Vitality, mental health, and satisfaction with information after breast cancer

• Published in: Patient education and counseling Vol. 66; no. 1; pp. 58 - 66
• Main Authors: Griggs, Jennifer J, Sorbero, Melony E.S, Mallinger, Julie B, Quinn, Megan, Waterman, Margaret, Brooks, Beverly, Yirinec, Brian, Shields, Cleveland G
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01-04-2007
• Subjects: Adaptation, Psychological; Adjuvant chemotherapy; Aged; Avoidance Learning; Breast neoplasms; Breast Neoplasms - diagnosis; Breast Neoplasms - psychology; Breast Neoplasms - therapy; Cross-Sectional Studies; Curriculum; Female; Focus Groups; Health Services Needs and Demand; Health Status; Humans; Internal Medicine; Linear Models; Mental Health; Middle Aged; Multivariate Analysis; New York; Nursing; Patient education; Patient Education as Topic - standards; Patient Satisfaction; Quality of Life - psychology; Social Support; Socioeconomic Factors; Statistics, Nonparametric; Surveys and Questionnaires; Survivors - psychology; New York; Adjuvant chemotherapy; Patient education; Breast neoplasms; Patient satisfaction; Mental health
• ISSN: 0738-3991; 1873-5134
• DOI: 10.1016/j.pec.2006.10.008

Abstract Objective The purpose of this study was to investigate the relationship between satisfaction with information about treatment-related and survivorship issues and mental health outcomes, including vitality, in long-term breast cancer survivors. Methods Participants who had finished treatment for breast cancer at least 3 months before enrollment completed a survey instrument designed to evaluate satisfaction with diagnostic and treatment information and satisfaction with survivorship information. Mental health and vitality were measured using the Medical Outcomes Study SF-36, and distress was measured using the impact of events scale. Bivariate analyses and linear regression analyses were performed to investigate the relationships between satisfaction with information, mental health, vitality, and distress controlling for clinical and treatment variables. Results The survey was completed by 231 participants (response rate 83%). More respondents were highly satisfied with treatment information (87%) than with survivorship information (30%, p = 0.0001). There was a strong positive relationship between satisfaction with information (both treatment and survivorship issues) and vitality, mental health, and a strong negative relationship with distress. In multivariate analyses, satisfaction with treatment information was independently associated with mental health ( p < 0.01), and satisfaction with survivorship information was independently associated with vitality ( p < 0.05). Conclusion Among patients who have completed treatment for breast cancer, satisfaction with diagnosis and treatment information is greater than satisfaction with survivorship issues and satisfaction with information may play an important role in mental health outcomes. Practice implications Given the relationship between satisfaction with information and vitality, interventions to improve informational support regarding survivorship issues are warranted.