Depression, Anxiety, Stress and Perceived Social Support Among Breast Cancer Survivors in Tertiary Hospital in Malaysia
Abstract
The emotional distress and psychosocial factors are links to the worst quality of life among cancer patients as well as survivors. It gives a negative impact on the survivors and their families. The objective of the study was to determine the correlation of depression, anxiety, and stress with perceived social support among breast cancer
survivors. This is a baseline finding of an educational intervention study. A total of 131 female breast cancer survivors were recruited while they went for their appointment at the Oncology clinic in one of the Tertiary Hospital in Kuala Lumpur. Baseline data was collected using the Depression, Anxiety and Stress (DASS) and Multidimensional Scale of Perceived Social Support (MSPSS) questionnaires. Descriptive analysis and
correlation tests were used to determine the strength of a linear relationship between depression, anxiety and stress with perceived social support. The descriptive analysis showed that breast cancer survivors had a higher prevalence of anxiety (30.5%) as compared to depression (14.5%) and stress (12.2%). Perceived social support was higher among family support (96.2%) as compared to significant others (84.7%) and friends (71.8%). There was a fair negative correlation between: (i) depression and family support (r = -0.372, p < 0.001), and (ii) stress and family support (r = -0.342, p < 0.001). Other domains had a poor correlation (r < 0.030). The finding shows
that social support from the family and significant others have a significant but fair inverse association with the emotional aspect (depression and stress) of breast cancer survivors.
Keywords: Correlation, DASS, MSPSS, breast cancer, Malaysia.
References
[1] Badger T, Segrin C, Dorros SM, Meek P, Lopez AM. 2007. “Depression and Anxiety in Women with Breast Cancer and Their Partners”. Nursing Res. , 56 (1): 44-53.
[2] Baqutayan, Shadiya Mohamed Saleh. 2012. “The Effect of Anxiety on Breast Cancer Patients.” Indian Journal of Psychological Medicine 34.2: 119–123.
[3] Barth K, Schneider S, and Vonkanel R. (2010). “Lack of Social Support in the Etiology and the Prognosis of Coronary Heart Disease: A Systematic Review and Metaanalysis,” Psychosomatic Medicine, vol. 72, no. 3: 229 238.
[4] Chou AF, Susan L. Stewart, Robert C.W, and Joan R.2012.Bloom. 2012. Social Support and Survival in Young Women with Breast Carcinoma.Psychooncology.February ; 21(2): 125–133.
[5] Copertaro A, Bracci M, Manzella N, Barbaresi M, Santarelli L. 2014. “Low Perceived Social Support Is Associated with CD8+CD57+ Lymphocyte Expansion and Increased TNF- α Levels”.Hindawi Publishing Corporation BioMed Research Internationa, Article ID 635784:1-5.
[6] Costanzo, E. S., Lutgendorf, S. K., Mattes, M. L., Trehan, S., Robinson, C. B., Tewfik, F., & Roman, S. L. 2007. “Adjusting to Lafter Treatment: Distress and Quality of the Life Following Treatment for Breast Cancer”. British Journal of Cancer, 97:1625-1631.
[7] Globocan .2012.“Estimated Cancer incidence, Mortality and Prevalence Worldwide in 2012”.Available online at http://globocan.iarc.fr/Pages/fact_sheets_ cancer.aspx. Accessed on 8 Nov 2016.
[8] Hassan, M. R., Shah, S. A., Ghazi, H. F., Mujar, M. M., Samsuri, M. F. & Baharom, N. 2015. Anxiety and Depression among Breast Cancer Patients in an Urban Setting in Malaysia. Asian Pacific for Cancer Prevention, 16 (9): 4031–4035.
[9] Jacobsen PB, Jim HS. 2008. “Psychosocial Interventions for Anxiety and Depression in Adult Cancer Patients.Achievements and Challenges”.CA Cancer J Clin; 58:214-230.
[10] Kroenke CH, Kubzansky LD, Schernhammer ES, Holmes MD, Kawaichi I. 2006. “Social Networks, Social Support and Survival after Breast Cancer Diagnosis”. Journal of Clinical Oncology 1: 24(7): 1105-11.
[11] Ng, C. G., Mohamed, S., See, M. H., Harun, F., Dahlui, M., Sulaiman, A. H., Zainal, N. Z. et al. 2015. “Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: a 1-year prospective study”. Health and Quality of Life Outcomes, 13(1), 205. doi:10.1186/s12955-015-0401-7.
[12] Rodin G, Lloyd N, Katz M, et al. 2007. “The Treatment of Depression in Cancer Patients: A Systematic Review”. Support Care Cancer;15(2):123-136.
[13] Srisvastava V, Ansari MA, Kumar A, Shah AG, Meena RK, Savanch P, Singh P. 2016. “Study of Anxiety and Depression among Breast Cancer Patients from North India”. Clinical Psychiatry, Vol (2): 1-4.
[14] Yip, C. H., Pathy, N. B. & Teo, S. H. 2014. “A Review of Breast Cancer Research in Malaysia. ″ Medical Journal of Malaysia (69) August : 8–22.
[15] Zigmond AS, Snaith RP .1983. “The Hospital Anxiety and Depression Scale”. Acta Psychiatric Scand, 67: 361 70