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Breast Cancer Research and Treatment

, Volume 89, Issue 1, pp 23–28 | Cite as

Relationship of depression to patient satisfaction: findings from the barriers to breast cancer study

  • Quynh-Uyen T. Bui
  • Glenn V. OstirEmail author
  • Yong-Fang Kuo
  • Jean Freeman
  • James S. Goodwin
Article

Abstract

Objective: Examine the association between depressive symptoms and patient satisfaction for older women with a diagnosis of breast cancer. Methods: Prospective study of 210 women aged 65 or older from southeast Texas newly diagnosed with breast cancer. Baseline (<2 months after diagnosis) and 12 month follow-up interviews were conducted face-to-face to collect information on sociodemographic characteristics, physical and emotional health, use of health services and satisfaction with medical care. Data analyses included descriptive statistics, χ 2 analysis, and multivariate logistic regression analysis. Results: Average age at baseline interview was 71.8 years (SD 6.6). The sample was 70.5% non-Hispanic white, 61.0% were unmarried, and 85.2% reported no ADL limitations. Logistic regression analysis showed a significant association between increasing depressive symptoms at baseline and lower patient satisfaction at follow-up. Each unit increase in depressive symptoms at baseline was associated with a 6% decrease in the predicted odds of being “very satisfied” with medical care at follow up (OR=0.94, 95% CI=0.89, 0.99), after adjusting for age, marital status, race/ethnicity, stage of diagnosis and other relevant factors. Similarly, patients who had an increase in CES-D score between baseline and follow-up interview were less likely to be satisfied with their medical care at follow up. Conclusion: Increasing depressive symptoms are associated with lower patient satisfaction. Early recognition and treatment of depressive symptoms may improve patients’ well being and perception about quality of medical care.

Keywords

breast cancer depression elderly patient satisfaction women 

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References

  1. Wyshak, G, Barsky, A 1995Satisfaction with and effectiveness of medical care in relation to anxiety and depressionGen Hosp Psychiatry17108114PubMedGoogle Scholar
  2. Haviland, MG, Dial, TH, McGhee, WH, Pincus, HA 2001Datapoints: depression and satisfaction with health plans.279Psychiatr Serv 52Google Scholar
  3. Tooth, LR, Ottenbacher, KJ, Smith, PM, Illig, SB, Linn, RT, Granger, CV 2004Satisfaction with medical rehabilitation after spinal cord injury.Spine29211219PubMedGoogle Scholar
  4. Hall, JA, Dornan, MC 1998Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels.Soc Sci Med27637644Google Scholar
  5. Hagedoorn, M, Uijl, SG, Van Sonderen, E, Ranchor, AV, Grol, BMF, Otter, R, Krol, B, Ban den Heuvel, E, Sanderman, R 2003Structure and reliability of Ware’s Patient Satisfaction Questionnaire III: patient’s satisfaction with oncological care in the Netherlands.Med Care41254263PubMedGoogle Scholar
  6. Keith, RA 1998Patient satisfaction and rehabilitation services.Arch Phys Med Rehabil7911221128PubMedGoogle Scholar
  7. Nagy, VT, Wolfe, GR 1984Cognitive predictors of compliance in chronic disease patients.Med Care22912921PubMedGoogle Scholar
  8. Kovac, JA, Patel, SS, Peterson, RA, Kimmel, PL 2002Patient satisfaction with care and behavioral compliance in end stage renal disease patients treated with hemodialysis.Am J Kidney Dis3912361244PubMedGoogle Scholar
  9. Grol, R 2001Improving the quality of medical care.JAMA28625782585PubMedGoogle Scholar
  10. Greene, J 1994Competition for patients spurs hospitals’ concern for serving the customer.Mod Health243034Google Scholar
  11. Hall, JA, Dornan, MC 1990Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis.Soc Sci Med30811818PubMedGoogle Scholar
  12. Franchignoni, F, Ottonello, M, Benevolo, E, Tesio, L 2002Satisfaction with hospital rehabilitation: is it related to life satisfaction, functional status, age or education.J Rehabil Med34105108PubMedGoogle Scholar
  13. Hopton, JL, Howie, JG, Porter, AM 1993The need for another look at the patient in general practice satisfaction surveys.Fam Pract108287PubMedGoogle Scholar
  14. Greenley, JR, Young, TB, Schoenherr, RA 1982Psychological distress and patient satisfaction.Med Care 20(4): 373–38520373385Google Scholar
  15. Jackson, JL, Chamberlin, J, Kroenke, K 2001Predictors of patient satisfaction.Soc Sci Med52609620PubMedGoogle Scholar
  16. Weir, HK, Thun, MJ, Hankey, BF, Ries, LA, Howe, HL, Wingo, PA, Jemal, A, Ward, E, Anderson, RN, Edwards, B 2003Annual Report of the Nation on the Status of Cancer, 1975–2000, Featuring the uses of surveillance data on cancer prevention an control.J Natl Cancer Inst9512761298PubMedGoogle Scholar
  17. Maguire, P 1994ABC of breast disease; psychological aspects.BMJ30916491652PubMedGoogle Scholar
  18. Goodwin, JS, Zhang, DD, Ostir, GV 2004Effect of depression on diagnosis, treatment and survival of older women with breast cancer.J Am Geriatr Soc52106111PubMedGoogle Scholar
  19. Goodwin, JS, Satish, S, Anderson, ET, Nattinger, AB, Freeman, J 2003Efffect of nurse case management on the treatment of older women with breast cancerJ Am Geriatr Soc5112521259PubMedGoogle Scholar
  20. Shinar, D, Gross, CR, Price, TR, Banko, M, Bolduc, PL, Robinson, RG 1986Screening for depression in stroke patients: the reliability and validity of the center for epidemiologic studies depression.Stroke17241245PubMedGoogle Scholar
  21. Clark, MS, Smith, DS 1998Factors contributing to patient satisfaction with rehabilitation following stroke.Int J Rehabil Res21143154PubMedGoogle Scholar
  22. Ottenbacher, KJ, Gonzales, VA, Smith, PM, Illig, SB, Fielder, RC, Granger, CV 2001Satisfaction with medial rehabilitation in patients with cerebrovascular impairment.Am J Phys Med Rehabil80876884PubMedGoogle Scholar
  23. Mancuso, M, Smith, P, Illig, S, Granger, CV, Gonzales, VA, Linn, RT, Ottenbacher, KJ 2003Satisfaction with medical rehabilitation in patients with orthopedic impairment.Arch Phys Med Rehabil8413431349PubMedGoogle Scholar
  24. Rumsfeld, J 2003Depressive symptoms are the strongest predictors of short-term declines in health status in patients with heart failure.J Am Coll Cardiol4218111817PubMedGoogle Scholar
  25. Mandelblatt, J, Figueiredo, M, Cullen, J 2003Outcomes and quality of life following breast cancer treatment in older women: when, why, how much, and what do women want?.Health Qual Life Outcomes1714563Google Scholar
  26. Majeed, AW, Brown, S, Williams, N, Hanny, DR, Johnson, AG 1995Variations in medical attitudes to postoperative recovery period.BMJ311296PubMedGoogle Scholar
  27. Salmon, P, Hall, GM, Peerbhoy, D, Shenkin, A, Parker, C 2001Recovery from hip and knee arthroplasty: patients’ perspective on pain, function, quality of life and well-being up to 6 months postoperatively.Arch Phys Me Rehabilital3360366Google Scholar
  28. Michaels, AJ, Michaels, CE, Smith, JS, Moon, CH, Peterson, C, Long, WB 2000Outcome from injury: general health, work status, and satisfaction 12 months after trauma.J Trauma48841848PubMedCrossRefGoogle Scholar
  29. Petterson, T, Lee, P, Hollis, S, Young, B, Newton, P, Dornan, T 1998Well-Being and treatment satisfaction in older people with diabetes.Diabetes Care21930935PubMedGoogle Scholar
  30. Sitzia, J, Wood, N 1997Patient satisfaction: a review of issues and concepts.Soc Sci Med4518291843PubMedGoogle Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Quynh-Uyen T. Bui
    • 1
    • 2
  • Glenn V. Ostir
    • 1
    • 2
    • 3
    • 4
    Email author
  • Yong-Fang Kuo
    • 1
    • 2
  • Jean Freeman
    • 1
    • 2
    • 3
  • James S. Goodwin
    • 1
    • 2
    • 3
  1. 1.Sealy Center on AgingDepartment of MedicineUSA
  2. 2.Division of GeriatricsDepartment of MedicineUSA
  3. 3.Department of Preventive Medicine and Community HealthUniversity of Texas Medical Branch at GalvestonUSA
  4. 4.University of Texas Medical BranchGalvestonUSA

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