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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Psychological distress, optimism and general health in breast cancer survivors: a data linkage study using the Scottish Health survey
Authors: Leung, Janni
Atherton, Iain
Kyle, Richard
Hubbard, Gill
McLaughlin, Deirdre
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Keywords: Breast cancer
Psychological distress
Mental health
Self-rated health
Issue Date: Apr-2016
Publisher: Springer
Citation: Leung J, Atherton I, Kyle R, Hubbard G & McLaughlin D (2016) 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), pp. 1755-1761.
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.
Type: Journal Article
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Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Queensland
Edinburgh Napier University
Edinburgh Napier University
Cancer Care Research Centre
University of Queensland

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