Universität zu Köln

Lieb, Marietta ORCID: 0000-0002-3688-5141, Wuensch, Alexander, Schieber, Katharina, Bergelt, Corinna, Faller, Hermann, Geiser, Franziska ORCID: 0000-0002-4212-9692, Goerling, Ute, Hoenig, Klaus ORCID: 0000-0001-6813-1814, Hornemann, Beate, Maatouk, Imad, Niecke, Alexander ORCID: 0000-0002-4042-6693, Stein, Barbara, Teufel, Martin, Wickert, Martin, Buttner-Teleaga, Antje, Erim, Yesim and Weis, Joachim (2022). Return to work after cancer: Improved mental health in working cancer survivors. Psycho-Oncol., 31 (6). S. 893 - 902. HOBOKEN: WILEY. ISSN 1099-1611

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Abstract

Objective Aim of the study was to compare working and non-working patients over a period of 12 months regarding socio-demographic, cancer-specific and mental health parameters. Methods This study was conducted as part of a Germany-wide longitudinal survey among 1398 patients in 13 national Comprehensive Cancer Centers. The sample used for analysis consisted of n = 430 cancer patients younger than 65 years (age M = 52.4 years, SD = 8.1; 67.0% females). Socio-demographic, cancer-specific and mental health parameters (Depression: Patient Health Questionnaire, Anxiety: Generalized Anxiety Disorder Scale, Distress: Distress Thermometer) were assessed at baseline during hospitalization and at 12 months follow-up. Results 73.7% of all patients (n = 317) have returned to work after one year. While working and non-working patients did not differ in socio-demographic parameters, there were significant differences in the presence of metastases, tumor and treatment status. Mixed analysis of variances revealed significant interactions between working status and time for depression (p = 0.009), anxiety (p = 0.003) and distress (p = 0.007). Non-working patients reported higher levels of depression, anxiety and distress than working patients over time. A logistic regression showed significant associations between lower depression (p = 0.019), lower distress (p = 0.033) and the absence of a tumor (p = 0.015) with working status. Conclusions The majority of cancer survivors returned to work. Non-working patients had higher levels of depression, anxiety and distress than working patients. After controlling for cancer-specific factors, mental health parameters were still independently associated with working status. Return to work can thus be associated with an improved mental health in cancer survivors. In order to establish causality, further research is necessary.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lieb, Marietta UNSPECIFIED orcid.org/0000-0002-3688-5141 UNSPECIFIED Wuensch, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Schieber, Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergelt, Corinna UNSPECIFIED UNSPECIFIED UNSPECIFIED Faller, Hermann UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiser, Franziska UNSPECIFIED orcid.org/0000-0002-4212-9692 UNSPECIFIED Goerling, Ute UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoenig, Klaus UNSPECIFIED orcid.org/0000-0001-6813-1814 UNSPECIFIED Hornemann, Beate UNSPECIFIED UNSPECIFIED UNSPECIFIED Maatouk, Imad UNSPECIFIED UNSPECIFIED UNSPECIFIED Niecke, Alexander UNSPECIFIED orcid.org/0000-0002-4042-6693 UNSPECIFIED Stein, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED Teufel, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Wickert, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Buttner-Teleaga, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Erim, Yesim UNSPECIFIED UNSPECIFIED UNSPECIFIED Weis, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-696287
DOI:	10.1002/pon.5877
Journal or Publication Title:	Psycho-Oncol.
Volume:	31
Number:	6
Page Range:	S. 893 - 902
Date:	2022
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1099-1611
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BREAST-CANCER; EMPLOYMENT; PREDICTORS; ABILITY Multiple languages Oncology; Psychology; Psychology, Multidisciplinary; Social Sciences, Biomedical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69628