Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Apr 8:14:326.
doi: 10.1186/1471-2458-14-326.

The status and correlates of depression and anxiety among breast-cancer survivors in Eastern China: a population-based, cross-sectional case-control study

Feng Wang, Jiajia Liu, Liyuan Liu, Fei Wang, Zhongbing Ma, Dezong Gao, Qiang Zhang, Zhigang Yu  1
Affiliations

The status and correlates of depression and anxiety among breast-cancer survivors in Eastern China: a population-based, cross-sectional case-control study

Feng Wang et al. BMC Public Health. .

Abstract

Background: Breast cancer presents specific challenges both physiologically and psychologically to women, and consequently affect the patients' mental health. Psychosocial factors may play important roles in the symptoms and development of mental disorders among breast-cancer survivors. This study assesses the depression and anxiety status of breast-cancer survivors and further identifies the risk factors.

Methods: A 1:1 matched, case-control study was conducted with a total sample of 222 individuals. Participants were selected from a national epidemiological survey. The Center for Epidemiological Studies-Depression Scale and State-Trait Anxiety Inventory were used to assess depression and anxiety. The Social Support Rating Scale and Perceived Social Support Scale were used as measures of social support and perceived social support, and the Rosenberg Self-Esteem Scale as a measure of self-esteem. Coping style was assessed using the Simplified Coping Style Questionnaire. The predictive effect of these psychosocial factors for depression and anxiety was investigated with hierarchical linear regressions.

Results: Breast-cancer survivors experienced a high level of depressive and anxious symptoms. Multivariate analysis revealed that breast cancer functions as an independent but not a main risk factor of both depression and anxiety. Higher levels of depression and anxiety were positively associated with a higher level of passive coping style, and negatively with perceived social support, objective social support and an active coping style.

Conclusions: The mental health of breast-cancer survivors should be promoted through the transformation of coping styles and improvement of social support.

PubMed Disclaimer

References

    1. WHO. The Global Burden of Disease 2004. Geneva, Switzerland: WHO press; 2010. http://www.who.int/healthinfo/global_burden_disease/2004_report_update/e.... Accessed Feb 10, 2010.
    1. Yang L, Li LD, Chen YD, Parkin DM. Time trends, estimates and projects for breast cancer incidence and mortality in China. Zhonghua Zhong Liu Za Zhi. 2006;28(6):438–440. - PubMed
    1. Zhang BN, Cao XC, Chen JY, Chen J, Fu L, Hu XC, Jiang ZF, Li HY, Liao N, Liu DG, Tao O, Shao ZM, Sun Q, Wang S, Wang YS, Xu BH, Zhang J. Guidelines on the diagnosis and treatment of breast cancer (2011 edition) Gland Surg. 2012;1(1):39–61. - PMC - PubMed
    1. Clarke DM. No cancer health without mental health. Med J Aust. 2010;193(5):S43. - PubMed
    1. Knobf M. Psychosocial Responses in Breast Cancer Survivors. Seminars in Oncology Nursing. 2007;23(1):71–83. Elsevier; 2007, - PubMed

Publication types

MeSH terms