Evidence map›Paper›PMID 24222081›Full record

ArticleJournal of cancer survivorship : research and practice2014

Emotional well-being years post-treatment for breast cancer: prospective, multi-ethnic, and population-based analysis.

Nancy K Janz, Christopher R Friese, Yun Li, John J Graff, Ann S Hamilton, Sarah T Hawley

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effect of early integration of supportive care in addition to standard care in patients with breast cancer: A randomised controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  5. Effect of an anti-inflammatory dietary intervention on quality of life among breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  6. Trial
  7. Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  8. Article
  9. Review
  10. Article
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  13. Article
  14. Change in worry over time among Hispanic women with thyroid cancer.Journal of cancer survivorship : research and practice · 2022
    Article
  15. Mental health-related quality of life is associated with diet quality among survivors of breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Nancy K JanzDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, 2830-SPH1, Ann Arbor, MI, 48109-2029, USA, nkjanz@umich.edu.
Christopher R Friese
Yun Li
John J Graff
Ann S Hamilton
Sarah T Hawley
University of Michigan–Ann Arbor · USRutgers Cancer Institute of New JerseyUniversity of Plymouth · GBUniversity of Southern California · US

Funding

Surgical Treament for Early State Breast CancerR01CA088370 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KATZ, STEVEN J. · 2001 to 2009
$4.3M
Racial/Ethnic Disparities In Work and Qol Outcomes In Survivors of Breast CancerR01CA109696 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAWLEY, SARAH T, KATZ, STEVEN J. · 2004 to 2010
$3.0M
Fostering Independence in Nursing and Outcomes ResearchR00NR010750 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FRIESE, CHRISTOPHER R · 2010 to 2012
$734k
NCI NIH HHS R01 CA088370NCI NIH HHS R01 CA109696NINR NIH HHS R00 NR010750
6 · The paper itself

Abstract

purposeThis study investigated factors associated with declines in emotional well-being (EWB) over time in breast cancer survivors.

methodsWomen with breast cancer (Stages I-III) residing in Los Angeles, CA, or Detroit, MI, and reported to the Surveillance, Epidemiology, and End Results registries between June 2005 and February 2007 completed surveys at 9 months and 4 years after diagnosis. EWB was measured by the Functional Assessment of Cancer Treatment-Breast. Using a stress coping framework, logistic regression models assessed associations between personal, social, and clinical correlates, appraisal (e.g., worry about recurrence) and coping factors (e.g., emotional support) to EWB declines.

resultsAmong eligible women who completed primary breast cancer treatment, 772 completed both surveys, and 192 (24.9 %) experienced EWB declines over time. Women with past or current depression were more likely to report EWB decline (p < 0.01). Survivors who perceived they did not receive enough information about risk of breast cancer recurrence during primary treatment were more likely to have EWB decline (OR 0.53, 95 % CI 0.32-0.87). Greater perceived likelihood of recurrence (OR 1.95, 95 % CI 1.01-5.29) and increased worry about recurrence (OR 1.38, 95 % CI 1.10-1.72) were associated with EWB decline. Higher spirituality beliefs and practices were associated with EWB decline.

conclusionsA considerable number of breast cancer patients report emotional well-being declines over time. Early identification of women who are vulnerable, such as women with past depression, is crucial to improve quality of care. Women would benefit from education about cancer recurrence and tailored strategies to manage worry about recurrence over time. IMPLICATION FOR CANCER SURVIVORS: Understanding actual risk of recurrence and managing worry about recurrence is important for cancer survivors. Emotional concerns are common for individuals with cancer so survivors should feel free to reach out and discuss such concerns with providers well into the survivorship period.

Indexed as

EmotionsQuality of LifeAdaptation, PsychologicalAdultAgedBreast NeoplasmsCombined Modality TherapyEthnicityFearFemaleHumansInterpersonal RelationsMiddle AgedPatient Education as TopicProspective StudiesRecurrence

Identifiers

PMID24222081
PMCPMC4040232
OpenAlexW2062398415

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.