Coping strategies and anxiety in young breast cancer survivors

被引:9
|
作者
Krasne, Margaret [1 ]
Ruddy, Kathryn J. [2 ]
Poorvu, Philip D. [3 ,4 ,5 ]
Gelber, Shari, I [3 ,4 ]
Tamimi, Rulla M. [6 ]
Schapira, Lidia [7 ]
Peppercorn, Jeffrey [8 ]
Come, Steven E. [9 ]
Borges, Virginia F. [10 ]
Partridge, Ann H. [3 ,4 ,5 ]
Rosenberg, Shoshana M. [3 ,4 ,5 ,6 ,11 ]
机构
[1] Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA
[2] Mayo Clin, Rochester, MN USA
[3] Dana Farber Canc Inst, Med Oncol, Boston, MA 02115 USA
[4] Dana Farber Brigham Canc Ctr, Breast Oncol Program, Boston, MA 02215 USA
[5] Harvard Med Sch, Boston, MA 02115 USA
[6] Weill Cornell Med, Dept Populat Hlth Sci, 402 E 67th St LA-0005, New York, NY 10065 USA
[7] Stanford Canc Inst, Palo Alto, CA USA
[8] Massachusetts Gen Hosp, Boston, MA 02114 USA
[9] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
[10] Univ Colorado Canc Ctr, Aurora, CO USA
[11] Weill Cornell Med, New York, NY 10021 USA
基金
美国医疗保健研究与质量局;
关键词
Coping; Young breast cancer survivors; Social support; Anxiety; ALCOHOL-USE DISORDERS; HOSPITAL ANXIETY; WOMEN; DEPRESSION; CONSULTATIONS; PERCEPTIONS; CONSUMPTION; ADOLESCENT; CHILDREN; LIFE;
D O I
10.1007/s00520-022-07325-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose We sought to describe coping strategies reported by young breast cancer survivors and evaluate the relationship between utilization of specific coping strategies and anxiety in survivorship. Methods Participants enrolled in The Young Women's Breast Cancer Study, a multi-center, cohort of women diagnosed with breast cancer at age <= 40 years, completed surveys that assessed demographics, coping strategies (reported at 6-month post-enrollment and 18-month post-diagnosis), and anxiety (2 years post-diagnosis). We used univariable and multivariable logistic regression to examine the relationship between coping strategies and anxiety. Results A total of 833 women with stage 0-3 breast cancer were included in the analysis; median age at diagnosis was 37 (range: 17-40) years. Social supports were the most commonly reported coping strategies, with the majority reporting moderate or greater use of emotional support from a partner (90%), parents (78%), other family (79%), and reliance on friends (88%) at both 6 and 18 months. In multivariable analyses, those with moderate or greater reliance on emotional support from other family (odds ratio (OR): 0.37, 95% confidence ratio (CI): 0.22-0.63) at 18 months were less likely to have anxiety at 2 years, while those with moderate or greater reliance on alcohol/drug use (OR: 1.83, 95%CI: 1.12-3.00) and taking care of others (OR: 1.90, 95%CI: 1.04-3.45) to cope were more likely to have anxiety. Conclusion Young breast cancer survivors rely heavily on support from family and friends. Our findings underscore the importance of considering patients' social networks when developing interventions targeting coping in survivorship.
引用
收藏
页码:9109 / 9116
页数:8
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