Illness perception is a strong parameter on anxiety and depression scores in early-stage breast cancer survivors: a single-center cross-sectional study of Turkish patients
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Illness perception has been suggested to have a significant effect on anxiety and depression in cancer patients. In this cross-sectional study, we aimed to evaluate this on Turkish breast cancer patients with follow-up periods up to 12 years.
Patients and methods
A total of 225 patients (with 6 months to 12 years follow-up) were recruited in this cross-sectional study. The patients were divided into three groups of follow-up: 6 months–2 years, 2–5 years, and >5 years. Beck Depression Inventory, Beck Anxiety Inventory, Duke–University of North Carolina Functional Social Support Questionnaire, and Brief Illness Perception Questionnaire were used to assess the depression, anxiety, functional social support (FSS), and illness perception, respectively. Statistical significance of the associations was analyzed using Spearman correlation, Student’s t, Mann–Whitney U, and ANOVA tests.
Rates of moderate–severe anxiety and depression scores were not correlated with follow-up period and disease stage, whereas all these parameters were associated significantly with FSS and age. Parameters of illness perception were also not correlated with follow-up period and stage of disease. However, illness perception scores were noticeably better with increments in FSS. Also, the parameters of illness perception were strongly associated with the depression/anxiety score.
Illness perception is an important determinant of the depression/anxiety score in Turkish breast cancer patients.
KeywordsAnxiety Depression Illness perception Social support Breast cancer
Compliance with ethical standards
The protocol and informed consent documentation were reviewed and approved by the Independent Ethics Committee of the University and agreed with the ethical principles of the Declaration of Helsinki.
Conflict of interest
The authors declare that they have no conflict of interest.
- 2.Kohler BA, Sherman RL, Howlader N, Jemal A, Ryerson AB, Henry KA, Boscoe FP, Cronin KA, Lake A, Noone AM, Henley SJ, Eheman CR, Anderson RN, Penberthy L (2015) Annual report to the nation on the status of cancer, 1975-2011, featuring incidence of breast cancer subtypes by race/ethnicity, poverty, and state. J Natl Cancer Inst 107:djv048CrossRefGoogle Scholar
- 4.Jacob L, Bleicher L, Kostev K, Kalder M (2015) Prevalence of depression, anxiety and their risk factors in German women with breast cancer in general and gynecological practices. J Cancer Res Clin OncolGoogle Scholar
- 6.Somerset W, Stout SC, Miller AH, Musselman D (2004) Breast cancer and depression. Oncology (Huntington) 18:1021–1034Google Scholar
- 11.Aapro M, Cull A (1999) Depression in breast cancer patients: the need for treatment. AnnOncol 10:627636Google Scholar
- 15.2013) British Journal of Health Psychology 18:168–181Google Scholar
- 16.Zhang N, Fielding R, Soong I, Chan KK, Tsang J, Lee V, Lee C, Ng A, Sze WK, Tin P, Lam WW (2015) Illness perceptions among cancer survivors. Support Care CancerGoogle Scholar
- 20.Jacob L, Bleicher L, Kostev K, Kalder M (2015) Prevalence of depression, anxiety and their risk factors in German women with breast cancer in general and gynecological practices. J Cancer Res ClinOncol 16Google Scholar
- 21.Charlier C, Pauwels E, Lechner L, Spittaels H, Bourgois J, DE Bourdeaudhuij I, VAN Hoof E (2012) Physical activity levels and supportive care needs for physical activity among breast cancer survivors with different psychosocial profiles: a cluster-analytical approach. Eur J Cancer Care (Engl) 21:790–799CrossRefGoogle Scholar