Depression and quality of life before and after breast cancer diagnosis in older women from the Women’s Health Initiative

Jones, Salene M. W.; LaCroix, Andrea Z.; Li, Wenjun; Zaslavsky, Oleg; Wassertheil‐Smoller, Sylvia; Weitlauf, Julie C.; Brenes, Gretchen A.; Nassir, Rami; Ockene, Judith K.; Caire-Juvera, Graciela; Danhauer, Suzanne C.

doi:10.1007/s11764-015-0438-y

Cited by 88 publications

(84 citation statements)

References 38 publications

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“…Interventions that improve sleep quality are of value in the clinical care of cancer survivors. Diminished sleep quality is associated with fatigue, depression, and poorer quality of life in breast cancer survivors (15,16). Similarly, being able to sleep is among the top 5 patient-reported outcomes of importance relevant to breast cancer survivors with 96% indicating being able to sleep was important or very important (13).…”

Section: Discussionmentioning

confidence: 99%

Physical Activity and Sleep Quality in Breast Cancer Survivors

Rogers

Courneya

Oster

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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Purpose Data from large randomized controlled trials confirming sleep quality improvements with aerobic physical activity have heretofore been lacking for post-primary treatment breast cancer survivors. Our primary purpose for this report was to determine the effects of a physical activity behavior change intervention, previously reported to significantly increase physical activity behavior, on sleep quality in post-primary treatment breast cancer survivors. Methods Post-primary treatment breast cancer survivors (n=222) were randomized to a 3-month physical activity behavior change intervention (BEAT Cancer) or usual care. Self-report (Pittsburgh Sleep Quality Index [PSQI]) and actigraphy (latency and efficiency) sleep outcomes were measured at baseline, 3 months (M3), and 6 months (M6). Results After adjusting for covariates, BEAT Cancer significantly improved PSQI global sleep quality when compared with usual care at M3 (mean between group difference [M] = −1.4; 95% CI = −2.1 to −0.7; p < .001) and M6 (M = −1.0; 95% CI = −1.7 to −0.2; P = .01). BEAT Cancer improved several PSQI subscales at M3 (sleep quality M = −0.3; 95% CI = −0.4 to −0.1; P = .002; sleep disturbances M = −0.2; 95% CI = −0.3 to −0.03; P = .016; daytime dysfunction M = −0.2; 95% CI = −0.4 to −0.02; P = .027) but not M6. A non-significant increase in percent of participants classified as good sleepers occurred. No significant between group difference was noted for accelerometer latency or efficiency. Conclusion A physical activity intervention significantly reduced perceived global sleep dysfunction at 3 and 6 months, primarily due to improvements in sleep quality aspects not detected with accelerometer.

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Section: Discussionmentioning

confidence: 99%

Physical Activity and Sleep Quality in Breast Cancer Survivors

Rogers

Courneya

Oster

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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“…In contrast, there was report about the reduction in social, emotion and cognitive functioning, which was still apparent at 12 months after cancer diagnosis especially in the younger subjects. The authors argued that older women have developed adequate strategies to cope with disease and impairment [38].…”

Section: Discussionmentioning

confidence: 99%

Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study

Mohamed

See

et al. 2016

Eur. psychiatr.

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Background: Depression and anxiety are common psychiatric morbidity among breast cancer patient. There is a lack of study examining the correlation between depression, anxiety and quality of life (QoL) with perceived social support (PSS) among breast cancer patients. This study aims to study the level of depression, anxiety, QoL and PSS among Malaysian breast cancer women over a period of 12 months and their associations at baseline, 6 and 12 months. Methods: It is a 12 months prospective cohort study. Two hundred and twenty one female patients were included in the study. They were assessed at the time of diagnosis, 6 months and 12 month using Hospital Anxiety and Depression Scale (HADS), Quality-of-Life Questionnaire (QLQ-C30), Version 3.0 of the EORTC Study Group and Multidimensional Scale of Perceived Social Support (MSPSS). The information of age, ethnicity, types of treatment, and staging of cancer were collected. Results: The HADS anxiety and depression subscales scores of the subjects were relatively low. The level of anxiety reduced significantly at 6 and 12 months (Baseline -6 months, p = 0.002; Baseline -12 months, p < 0.001). There were no changes in the level of depression over the study period. The global status of QoL and MSPSS scores were relatively high. Correlation between the global status of QoL and MSPSS for the study subjects was positive (Spearman's rho = 0.31-0.36). Global status of QoL and MSPSS scores were negatively correlated with anxiety and depression. Conclusion: Malaysian breast cancer women had relatively better QoL with lower level of anxiety and depression. Perceived social support was an important factor for better QoL and low level of psychological distress. It reflects the importance of attention on activities that enhance and maintain the social support system for breast cancer patients.

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“…[1][2][3][4] A multitude of factors can arise to cause this distress, from fears of death and suffering, to changes in social roles and the physical pain caused by cancer or its treatments, to having a personal history of depression or anxiety disorders. [5][6] Although some survivors might be affected minimally or temporarily, others might experience overwhelming anxiety, depression, or both, for significant periods of time, 4,7,8 causing disruption and a reduced quality of life.…”

Section: Introductionmentioning

confidence: 99%

Use of Medications for Treating Anxiety and Depression in Cancer Survivors in the United States

Hawkins

Soman

Lunsford

et al. 2017

JCO

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Purpose This study used population-based data to estimate the percentage of cancer survivors in the United States reporting current medication use for anxiety and depression and to characterize the survivors taking this type of medication. Rates of medication use in cancer survivors were compared with rates in the general population. Methods We analyzed data from the National Health Interview Survey, years 2010 to 2013, identifying cancer survivors (n = 3,184) and adults with no history of cancer (n = 44,997) who completed both the Sample Adult Core Questionnaire and the Adult Functioning and Disability Supplement. Results Compared with adults with no history of cancer, cancer survivors were significantly more likely to report taking medication for anxiety (16.8% v 8.6%, P < .001), depression (14.1% v 7.8%, P < .001), and one or both of these conditions combined (19.1% v 10.4%, P < .001), indicating that an estimated 2.5 million cancer survivors were taking medication for anxiety or depression in the United States at that time. Survivor characteristics associated with higher rates of medication use for anxiety included being younger than 65 years old, female, and non-Hispanic white, and having public insurance, a usual source of medical care, and multiple chronic health conditions. Survivor characteristics associated with medication use for depression were largely consistent with those for anxiety, with the exceptions that insurance status was not significant, whereas being widowed/divorced/separated was associated with more use. Conclusion Cancer survivors in the United States reported medication use for anxiety and depression at rates nearly two times those reported by the general public, likely a reflection of greater emotional and physical burdens from cancer or its treatment.

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Depression and quality of life before and after breast cancer diagnosis in older women from the Women’s Health Initiative

Cited by 88 publications

References 38 publications

Physical Activity and Sleep Quality in Breast Cancer Survivors

Physical Activity and Sleep Quality in Breast Cancer Survivors

Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study

Use of Medications for Treating Anxiety and Depression in Cancer Survivors in the United States

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