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Unmet information needs predict anxiety in early survivorship in young women with breast cancer

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Abstract

Purpose

To examine variations in anxiety and longitudinal associations between unmet supportive care needs and elevated anxiety in young women (< 50 years) within 13 months of their breast cancer diagnosis.

Methods

Two hundred and nine women recruited through Victorian Cancer Registry completed questionnaires at study entry (T1) (average 7 months post-diagnosis) then 3 (T2) and 6 months later (T3). Women completed the Hospital Anxiety and Depression Scale (HADS) and Supportive Care Needs Survey-Breast Cancer (SCNS-Breast) at each time point. Primary outcome was anxiety with six domains of SCNS-Breast (physical daily living, information, psychological, health system information, peer support, patient care and miscellaneous needs) the key predictors. Generalised estimating equations examined longitudinal associations.

Results

Over the 6 months, the proportion of young women with elevated anxiety decreased (T1, 41% to T3, 35%; p = .06) as did the proportion with any moderate or high unmet needs (T1, 88%; T3, 74%; p < .01). While psychological needs and peer needs were positively associated with anxiety levels in multivariable cross-sectional analyses, in multivariable longitudinal analysis, only informational needs were associated with higher levels of anxiety (p < .001) with this association holding after adjusting for baseline anxiety levels.

Conclusions

While reducing over time, a third of young women treated for breast cancer enter early survivorship with elevated anxiety and unmet supportive care needs.

Implications for Cancer Survivors

As informational needs were positively associated with future levels of anxiety, addressing needs in this domain may decrease the risk of anxiety in younger women with breast cancer.

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Funding

This project was funded by a Priority-Driven Collaborative Cancer Research Scheme project grant partnering Cancer Australia, Beyond Blue and National Breast Cancer Foundation.

Author information

Authors and Affiliations

  1. School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria, 3125, Australia

    Kristen Barr & Victoria White

  2. Cancer Council Victoria, 615 St Kilda Rd, Melbourne, Victoria, 3004, Australia

    David Hill & Victoria White

  3. University of Melbourne, Melbourne, Victoria, 3010, Australia

    David Hill

  4. Cancer Care Ontario, 500-525 University Avenue, Toronto, M5G2L3, Canada

    Ashley Farrelly

  5. General & Breast Surgery Unit, Western Health, Gordon St, Footscray, Victoria, 3011, Australia

    Meron Pitcher

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  1. Kristen Barr
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Correspondence to Victoria White.

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Ethics approval was provided by the Human Research Ethics Committee of Cancer Council Victoria

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Barr, K., Hill, D., Farrelly, A. et al. Unmet information needs predict anxiety in early survivorship in young women with breast cancer. J Cancer Surviv 14, 826–833 (2020). https://doi.org/10.1007/s11764-020-00895-7

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  • DOI: https://doi.org/10.1007/s11764-020-00895-7

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