Cited by 233Cancer survivorship and careWomen's cancer prevention and managementHealth disparities and outcomes

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Social networks, social support mechanisms, and quality of life after breast cancer diagnosis

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Kroenke, Candyce H., Kwan, Marilyn L., Neugut, Alfred I., Ergas, Isaac J., Wright, Jaime D., Caan, Bette J., Hershman, Dawn, Kushi, Lawrence H.·2013·Breast Cancer Research and Treatment

DOI 10.1007/s10549-013-2477-2PMC PMC3906043

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Abstract

We examined mechanisms through which social relationships influence quality of life (QOL) in breast cancer survivors. This study included 3,139 women from the Pathways Study who were diagnosed with breast cancer from 2006 to 2011 and provided data on social networks (the presence of a spouse or intimate partner, religious/social ties, volunteering, and numbers of close friends and relatives), social support (tangible support, emotional/informational support, affection, positive social interaction), and QOL, measured by the FACT-B, approximately 2 months post diagnosis. We used logistic models to evaluate associations between social network size, social support, and lower versus higher than median QOL scores. We further stratified by stage at diagnosis and treatment. In multivariate-adjusted analyses, women who were characterized as socially isolated had significantly lower FACT-B (OR = 2.18, 95 % CI: 1.72-2.77), physical well-being (WB) (OR = 1.61, 95 % CI: 1.27-2.03), functional WB (OR = 2.08, 95 % CI: 1.65-2.63), social WB (OR = 3.46, 95 % CI: 2.73-4.39), and emotional WB (OR = 1.67, 95 % CI: 1.33-2.11) scores and higher breast cancer symptoms (OR = 1.48, 95 % CI: 1.18-1.87) compared with socially integrated women. Each social network member independently predicted higher QOL. Simultaneous adjustment for social networks and social support partially attenuated associations between social networks and QOL. The strongest mediator and type of social support that was most predictive of QOL outcomes was "positive social interaction." However, each type of support was important depending on outcome, stage, and treatment status. Larger social networks and greater social support were related to higher QOL after a diagnosis of breast cancer. Effective social support interventions need to evolve beyond social-emotional interventions and need to account for disease severity and treatment status.

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Authors: Kroenke, C. H., Kwan, M. L., Neugut, A. I., Ergas, I. J., Wright, J. D., Caan, B. J., Hershman, D., & Kushi, L. H.
Affiliations: Kaiser Permanente (US)
Columbia University (US)
Graduate Theological Union (US)
Corresponding author: Kroenke, Candyce H.
ORCID: Kroenke, Candyce H.
Kwan, Marilyn L.
Neugut, Alfred I.
Ergas, Isaac J.
Wright, Jaime D.
Caan, Bette J.
Hershman, Dawn
Kushi, Lawrence H.
Venue: Breast Cancer Research and Treatment
Publisher: Springer Science and Business Media LLC
Published: 2013-05-09
Volume: 139
Issue: 2
Pages: 515-527
ISSN: 0167-6806 (ISSN-L)
1573-7217
DOI: 10.1007/s10549-013-2477-2
PMC: PMC3906043
OpenAlex: W2038597076
Cited by: 233
References: 46
Citations by year: 2026: 17 · 2025: 20 · 2024: 14 · 2023: 13 · 2022: 22 · 2021: 24 · 2020: 25 · 2019: 17 · 2018: 23 · 2017: 15 · 2016: 17 · 2015: 15 · 2014: 6 · 2013: 4
FWCI: 7.50
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Breast Cancer Research and Treatment (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Cancer Institute (R01CA105274)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Social Sciences › Health › Health disparities and outcomes
Keywords: breast cancer survivors, quality of life, social networks, social support, social isolation, social integration, positive social interaction, emotional support, tangible support, breast cancer symptoms, stage at diagnosis, treatment status, Pathways Study
MeSH terms: Adult, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Prognosis, Quality of Life, Social Support, Social Networking

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Social networks, social support mechanisms, and quality of life after breast cancer diagnosis

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