ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Mental health status and associated factors among Chinese postoperative breast cancer survivors of working age: a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeMental health is a critical component of overall wellness among breast cancer survivors of working age; however, research in this area remains limited in China. This study aims to evaluate the mental health status and identify associated factors among this particular population.
methodsA cross-sectional study was conducted from July 5 to November 5, 2023, at a cancer hospital in Beijing, with patients from across China. A total of 443 postoperative breast cancer survivors of working age were recruited. Data on socio-demographics including occupation before diagnosis and current work status, diagnosis and treatments were self-reported by participants. Mental health status was assessed using GAD-7, PHQ-9, and FCRI-SF for anxiety, depression and fear of cancer recurrence (FCR) symptoms, respectively. Descriptive and logistic regression analyses were used to explore associations between socio-demographic, clinical factors and mental health outcomes.
resultsAmong 443 participants (mean age: 49.4 years; age 18-60; all women), 27.1%, 29.3% and 31.8% were assessed to have anxiety, depression and fear of cancer recurrence symptoms, respectively. Residents of Beijing (44.0%) were significantly less likely to report FCR symptoms than non-residents (adjusted OR = 0.57, 95% CI: 0.37-0.90, p = 0.02). Those with non-professional occupations before cancer diagnosis (47.6%) showed a trend toward a lower likelihood of depression (adjusted OR = 0.58, 95% CI: 0.34-0.99, p = 0.05).
conclusionResidence and occupational disparities were associated with FCR and depressive symptoms. Digital health interventions may help address unmet psychological supportive care needs in non-central cities, while vocational rehabilitation support may benefit individuals with professional backgrounds.
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