Psychological distress, optimism and general health in breast cancer survivors: a data linkage study using the Scottish Health Survey

Leung, Janni, Atherton, Iain, Kyle, Richard G., Hubbard, Gill and McLaughlin, Deirdre (2015) Psychological distress, optimism and general health in breast cancer survivors: a data linkage study using the Scottish Health Survey. Supportive Care in Cancer, 24 4: 1755-1761. doi:10.1007/s00520-015-2968-2


Author Leung, Janni
Atherton, Iain
Kyle, Richard G.
Hubbard, Gill
McLaughlin, Deirdre
Title Psychological distress, optimism and general health in breast cancer survivors: a data linkage study using the Scottish Health Survey
Journal name Supportive Care in Cancer   Check publisher's open access policy
ISSN 1433-7339
0941-4355
Publication date 2015-10-05
Year available 2015
Sub-type Article (original research)
DOI 10.1007/s00520-015-2968-2
Open Access Status Not yet assessed
Volume 24
Issue 4
Start page 1755
End page 1761
Total pages 7
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Subject 2730 Oncology
Abstract Purpose: The aim of this study is to examine the association between optimism and psychological distress in women with breast cancer after taking into account their self-rated general health. Methods: Data were aggregated from the Scottish Health Survey (2008 to 2011) to derive a nationally representative sample of 12,255 women (11,960 cancer-free controls, and 295 breast cancer cases identified from linked cancer registry data). The explanatory variables were optimism and general health, and the outcome variable was symptoms of psychological distress. Logistic regression analyses were conducted, with optimism entered in step 1 and general health entered in step 2. Results: In an unadjusted model, higher levels of optimism were associated with lower odds of psychological distress in both the control group (OR = 0. 57, 95 % CI = 0.51–0.60) and breast cancer group (OR = 0. 64, 95 % CI = 0.47–0.88). However, in a model adjusting for general health, optimism was associated with lower odds of psychological distress only in the control group (OR = 0.50, 95 % CI = 0.44–0.57), but not significantly in the breast cancer group (OR = 1.15, 95 % CI = 0.32–4.11). In the breast cancer group, poor general health was a stronger associate of psychological distress (OR = 4. 98, 95 % CI = 1.32–18.75). Results were consistent after adjusting for age, years since breast cancer diagnosis, survey year, socioeconomic status, education, marital status, body mass index, smoking status, and alcohol consumption. Conclusion: This research confirms the value of multicomponent supportive care interventions for women with breast cancer. Specifically, it suggests that following breast cancer diagnosis, health care professionals need to provide advice and signpost to services that assist women to maintain or improve both their psychological and general health.
Formatted abstract
Purpose
The aim of this study is to examine the association between optimism and psychological distress in women with breast cancer after taking into account their self-rated general health.

Methods
Data were aggregated from the Scottish Health Survey (2008 to 2011) to derive a nationally representative sample of 12,255 women (11,960 cancer-free controls, and 295 breast cancer cases identified from linked cancer registry data). The explanatory variables were optimism and general health, and the outcome variable was symptoms of psychological distress. Logistic regression analyses were conducted, with optimism entered in step 1 and general health entered in step 2.

Results
In an unadjusted model, higher levels of optimism were associated with lower odds of psychological distress in both the control group (OR = 0. 57, 95 % CI = 0.51–0.60) and breast cancer group (OR = 0. 64, 95 % CI = 0.47–0.88). However, in a model adjusting for general health, optimism was associated with lower odds of psychological distress only in the control group (OR = 0.50, 95 % CI = 0.44–0.57), but not significantly in the breast cancer group (OR = 1.15, 95 % CI = 0.32–4.11). In the breast cancer group, poor general health was a stronger associate of psychological distress (OR = 4. 98, 95 % CI = 1.32–18.75). Results were consistent after adjusting for age, years since breast cancer diagnosis, survey year, socioeconomic status, education, marital status, body mass index, smoking status, and alcohol consumption.

Conclusion
This research confirms the value of multicomponent supportive care interventions for women with breast cancer. Specifically, it suggests that following breast cancer diagnosis, health care professionals need to provide advice and signpost to services that assist women to maintain or improve both their psychological and general health.
Keyword Breast cancer
Optimism
Psychological distress
Psychosocial
Mental health
Self-rated health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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