Depressive symptoms and health-related quality of life in breast cancer survivors
Open accessAbstract
Background: Breast cancer diagnosis and treatment can have a profound influence on a woman's physical, psychosocial, and overall well-being. We examined the prevalence of depressive symptoms and its association with health-related quality of life (HRQOL) in women who are survivors of breast cancer. We also assessed if factors, including metastasis, cancer recurrence, diagnosis of new primary cancers, and comorbid conditions, are associated with depressive symptoms. Methods: The Patient Health Questionnaire (PHQ-8) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were mailed to assess depressive symptoms and HRQOL, respectively, in breast cancer patients who received cancer treatment in a large tertiary cancer center. Results: Two hundred forty patients participated (56% response rate and 6–13 years since treatment). The mean score on the PHQ-8 scale was 4 points (standard deviation [SD] 4.8, median 2.0). Sixteen percent had PHQ-8 score ≥10 and were categorized as depressed. Depression was inversely associated with HRQOL subscales for functioning, financial, and global health and positively associated with symptoms. Logistic regression showed that younger age (odds ratio [OR] age in years 0.92, 95% confidence interval [CI] 0.86- 0.99, p <0.02), rheumatoid arthritis (OR 8.4, 95%CI 1.3-57.4, p <0.03), and years from treatment (OR 0.70, 95% CI 0.46-0.99, p <0.05) were significant correlates of depression. Conclusions: Depression is a significant health concern for breast cancer survivors and is associated with lower HRQOL. The results suggest the need to monitor women with breast cancer for depression and provide resources for treating depression during the survival period.
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The quality of life of women with breast cancer is significantly lower than that of non-patient young women.
“The studies have shown that the quality of women ' s life with breast cancer is significantly lower than non-patient young women (Avis, Crawford & Manuel, 2005; Reich, Lesur, PerdizetChevallier, 2008; Reyes-Gibby, Anderson, Morrow, Shete&hassan, 2012).”
From The effectiveness of group psychotherapy based on acceptance and commitment on increasing of mental health and the quality of women's life with breast cancer (2015) · cites this paper as Reyes-Gibby, Anderson, Morrow, Shete&hassan, 2012
PHQ-9 is accurate for grading depression severity and sensitive to changes over time, including in patients with cirrhosis.
“which is accurate for grading depression severity and sensitive to changes over time, including in patients with cirrhosis.”
From Depression and anxiety are common among patients with cirrhosis (2022) · cites this paper as [22]
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- Authors
- Reyes-Gibby, C. C., Anderson, K. O., Morrow, P. K., Shete, S., & Hassan, S.
- Affiliations
- The University of Texas M.D. Anderson Cancer Center
- The University of Texas MD Anderson Cancer Center (US)
- ORCID
- Shete, Sanjay
- Venue
- Journal of Women's Health
- Publisher
- SAGE Publications
- Published
- 2012-03
- Volume
- 21
- Issue
- 3
- Pages
- 311-318
- ISSN
- 1059-7115 (ISSN-L)
- 1540-9996
- 1931-843X
- PMC
- PMC3326444
- OpenAlex
- W2043621937
- Cited by
- 166
- References
- 54
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 10 · 2023: 15 · 2022: 8 · 2021: 11 · 2020: 14 · 2019: 17 · 2018: 13 · 2017: 14 · 2016: 15 · 2015: 11 · 2014: 12 · 2013: 6 · 2012: 7
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Women s Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- National Cancer Institute (K07CA109043, CA109043)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- breast cancer survivors, depressive symptoms, depression, health-related quality of life, comorbidities, rheumatoid arthritis, age, time since treatment, tumor recurrence, metastasis, PHQ-8, EORTC QLQ-C30
- MeSH terms
- Aged, Breast Neoplasms, Cross-Sectional Studies, Female, Health Status, Humans, Middle Aged, Quality of Life, Queensland, Rural Population, Survivors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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