ; Breast cancer ; Breast Neoplasms - complications ; Breast Neoplasms - psychology ; Cancer ; Cancer therapies ; Clinical determinants ; Dependent variables ; Depression ; Depressive Disorder - etiology ; Depressive Disorder - prevention & control ; Depressió psíquica ; Diagnosis ; Emotions ; Employment ; Epidemiology ; Female ; Hospitals ; Humans ; Independent variables ; Information sources ; Long term survivors ; Medical records ; Mental depression ; Mental disorders ; Mental health ; Metastasis ; Middle Aged ; Mortality ; Prevalence ; Prospective Studies ; Quality of life ; Regression analysis ; Retrospective Studies ; Risk analysis ; Risk Factors ; Social classes ; Social determinants ; Social factors ; Social interactions ; Social isolation ; Social network ; Social Networking ; Social networks ; Social organization ; Social Support ; Surveys and Questionnaires ; Tumors ; Womens health</subject><ispartof>Cancer epidemiology, 2018-08, Vol.55, p.123-129</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 2018</rights><rights>info:eu-repo/semantics/embargoedAccess © Elsevier <a href="http://dx.doi.org/10.1016/j.canep.2018.06.002">http://dx.doi.org/10.1016/j.canep.2018.06.002</a></rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-ccab9616c41022805a7d9f5ba501c855f96ce7c70dbb28f1bd0525496e480feb3</citedby><cites>FETCH-LOGICAL-c474t-ccab9616c41022805a7d9f5ba501c855f96ce7c70dbb28f1bd0525496e480feb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877782118302558$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,26951,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29940418$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Puigpinós-Riera, R.</creatorcontrib><creatorcontrib>Graells-Sans, A.</creatorcontrib><creatorcontrib>Serral, G.</creatorcontrib><creatorcontrib>Continente, X.</creatorcontrib><creatorcontrib>Bargalló, X.</creatorcontrib><creatorcontrib>Domènech, M.</creatorcontrib><creatorcontrib>Espinosa-Bravo, M.</creatorcontrib><creatorcontrib>Grau, J.</creatorcontrib><creatorcontrib>Macià, F.</creatorcontrib><creatorcontrib>Manzanera, R.</creatorcontrib><creatorcontrib>Pla, M.</creatorcontrib><creatorcontrib>Quintana, M.J.</creatorcontrib><creatorcontrib>Sala, M.</creatorcontrib><creatorcontrib>Vidal, E.</creatorcontrib><title>Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort)</title><title>Cancer epidemiology</title><addtitle>Cancer Epidemiol</addtitle><description>•In the cohort Dama 15% of women has some degree of depression and 485% has some degree of anxiety.•Younger women suffer more anxiety. In contrast, the rate of depression is lowest in younger women (<50 years).•Low emotional support and low social network are the risk factor to be more symptoms of some mental disorders.•The social class and employment status are the risk factors to be more symptoms of some mental disorders.•Women with relapse are more probability to be more symptoms of some mental disorders.
Anxiety and depression are the most prevalent mental health pathologies among women with breast cancer. Social, clinical and contextual variables may influence emotional stress among women with breast cancer.
The aim of this work is to study anxiety and depression in a cohort of women diagnosed with breast cancer between 2003 and 2013 in Barcelona. We evaluate social and clinical determinants.
We performed a mixed cohort study (prospective and retrospective) using a convenience sample of women diagnosed with breast cancer. The information sources were the Hospital Anxiety and Depression questionnaire and hospital medical records. Dependent variables were anxiety and depression; independent variables were social class, age, employment status, tumour stage at diagnosis, time since diagnosis, social network and social support. We performed a descriptive analysis, a bivariate analysis, and a multivariate logistic regression analysis.
A total of 1086 (48.6%) women had some degree of anxiety-related problem. As for depression. In the case of depression, 225 (15%) women had some degree of depression-related problem. Low emotional support and social isolation were clear risk factors for having more anxiety and depression. Low social class was also a risk factor, and age also played a role.
Our results show that women long period of cancer survival have high prevalences of anxiety than depression, and this prevalence of anxiety is higher than the general population. In addition, we found inequalities between social classes and the isolation and social support are worse too in low social class.</description><subject>Adaptation, Psychological</subject><subject>Aged</subject><subject>Ansietat</subject><subject>Anxiety</subject><subject>Anxiety disorder</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - etiology</subject><subject>Anxiety Disorders - prevention & control</subject><subject>Bivariate analysis</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - complications</subject><subject>Breast Neoplasms - psychology</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Clinical determinants</subject><subject>Dependent variables</subject><subject>Depression</subject><subject>Depressive Disorder - etiology</subject><subject>Depressive Disorder - prevention & control</subject><subject>Depressió psíquica</subject><subject>Diagnosis</subject><subject>Emotions</subject><subject>Employment</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Independent variables</subject><subject>Information sources</subject><subject>Long term survivors</subject><subject>Medical records</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Social classes</subject><subject>Social determinants</subject><subject>Social factors</subject><subject>Social interactions</subject><subject>Social isolation</subject><subject>Social network</subject><subject>Social Networking</subject><subject>Social networks</subject><subject>Social organization</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><subject>Tumors</subject><subject>Womens 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depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort)</title><author>Puigpinós-Riera, R. ; Graells-Sans, A. ; Serral, G. ; Continente, X. ; Bargalló, X. ; Domènech, M. ; Espinosa-Bravo, M. ; Grau, J. ; Macià, F. ; Manzanera, R. ; Pla, M. ; Quintana, M.J. ; Sala, M. ; Vidal, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-ccab9616c41022805a7d9f5ba501c855f96ce7c70dbb28f1bd0525496e480feb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adaptation, Psychological</topic><topic>Aged</topic><topic>Ansietat</topic><topic>Anxiety</topic><topic>Anxiety disorder</topic><topic>Anxiety disorders</topic><topic>Anxiety Disorders - etiology</topic><topic>Anxiety Disorders - prevention & control</topic><topic>Bivariate analysis</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - complications</topic><topic>Breast Neoplasms - psychology</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Clinical determinants</topic><topic>Dependent variables</topic><topic>Depression</topic><topic>Depressive Disorder - etiology</topic><topic>Depressive Disorder - prevention & control</topic><topic>Depressió psíquica</topic><topic>Diagnosis</topic><topic>Emotions</topic><topic>Employment</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Independent variables</topic><topic>Information sources</topic><topic>Long term survivors</topic><topic>Medical records</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Social classes</topic><topic>Social determinants</topic><topic>Social factors</topic><topic>Social interactions</topic><topic>Social isolation</topic><topic>Social network</topic><topic>Social Networking</topic><topic>Social networks</topic><topic>Social organization</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><topic>Tumors</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Puigpinós-Riera, R.</creatorcontrib><creatorcontrib>Graells-Sans, A.</creatorcontrib><creatorcontrib>Serral, G.</creatorcontrib><creatorcontrib>Continente, X.</creatorcontrib><creatorcontrib>Bargalló, X.</creatorcontrib><creatorcontrib>Domènech, M.</creatorcontrib><creatorcontrib>Espinosa-Bravo, M.</creatorcontrib><creatorcontrib>Grau, J.</creatorcontrib><creatorcontrib>Macià, F.</creatorcontrib><creatorcontrib>Manzanera, R.</creatorcontrib><creatorcontrib>Pla, 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E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort)</atitle><jtitle>Cancer epidemiology</jtitle><addtitle>Cancer Epidemiol</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>55</volume><spage>123</spage><epage>129</epage><pages>123-129</pages><issn>1877-7821</issn><eissn>1877-783X</eissn><abstract>•In the cohort Dama 15% of women has some degree of depression and 485% has some degree of anxiety.•Younger women suffer more anxiety. In contrast, the rate of depression is lowest in younger women (<50 years).•Low emotional support and low social network are the risk factor to be more symptoms of some mental disorders.•The social class and employment status are the risk factors to be more symptoms of some mental disorders.•Women with relapse are more probability to be more symptoms of some mental disorders.
Anxiety and depression are the most prevalent mental health pathologies among women with breast cancer. Social, clinical and contextual variables may influence emotional stress among women with breast cancer.
The aim of this work is to study anxiety and depression in a cohort of women diagnosed with breast cancer between 2003 and 2013 in Barcelona. We evaluate social and clinical determinants.
We performed a mixed cohort study (prospective and retrospective) using a convenience sample of women diagnosed with breast cancer. The information sources were the Hospital Anxiety and Depression questionnaire and hospital medical records. Dependent variables were anxiety and depression; independent variables were social class, age, employment status, tumour stage at diagnosis, time since diagnosis, social network and social support. We performed a descriptive analysis, a bivariate analysis, and a multivariate logistic regression analysis.
A total of 1086 (48.6%) women had some degree of anxiety-related problem. As for depression. In the case of depression, 225 (15%) women had some degree of depression-related problem. Low emotional support and social isolation were clear risk factors for having more anxiety and depression. Low social class was also a risk factor, and age also played a role.
Our results show that women long period of cancer survival have high prevalences of anxiety than depression, and this prevalence of anxiety is higher than the general population. In addition, we found inequalities between social classes and the isolation and social support are worse too in low social class.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29940418</pmid><doi>10.1016/j.canep.2018.06.002</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation, Psychological Aged Ansietat Anxiety Anxiety disorder Anxiety disorders Anxiety Disorders - etiology Anxiety Disorders - prevention & control Bivariate analysis Breast cancer Breast Neoplasms - complications Breast Neoplasms - psychology Cancer Cancer therapies Clinical determinants Dependent variables Depression Depressive Disorder - etiology Depressive Disorder - prevention & control Depressió psíquica Diagnosis Emotions Employment Epidemiology Female Hospitals Humans Independent variables Information sources Long term survivors Medical records Mental depression Mental disorders Mental health Metastasis Middle Aged Mortality Prevalence Prospective Studies Quality of life Regression analysis Retrospective Studies Risk analysis Risk Factors Social classes Social determinants Social factors Social interactions Social isolation Social network Social Networking Social networks Social organization Social Support Surveys and Questionnaires Tumors Womens health |
title | Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort) |
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