Universität zu Köln

Breidenbach, Clara, Heidkamp, Paula, Hiltrop, Kati, Pfaff, Holger ORCID: 0000-0001-9154-6575, Enders, Anna, Ernstmann, Nicole and Kowalski, Christoph (2022). Prevalence and determinants of anxiety and depression in long-term breast cancer survivors. BMC Psychiatry, 22 (1). LONDON: BMC. ISSN 1471-244X

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Abstract

Background There is a significant number of long-term breast cancer survivors in Germany. However, research on the psychological challenges of cancer survivors is limited. This analysis describes prevalence, development and determinants of depression and anxiety 5 to 6 years after diagnosis and identifies predictors for an increase of anxiety and depression over time. Methods Data from 164 women was collected by survey and tumour documentation during post-operative hospital stay, 40 weeks and 5 to 6 years after diagnosis. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale. Sankey-diagrams were created for visual presentation of prevalence over time. Logistic and linear regression models were calculated to identify determinants of anxiety and depression. Results Respondents had higher levels of depression and anxiety 5 to 6 years than 40 weeks after the diagnosis. Lower vocational status and having children were associated with depression, surgery type was correlated with anxiety, and age, as well as comorbidities, were predictors for both anxiety and depression 5 to 6 years after diagnosis. An increase of depression over time was more likely when having children and comorbidities. An increase in anxiety was less likely after cancer recurrence. Conclusions Findings highlight that anxiety and depression are relevant burdens for breast cancer survivors in Germany. Several sociodemographic and clinical predictors are identified. There is need for psychosocial support after acute treatment and in the long-term. Research on psychological burdens of long-term breast cancer survivors in the identified vulnerable groups is needed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Breidenbach, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidkamp, Paula UNSPECIFIED UNSPECIFIED UNSPECIFIED Hiltrop, Kati UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Enders, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-671796
DOI:	10.1186/s12888-022-03735-3
Journal or Publication Title:	BMC Psychiatry
Volume:	22
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-244X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; HOSPITAL ANXIETY; MENTAL-DISORDERS; HEALTH LITERACY; WOMEN; SCALE; ASSOCIATION; PREDICTORS; SYMPTOMS; DISTRESS Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67179