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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Veröffentlicht in:Cancer epidemiology 2018-08, Vol.55, p.123-129
Hauptverfasser: 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.
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container_end_page 129
container_issue
container_start_page 123
container_title Cancer epidemiology
container_volume 55
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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In contrast, the rate of depression is lowest in younger women (&lt;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. 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In contrast, the rate of depression is lowest in younger women (&lt;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. 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identifier ISSN: 1877-7821
ispartof Cancer epidemiology, 2018-08, Vol.55, p.123-129
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language eng
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source MEDLINE; Recercat; Elsevier ScienceDirect Journals
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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