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

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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.

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Authors and Affiliations

  1. Sealy Center on Aging, Department of Medicine, TX, USA

    Quynh-Uyen T. Bui, Glenn V. Ostir, Yong-Fang Kuo, Jean Freeman & James S. Goodwin

  2. Division of Geriatrics, Department of Medicine, TX, USA

    Quynh-Uyen T. Bui, Glenn V. Ostir, Yong-Fang Kuo, Jean Freeman & James S. Goodwin

  3. Department of Preventive Medicine and Community Health, University of Texas Medical Branch at Galveston, TX, USA

    Glenn V. Ostir, Jean Freeman & James S. Goodwin

  4. University of Texas Medical Branch, 301 University Boulevard, Galveston, 77555-1137, TX, USA

    Glenn V. Ostir

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  1. Quynh-Uyen T. Bui
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  2. Glenn V. Ostir
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  3. Yong-Fang Kuo
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  4. Jean Freeman
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  5. James S. Goodwin
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Correspondence to Glenn V. Ostir.

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Bui, QU.T., Ostir, G.V., Kuo, YF. et al. Relationship of depression to patient satisfaction: findings from the barriers to breast cancer study. Breast Cancer Res Treat 89, 23–28 (2005). https://doi.org/10.1007/s10549-004-1005-9

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  • DOI: https://doi.org/10.1007/s10549-004-1005-9

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