Social support and survival in young women with breast carcinoma

Psycho-Oncology - Tập 21 Số 2 - Trang 125-133 - 2012
Ann F. Chou1,2, Susan L. Stewart3, Robert C. Wild4, Joan R. Bloom5
1Department of Family Medicine, College of Medicine, University of Oklahoma, Oklahoma City, OK, USA
2Department of Health Administration and Policy, College of Public Health, University of Oklahoma, Oklahoma City, OK, USA
3Department of Medicine, University of California, San Francisco, CA USA
4Center for Healthy Development, College of Health and Human Sciences, Georgia State University, Atlanta, GA, USA
5School of Public Health, University of California at Berkeley, Berkeley, CA, USA

Tóm tắt

AbstractPurpose: Although previous evidence has shown increased likelihood for survival in cancer patients who have social support, little is known about changes in social support during illness and their impact on survival. This study examines the relationship between social support and survival among women diagnosed with breast carcinoma, specifically assessing the effect of network size and changes in social contact post‐diagnosis.Methods: A population‐based sample of 584 women was followed for up to 12.5 years (median follow‐up = 10.3 years). The mean age at diagnosis was 44 years, 81% were married, and 29% were racial/ethnic minorities. Cox regression analysis was used to estimate survival as a function of social support (changes in social contact and the size of social support), disease severity, treatment, health status, and socio‐demographic factors.Results: Fifty‐four percent of the women had local and 44% had regional stage disease. About 53% underwent mastectomy, 68% received chemotherapy, and 55% had radiation. Regression results showed that disease stage, estrogen receptor status, and mastectomy were associated with greater risk of dying. Although network size was not related to survival, increased contact with friends/family post‐diagnosis was associated with lower risk of death, with a hazard ratio of 0.31 (95% CI, 0.17–0.57).Conclusion: Findings from this study have identified an important aspect of a woman's social network that impacts survival. An increase in the amount of social contact, representing greater social support, may increase the likelihood of the women's survival by enhancing their coping skills, providing emotional support, and expanding opportunities for information‐sharing. Copyright © 2010 John Wiley & Sons, Ltd.

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Tài liệu tham khảo

10.1093/oxfordjournals.aje.a112674

Reynolds P, 1994, The relationship between social ties and survival among black and white breast cancer patients. National Cancer Institute Black/White Cancer Survival Study Group, Cancer Epidemiol Biomarkers Prev, 3, 253

Goodwin J, 1987, The effect of martial status on stage, treatment, and survival of cancer patients, J Am Med Assoc, 258, 3120, 10.1001/jama.1987.03400210067027

Le Marchand L, 1984, Relationship of ethnicity and other prognostic factors to breast cancer survival patterns in Hawaii, J Natl Cancer Inst, 73, 1259

10.1016/0022-3999(83)90112-5

Durheim E, 1951, Suicide: A Study in Sociology

Bloom JR, 2008, Psychological Counseling Research Focus, 23

10.1007/s11764-008-0058-x

10.1186/bcr1744

10.1016/j.critrevonc.2009.06.003

10.1002/pon.606

10.1002/1097-0142(19950815)76:4<631::AID-CNCR2820760414>3.0.CO;2-9

10.2307/2626957

10.1016/S0277-9536(00)00440-8

10.1007/978-1-4613-8671-1_6

10.1016/S0140-6736(89)91551-1

Cutrona C, 1990, Type of Social Support and Specific Stress: Toward a Theory of Optimal Matching. Social Support: An Interactional View

10.1016/0277-9536(91)90178-F

10.1093/oxfordjournals.aje.a113387

10.1007/BF00846149

Wortman CB, 1984, Social Support and the cancer patients: conceptual and methodological issues, Cancer, 53, 2339, 10.1002/cncr.1984.53.s10.2339

10.1097/00006842-197609000-00003

House J, 1981, Work, Stress, and Social Support

10.1016/0277-9536(82)90028-4

10.1097/00006842-198707000-00003

Gottlieb B, 1989, Social support and mental health: a review of the literature

Cohen M, 1988, A Garbage Can Model of Organizational Choice

10.1126/science.3399889

10.1016/0022-3999(92)90038-4

10.1016/S0022-3999(01)00270-7

10.1016/0277-9536(86)90352-7

10.1056/NEJM198506133122406

10.1097/00005650-199206000-00002

Ware JE, 1993, SF‐36 Health Survey

10.1093/oxfordjournals.aje.a114276

Bloom J, 1994, Risk and timing of counseling and support interventions for younger women with breast cancer, J Natl Cancer Inst Monogr, 16, 199

10.1002/(SICI)1099-1611(199803/04)7:2<89::AID-PON293>3.0.CO;2-E

10.1002/1097-0142(19870101)59:1<189::AID-CNCR2820590136>3.0.CO;2-6

Flamer DP, 1977, Perceived Social Support Scale

Cox D, 1972, Regression models and life tables, J R Stat Soc, 34, 187

10.1097/00001703-200302000-00009

10.1002/cncr.10586

Griffin IS, 2002, Psychosocial problems following a diagnosis of breast cancer, Int J Clin Pract, 56, 672, 10.1111/j.1742-1241.2002.tb11350.x

10.1016/S0022-3999(02)00350-1

10.1016/S1055-3207(18)30158-3

10.1007/BF00938117

10.1037/0033-295X.96.4.569

Folkman S, 1984, Personal control and stress and coping processes, J Pers Soc Psychol, 46, 839, 10.1037/0022-3514.46.4.839

10.1016/S0277-9536(96)00357-7

10.1037/0021-843X.95.2.107

10.1093/aje/152.10.940

10.1016/0277-9536(84)90400-3

10.1002/pon.794

10.1097/00006842-200005000-00007

10.1080/08870440802074664

10.6004/jnccn.2010.0028

Rowland JH, 1989, Interpersonal Resources: Social Support

10.1016/0277-9536(82)90057-0

10.1016/0277-9536(88)90273-0

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Psycho-Oncology

Tập 21 Số 2

125-133

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