ArticlePloS one2021
Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- The peak distress thermometer as a potent prognostic indicator for five-year survival in patients with hypopharyngeal cancer.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Holding it together: a longitudinal study of psychological distress and associated factors in mothers with cancer.BMC psychology · 2026Observational
- 'Patients are left not knowing': Trastuzumab (Herceptin) cardiac risk information and management in HER2-positive breast cancer-a qualitative study of patient experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Identifying psychosocial distress phenotypes in postoperative patients with breast cancer: A latent profile analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Cognitive Mechanisms Explaining the Relationship Between Post-Traumatic Stress and Post-Traumatic Growth in Survivors of Breast Cancer.Current oncology (Toronto, Ont.) · 2025Article
- Navigating the Hardship Together: Factors Associated With Couple Relationship Functioning in Parents With Cancer Who Have Dependent Children.Psycho-oncology · 2025Article
- Baseline Distress and Effectiveness of Survivor Video Narratives on Cancer-Associated Distress in Botswana: A Pilot Study.JCO global oncology · 2025Article
- A Mediating Effect of Psychological Distress in the Relationship Between Performance Status and Health-Related Quality of Life of Patients with Female Cancer.Healthcare (Basel, Switzerland) · 2025Article
- Determinants of gender disparities in psychological distress in the South African population aged 15 years and older: Findings from the 2017 National HIV prevalence, incidence, behaviour, and communication survey.PLOS mental health · 2025Article
- Investigating the prevalence and correlates of anxiety and depression among COVID-19 patients with and without concomitant tumor conditions.Frontiers in psychology · 2025Article
- New highlights in cancer and depression multimorbidity: a scoping systematic review.Frontiers in oncology · 2025Review
- Systematic interventions based on the stress-induced situation, affective, bodily, and cognitive reactions framework to mitigate psychological distress in lung cancer patients post-thoracoscopic surgery: a randomized clinical trial.Frontiers in psychology · 2025Article
- Article
- Impact of Structural Racism and Social Determinants of Health on Disparities in Breast Cancer Mortality.Cancer research · 2024Review
- Parenting under pressure: a cross-sectional questionnaire study of psychological distress, parenting concerns, self-efficacy, and emotion regulation in parents with cancer.Acta oncologica (Stockholm, Sweden) · 2024Article
- Enhancing patient well-being in oncology waiting rooms: a pilot field experiment on the emotional impact of virtual forest therapy.Frontiers in psychology · 2024Article
- Assessment of Oral Health Status and Pregnancy Outcomes Among Women in Saudi Arabia.Patient preference and adherence · 2024Article
- Health-state utility of patients with HER2-positive breast cancer in Vietnam: A multicenter cross-sectional study.PloS one · 2024Article
- Breast cancer and neurotransmitters: emerging insights on mechanisms and therapeutic directions.Oncogene · 2023Review
- Geriatric assessment for older patients with breast cancer: A single-institution study.Frontiers in oncology · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological distress and self-rated health status may create additional complexities in patients already diagnosed with breast cancer. This study aims to assess the association of self-report-based assessment of psychological distress and self-rated health on survival times among women with breast cancer diagnoses.
methodsSeventeen-year data from the Integrated Public Use Microdata Series-National Health Interview Survey (IPUMS-NHIS) were pooled and analyzed. Women who were aged 30 to 64 years old, with breast cancer diagnosis were selected (n = 2,819). The outcome variable was time to death. The independent variables were self-reported assessment of psychological distress and self-rated health. Psychological distress was defined using the Kessler-6 scale while self-rated health was measured on a 3-point Likert scale: Poor, Fair, and Good-to-Excellent (referred to as good for brevity). We computed unadjusted and adjusted hazard ratios (HR) using Cox-Proportional Hazard regression models with sociodemographic characteristics and measures of health care access used as potential confounders. Significance was set at alpha = 0.05.
resultsWomen with breast cancer assessed as having psychological distress had 46% (Adjusted HR: 1.46; 95% CI: 1.02-2.09) increased risks of mortality. Also, women who rated their health as poor or fair had a significantly elevated mortality risk (Poor Health: Adjusted HR: 3.05; 95% CI: 2.61-4.69; Fair Health: Adjusted HR: 1.83; 95% CI: 1.43-2.35) as compared to women with good health status.
conclusionsSelf-reported psychological distress and fair and poor self-rated health are associated with reduced survival times among women with breast cancer diagnoses.
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