Is psychological distress in people living with cancer related to the fact of diagnosis, current treatment or level of disability? Findings from a larger Australian study
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Banks, Emily; Byles, Julie; Gibson, Richard; Latz, Isabel; Robinson, Ian A; Williamson, Anna B; Jorm, Louisa; Rodgers, Bryan
Description
Objective: To investigate whether the observed elevated levels of psychological distress in cancer survivors relate specifically to aspects of cancer diagnosis, to treatment or to disability. Design, participants and setting: Self-reported questionnaire data on demographic, health and lifestyle factors and mental health from 89 574 Australian men and women aged 45 years or older, sampled from the Medicare database for the 45 and Up Study from 1 February 2006 to 30 April 2008. Logistic...[Show more]
dc.contributor.author | Banks, Emily | |
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dc.contributor.author | Byles, Julie | |
dc.contributor.author | Gibson, Richard | |
dc.contributor.author | Latz, Isabel | |
dc.contributor.author | Robinson, Ian A | |
dc.contributor.author | Williamson, Anna B | |
dc.contributor.author | Jorm, Louisa | |
dc.contributor.author | Rodgers, Bryan | |
dc.date.accessioned | 2015-12-08T22:29:42Z | |
dc.identifier.issn | 0025-729X | |
dc.identifier.uri | http://hdl.handle.net/1885/34192 | |
dc.description.abstract | Objective: To investigate whether the observed elevated levels of psychological distress in cancer survivors relate specifically to aspects of cancer diagnosis, to treatment or to disability. Design, participants and setting: Self-reported questionnaire data on demographic, health and lifestyle factors and mental health from 89 574 Australian men and women aged 45 years or older, sampled from the Medicare database for the 45 and Up Study from 1 February 2006 to 30 April 2008. Logistic regression was used to examine the risk of high levels of psychological distress in relation to cancer diagnosis and disability, adjusting for age, sex, income and education. Main outcome measure: High psychological distress (Kessler Psychological Distress Scale score ≥ 22). Results: Overall, 7.5% of participants had high levels of psychological distress. Among cancer survivors, the median time since diagnosis was 7.3 years. Compared with people without cancer, the odds ratios (95% CIs) for psychological distress were: 1.17 (1.09-1.26) in people reporting having had any cancer apart from non-melanoma skin cancer; 1.34 (1.08-1.67) in those with cancer diagnosed in the previous year; 1.53 (1.33-1.76) for those reporting treatment for cancer in the previous month and 1.11 (1.03-1.19) for those with cancer but without recent treatment. Using individuals with neither cancer nor disability as the reference group, the adjusted odds ratio (95% CI) for psychological distress was 6.51 (5.95-7.12) in those reporting significant disability but no cancer, 1.14 (1.04-1.24) in those without disability but with cancer and 5.81(4.88-6.91) in those with both cancer and disability. Conclusion: The risk of psychological distress in individuals with cancer relates much more strongly to their level of disability than it does to the cancer diagnosis itself. | |
dc.publisher | Australasian Medical Association | |
dc.source | Medical Journal of Australia | |
dc.subject | Keywords: adaptive behavior; aged; anxiety; article; Australia; comorbidity; depression; disabled person; epidemiology; female; hospitalization; human; male; middle aged; neoplasm; prevalence; prospective study; psychological aspect; psychological rating scale; qua | |
dc.title | Is psychological distress in people living with cancer related to the fact of diagnosis, current treatment or level of disability? Findings from a larger Australian study | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 193 | |
dc.date.issued | 2010 | |
local.identifier.absfor | 111714 - Mental Health | |
local.identifier.absfor | 170106 - Health, Clinical and Counselling Psychology | |
local.identifier.ariespublication | u4468094xPUB110 | |
local.type.status | Published Version | |
local.contributor.affiliation | Banks, Emily, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Byles, Julie, University of Newcastle | |
local.contributor.affiliation | Gibson, Richard, University of Newcastle | |
local.contributor.affiliation | Rodgers, Bryan, College of Arts and Social Sciences, ANU | |
local.contributor.affiliation | Latz, Isabel, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Robinson, Ian A, University of Newcastle | |
local.contributor.affiliation | Williamson, Anna B, The Sax Institue | |
local.contributor.affiliation | Jorm, Louisa , The Sax Institute | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 5 SUPPL. | |
local.bibliographicCitation.startpage | 62 | |
local.bibliographicCitation.lastpage | 67 | |
local.identifier.doi | .5694/j.1326-5377.2010.tb03931.x | |
dc.date.updated | 2020-12-20T07:32:11Z | |
local.identifier.scopusID | 2-s2.0-79956308836 | |
local.identifier.thomsonID | 000281834200006 | |
Collections | ANU Research Publications |
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