Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation?
Objective To examine sexual minority compared to heterosexual survivors' health‐related anxiety, anxiety, and depression. Methods Four hundred and eighty eligible survivors participated in a telephone survey, which measured their anxiety and depression. These survivors were diagnosed with stage...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2022-03, Vol.31 (3), p.521-531 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Boehmer, Ulrike Ozonoff, Al Winter, Michael Berklein, Flora Potter, Jennifer Ceballos, Rachel M. Clark, Melissa A. |
| description | Objective
To examine sexual minority compared to heterosexual survivors' health‐related anxiety, anxiety, and depression.
Methods
Four hundred and eighty eligible survivors participated in a telephone survey, which measured their anxiety and depression. These survivors were diagnosed with stage I, II, or III colorectal cancer an average of three years prior to the survey and were recruited from four cancer registries. As explanatory factors, we considered individual, social and contextual characteristics, prior psychological factors, psychological responses to cancer, and characteristics of cancer and its treatments. Using forward selection with generalized linear models or logistic regression models, we identified significant correlates for each outcome.
Results
Prior to adjusting for covariates, depression was similar for all survivors, while sexual minority survivors had worse health‐related anxiety and anxiety compared to heterosexual survivors. After adjustment, these differences were no longer statistically significant. Individual, social and contextual characteristics, characteristics of cancer, and psychological responses to cancer explained 44% of the variance in anxiety and 60% of the variance in depression.
Conclusion
There are modifiable factors associated with health‐related and generalized anxiety as well as depression that can be changed to improve cancer survivorship among diverse survivors. |
| doi_str_mv | 10.1002/pon.5837 |
| format | Article |
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To examine sexual minority compared to heterosexual survivors' health‐related anxiety, anxiety, and depression.
Methods
Four hundred and eighty eligible survivors participated in a telephone survey, which measured their anxiety and depression. These survivors were diagnosed with stage I, II, or III colorectal cancer an average of three years prior to the survey and were recruited from four cancer registries. As explanatory factors, we considered individual, social and contextual characteristics, prior psychological factors, psychological responses to cancer, and characteristics of cancer and its treatments. Using forward selection with generalized linear models or logistic regression models, we identified significant correlates for each outcome.
Results
Prior to adjusting for covariates, depression was similar for all survivors, while sexual minority survivors had worse health‐related anxiety and anxiety compared to heterosexual survivors. After adjustment, these differences were no longer statistically significant. Individual, social and contextual characteristics, characteristics of cancer, and psychological responses to cancer explained 44% of the variance in anxiety and 60% of the variance in depression.
Conclusion
There are modifiable factors associated with health‐related and generalized anxiety as well as depression that can be changed to improve cancer survivorship among diverse survivors.</description><identifier>ISSN: 1057-9249</identifier><identifier>ISSN: 1099-1611</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.5837</identifier><identifier>PMID: 34672050</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Cancer Survivors ; cancer survivorship ; Colorectal cancer ; colorectal neoplasms ; Colorectal Neoplasms - therapy ; depression ; Depression - epidemiology ; Depression - psychology ; Female ; Generalized linear models ; Heterosexuality ; Humans ; Linear analysis ; Male ; Mental depression ; Psychological aspects ; psychological distress ; Quality of Life - psychology ; sexual and gender minorities ; Sexual Behavior - psychology ; Sexual orientation ; Survivor ; Survivors - psychology ; Telephone surveys</subject><ispartof>Psycho-oncology (Chichester, England), 2022-03, Vol.31 (3), p.521-531</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons Ltd.</rights><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3497-489e5af20e99b30309bb76cb32845e1bf1ef9abe3b102017e8ca9d6b7ebb76043</citedby><cites>FETCH-LOGICAL-c3497-489e5af20e99b30309bb76cb32845e1bf1ef9abe3b102017e8ca9d6b7ebb76043</cites><orcidid>0000-0003-0097-5927</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.5837$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.5837$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34672050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boehmer, Ulrike</creatorcontrib><creatorcontrib>Ozonoff, Al</creatorcontrib><creatorcontrib>Winter, Michael</creatorcontrib><creatorcontrib>Berklein, Flora</creatorcontrib><creatorcontrib>Potter, Jennifer</creatorcontrib><creatorcontrib>Ceballos, Rachel M.</creatorcontrib><creatorcontrib>Clark, Melissa A.</creatorcontrib><title>Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation?</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objective
To examine sexual minority compared to heterosexual survivors' health‐related anxiety, anxiety, and depression.
Methods
Four hundred and eighty eligible survivors participated in a telephone survey, which measured their anxiety and depression. These survivors were diagnosed with stage I, II, or III colorectal cancer an average of three years prior to the survey and were recruited from four cancer registries. As explanatory factors, we considered individual, social and contextual characteristics, prior psychological factors, psychological responses to cancer, and characteristics of cancer and its treatments. Using forward selection with generalized linear models or logistic regression models, we identified significant correlates for each outcome.
Results
Prior to adjusting for covariates, depression was similar for all survivors, while sexual minority survivors had worse health‐related anxiety and anxiety compared to heterosexual survivors. After adjustment, these differences were no longer statistically significant. Individual, social and contextual characteristics, characteristics of cancer, and psychological responses to cancer explained 44% of the variance in anxiety and 60% of the variance in depression.
Conclusion
There are modifiable factors associated with health‐related and generalized anxiety as well as depression that can be changed to improve cancer survivorship among diverse survivors.</description><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Cancer Survivors</subject><subject>cancer survivorship</subject><subject>Colorectal cancer</subject><subject>colorectal neoplasms</subject><subject>Colorectal Neoplasms - therapy</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Generalized linear models</subject><subject>Heterosexuality</subject><subject>Humans</subject><subject>Linear analysis</subject><subject>Male</subject><subject>Mental depression</subject><subject>Psychological aspects</subject><subject>psychological distress</subject><subject>Quality of Life - psychology</subject><subject>sexual and gender minorities</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual orientation</subject><subject>Survivor</subject><subject>Survivors - psychology</subject><subject>Telephone surveys</subject><issn>1057-9249</issn><issn>1099-1611</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kE1LAzEQhoMotlbBXyABL15Wk81-xYuU4heI9aDnkGRnMbJNarJb239vaquC4GXeOTzzMLwIHVNyTglJL-bOnucVK3fQkBLOE1pQurve8zLhacYH6CCEN0IizIt9NGBZUaYkJ0Okx3ZpoFthaWtcw9xDCMZZbCzWrnUedCdbrKXV4HHo_cIsnA-XeOwBd68QZ22aJmYEAlYrHGDZxwvnDdhOdtF1dYj2GtkGONrmCL3cXD9P7pKH6e39ZPyQaJbxMskqDrlsUgKcK0YY4UqVhVYsrbIcqGooNFwqYIqSlNASKi15XagS1hzJ2Aidbbxz7957CJ2YmaChbaUF1weR5lWeUZozGtHTP-ib672N34m0yAgvecHZr1B7F4KHRsy9mUm_EpSIdfEiFi_WxUf0ZCvs1QzqH_C76QgkG-DDtLD6VySepo9fwk-2wIz_</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Boehmer, Ulrike</creator><creator>Ozonoff, Al</creator><creator>Winter, Michael</creator><creator>Berklein, Flora</creator><creator>Potter, Jennifer</creator><creator>Ceballos, Rachel M.</creator><creator>Clark, Melissa A.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0097-5927</orcidid></search><sort><creationdate>202203</creationdate><title>Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation?</title><author>Boehmer, Ulrike ; Ozonoff, Al ; Winter, Michael ; Berklein, Flora ; Potter, Jennifer ; Ceballos, Rachel M. ; Clark, Melissa A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3497-489e5af20e99b30309bb76cb32845e1bf1ef9abe3b102017e8ca9d6b7ebb76043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Cancer Survivors</topic><topic>cancer survivorship</topic><topic>Colorectal cancer</topic><topic>colorectal neoplasms</topic><topic>Colorectal Neoplasms - therapy</topic><topic>depression</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Generalized linear models</topic><topic>Heterosexuality</topic><topic>Humans</topic><topic>Linear analysis</topic><topic>Male</topic><topic>Mental depression</topic><topic>Psychological aspects</topic><topic>psychological distress</topic><topic>Quality of Life - psychology</topic><topic>sexual and gender minorities</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual orientation</topic><topic>Survivor</topic><topic>Survivors - psychology</topic><topic>Telephone surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boehmer, Ulrike</creatorcontrib><creatorcontrib>Ozonoff, Al</creatorcontrib><creatorcontrib>Winter, Michael</creatorcontrib><creatorcontrib>Berklein, Flora</creatorcontrib><creatorcontrib>Potter, Jennifer</creatorcontrib><creatorcontrib>Ceballos, Rachel M.</creatorcontrib><creatorcontrib>Clark, Melissa A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boehmer, Ulrike</au><au>Ozonoff, Al</au><au>Winter, Michael</au><au>Berklein, Flora</au><au>Potter, Jennifer</au><au>Ceballos, Rachel M.</au><au>Clark, Melissa A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation?</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2022-03</date><risdate>2022</risdate><volume>31</volume><issue>3</issue><spage>521</spage><epage>531</epage><pages>521-531</pages><issn>1057-9249</issn><issn>1099-1611</issn><eissn>1099-1611</eissn><abstract>Objective
To examine sexual minority compared to heterosexual survivors' health‐related anxiety, anxiety, and depression.
Methods
Four hundred and eighty eligible survivors participated in a telephone survey, which measured their anxiety and depression. These survivors were diagnosed with stage I, II, or III colorectal cancer an average of three years prior to the survey and were recruited from four cancer registries. As explanatory factors, we considered individual, social and contextual characteristics, prior psychological factors, psychological responses to cancer, and characteristics of cancer and its treatments. Using forward selection with generalized linear models or logistic regression models, we identified significant correlates for each outcome.
Results
Prior to adjusting for covariates, depression was similar for all survivors, while sexual minority survivors had worse health‐related anxiety and anxiety compared to heterosexual survivors. After adjustment, these differences were no longer statistically significant. Individual, social and contextual characteristics, characteristics of cancer, and psychological responses to cancer explained 44% of the variance in anxiety and 60% of the variance in depression.
Conclusion
There are modifiable factors associated with health‐related and generalized anxiety as well as depression that can be changed to improve cancer survivorship among diverse survivors.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34672050</pmid><doi>10.1002/pon.5837</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0097-5927</orcidid></addata></record> |
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| source | MEDLINE; Wiley Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Anxiety Anxiety - epidemiology Anxiety - psychology Cancer Survivors cancer survivorship Colorectal cancer colorectal neoplasms Colorectal Neoplasms - therapy depression Depression - epidemiology Depression - psychology Female Generalized linear models Heterosexuality Humans Linear analysis Male Mental depression Psychological aspects psychological distress Quality of Life - psychology sexual and gender minorities Sexual Behavior - psychology Sexual orientation Survivor Survivors - psychology Telephone surveys |
| title | Anxiety and depression in colorectal cancer survivors: Are there differences by sexual orientation? |
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