Work adjustments and employment among breast cancer survivors: a French prospective study

Vayr, Flora; Montastruc, Marion; Savall, F.; Despas, Fabien; Judic, Elodie; Basso, Maud; Dunet, Charlotte; Laurent, Guy; Soulat, Jean; Hérin, Fabrice

doi:10.1007/s00520-019-04799-w

Cited by 21 publications

(20 citation statements)

References 29 publications

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“… 30 31 As employed patients may, therefore, benefit from work adjustments in the long term, they are encouraged to continue working if possible. 32 …”

Section: Discussionmentioning

confidence: 99%

Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study

2021

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ObjectivesThis study evaluated emotional, informational and instrumental support needs in patients with breast cancer who had undergone surgery, then identified the variables associated with those needs.DesignThis was a cross-sectional survey study.SettingQuestionnaires were distributed in tertiary hospitals in China between January 2018 and July 2020.ParticipantsWe recruited 477 eligible patients with breast cancer via convenience sampling. Due to exclusions for response errors, the final analysed sample included 461 participants (mean age of 50.9 years). Each completed a questionnaire consisting of a sociodemographic information component and three short forms from the Patient-Reported Outcome Measurement Information System (social relationships short forms, anxiety short form and depression short form). Subsequent analyses included the χ2 test, Pearson correlation and multivariate regression.ResultsThe T scores for informational support were lower than those for the reference group (general population), while those for emotional and informational support were average. Marital status, childbearing history, lifestyle, employment status, anxiety and depression levels were related to the scores for emotional, informational and instrumental support in this population. The regression analysis revealed that emotional support levels, instrumental support levels, marital status, employment status, anxiety and depression outcomes were predictors for informational support levels.ConclusionsInformational support should be specifically assessed and promoted among patients with breast cancer in general, while marital status, childbearing history, lifestyle, employment status, anxiety and depression levels should be evaluated when conducting interventions to promote emotional, informational and instrumental support for those who have undergone surgery. Early and regular screenings for high-risk patients will help nurses identify those who are likely to benefit from targeted preventive interventions aimed at emotional, informational and instrumental support issues.Trial registration numberChiCTR2000035439; ClinicalTrials.gov registry.

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“… 30 31 As employed patients may, therefore, benefit from work adjustments in the long term, they are encouraged to continue working if possible. 32 …”

Section: Discussionmentioning

confidence: 99%

Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study

2021

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“…Further, the result shows that non-workers have higher depressive symptoms for two weeks or more compared to workers. Based on prior research that cancer survivors experience depression [44] due to social role confusion and economic difficulties [4] during and after the treatment process [6], we can predict the absence of a job can cause depressive symptoms along with social isolation. Therefore, to improve HRQoL of cancer survivors, follow-up studies evaluating depressive symptoms and suicidal thoughts as high risk are necessary.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, they experience physical and cognitive impairment, anxiety, and fear of cancer recurrence even after complete recovery [5]. Furthermore, physical and mental disorders can make it difficult to return to work, which can lead to economic difficulties [6]. It has been reported that these factors can negatively affect their QoL [7].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life among Cancer Survivors Depending on the Occupational Status

Kim

Yoon

2021

IJERPH

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The study aimed to identify and compare the factors affecting health-related quality of life (HRQoL) depending on the occupational status of cancer survivors. This study was a secondary data analysis from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2014 to 2018. Hierarchical multivariate linear regression was used to investigate the factors affecting the HRQoL of each group. Non-working cancer survivors had significantly lower HRQoL than working cancer survivors (p < 0.001). A hierarchical multiple regression model showed that demographic, health-related, and psychological characteristics explained 62.0% of non-working cancer survivors’ HRQoL (F = 4.29, p < 0.001). Among the input variables, health-related characteristics were the most influential factors (ΔR2 = 0.274, F = 9.84, p < 0.001). For working cancer survivors, health-related characteristics were the only variable that was statistically associated with HRQoL (F = 5.556, p < 0.001). It is important to enhance physical activities and manage the chronic disease to improve the HRQoL of working cancer survivors. Further, managing health-related characteristics, including depressive symptoms and suicidal ideation, is necessary for non-working cancer survivors. Regarding working survivors, psychological factors such as depressive symptoms and suicidal tendencies did not affect HRQoL. Therefore, an early and effective return to work program should be developed for the improvement of their HRQoL.

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“…The results of CFA supported the original two-factor structure of the PROMIS social function short forms, consistent with the theoretically expected domains of limitation of and satisfaction with social function [ 16 , 18 ]. The positive effect of employment status for patients with breast cancer has been proven in recent studies, in which work adjustments were a protective factor for occupational rehabilitation after the cancer diagnosis [ 42 – 44 ]. Consistent with our hypotheses, the PROMIS social functions short forms performed well in differentiating patients with different employment statuses, since employed patients reported better social function than unemployed individuals.…”

Section: Discussionmentioning

confidence: 99%

Psychometric evaluation of the PROMIS social function short forms in Chinese patients with breast cancer

Cai

Huang

et al. 2021

Health Qual Life Outcomes

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Background The diagnosis of breast cancer and the subsequent treatment undermine patients’ participation in social activities. This study aimed to carry out a cross-cultural adaption and analysis of the construct validity and reliability of the Chinese version of the PROMIS social function short forms in patients with breast cancer. Methods This study utilized a cross-sectional research design, and was registered in the Chinese Clinical Trial Registry (ChiCTR2000035439). After a standardized cross-cultural adaption process, a psychometric evaluation was performed of the Chinese version of the PROMIS social function short forms. Using convenience sampling, eligible patients with breast cancer from tertiary hospitals in China were enrolled from January 2019 to July 2020. Participants completed the sociodemographic information questionnaire, the PROMIS social function short forms, the Functional Assessment of Cancer Therapy-Breast, the PROMIS emotional support short form and the PROMIS anxiety short form. Results Data were collected from a sample of 633 patients whose mean age was 48.1 years. The measures showed an absence of floor and ceiling effects. Regarding construct validity, the results of confirmatory factor analysis supported the original two-factor structure of the PROMIS social function short forms. In addition, the measures were found to have acceptable known-group validity, measurement invariance, and convergent and discriminate validity. Regarding reliability, the Cronbach’s α was high for all items (> 0.70). Conclusion The Chinese version of the PROMIS social function short forms was demonstrated to be a valid and reliable measure for the assessment of social function in Chinese patients with breast cancer. Additional psychometric evaluation is needed to draw firm conclusions.

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Work adjustments and employment among breast cancer survivors: a French prospective study

Cited by 21 publications

References 29 publications

Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study

Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study

Health-Related Quality of Life among Cancer Survivors Depending on the Occupational Status

Psychometric evaluation of the PROMIS social function short forms in Chinese patients with breast cancer

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