Partner support and anxiety in young women with breast cancer

Nancy A. Borstelmann, Shoshana M. Rosenberg, Kathryn J Ruddy, Rulla M. Tamimi, Shari Gelber, Lidia Schapira, Steven Come, Virginia Borges, Evan Morgan, Ann H. Partridge

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective Using a large prospective cohort of women age 40 or younger diagnosed with breast cancer, we examined the relationship between perceived partner support and anxiety. Methods Six hundred seventy-five young women with breast cancer Stages I-III, median age 36, completed a self-report baseline questionnaire. Perceived partner support was assessed using items extracted from the marital subscale of the Cancer Rehabilitation Evaluation System; generalized social support was assessed with the Medical Outcomes Study-Social Support Survey. Anxiety was measured using the anxiety subscale of the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses evaluated the association between partner support, other sociodemographic factors, and anxiety. Results Mean age at diagnosis was 35.4 years. Fourteen percent of the women were not partnered, and among those who were partnered or in a significant relationship, 20% were categorized as unsupported. In univariate and multivariable analysis adjusting for sociodemographic factors, women in an unsupported-partnered relationship had higher odds of anxiety symptoms compared with women in a supported-partnered relationship. Young age and being financially insecure were also both independently associated with anxiety. Conclusions Our findings suggest that partner support may play a key role in a young woman's adjustment to a serious stressor such as breast cancer. In addition, younger age increases vulnerability to anxiety as does struggling with finances. Because supportive efforts of a partner have potential to protect against the impact of stress, interventions to enhance partner support and reduce anxiety might be beneficial to address challenges experienced as a couple in this setting.

Original languageEnglish (US)
Pages (from-to)1679-1685
Number of pages7
JournalPsycho-Oncology
Volume24
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Anxiety
Breast Neoplasms
Social Support
Social Adjustment
Self Report
Rehabilitation
Logistic Models
Regression Analysis
Outcome Assessment (Health Care)
Depression
Neoplasms

Keywords

  • anxiety
  • Cancer
  • Oncology
  • partner support
  • social support
  • young women

ASJC Scopus subject areas

  • Oncology
  • Psychiatry and Mental health
  • Experimental and Cognitive Psychology

Cite this

Borstelmann, N. A., Rosenberg, S. M., Ruddy, K. J., Tamimi, R. M., Gelber, S., Schapira, L., ... Partridge, A. H. (2015). Partner support and anxiety in young women with breast cancer. Psycho-Oncology, 24(12), 1679-1685. https://doi.org/10.1002/pon.3780

Partner support and anxiety in young women with breast cancer. / Borstelmann, Nancy A.; Rosenberg, Shoshana M.; Ruddy, Kathryn J; Tamimi, Rulla M.; Gelber, Shari; Schapira, Lidia; Come, Steven; Borges, Virginia; Morgan, Evan; Partridge, Ann H.

In: Psycho-Oncology, Vol. 24, No. 12, 01.12.2015, p. 1679-1685.

Research output: Contribution to journalArticle

Borstelmann, NA, Rosenberg, SM, Ruddy, KJ, Tamimi, RM, Gelber, S, Schapira, L, Come, S, Borges, V, Morgan, E & Partridge, AH 2015, 'Partner support and anxiety in young women with breast cancer', Psycho-Oncology, vol. 24, no. 12, pp. 1679-1685. https://doi.org/10.1002/pon.3780
Borstelmann NA, Rosenberg SM, Ruddy KJ, Tamimi RM, Gelber S, Schapira L et al. Partner support and anxiety in young women with breast cancer. Psycho-Oncology. 2015 Dec 1;24(12):1679-1685. https://doi.org/10.1002/pon.3780
Borstelmann, Nancy A. ; Rosenberg, Shoshana M. ; Ruddy, Kathryn J ; Tamimi, Rulla M. ; Gelber, Shari ; Schapira, Lidia ; Come, Steven ; Borges, Virginia ; Morgan, Evan ; Partridge, Ann H. / Partner support and anxiety in young women with breast cancer. In: Psycho-Oncology. 2015 ; Vol. 24, No. 12. pp. 1679-1685.
@article{f6021ab9ac874bb18af3e0da38b6078b,
title = "Partner support and anxiety in young women with breast cancer",
abstract = "Objective Using a large prospective cohort of women age 40 or younger diagnosed with breast cancer, we examined the relationship between perceived partner support and anxiety. Methods Six hundred seventy-five young women with breast cancer Stages I-III, median age 36, completed a self-report baseline questionnaire. Perceived partner support was assessed using items extracted from the marital subscale of the Cancer Rehabilitation Evaluation System; generalized social support was assessed with the Medical Outcomes Study-Social Support Survey. Anxiety was measured using the anxiety subscale of the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses evaluated the association between partner support, other sociodemographic factors, and anxiety. Results Mean age at diagnosis was 35.4 years. Fourteen percent of the women were not partnered, and among those who were partnered or in a significant relationship, 20{\%} were categorized as unsupported. In univariate and multivariable analysis adjusting for sociodemographic factors, women in an unsupported-partnered relationship had higher odds of anxiety symptoms compared with women in a supported-partnered relationship. Young age and being financially insecure were also both independently associated with anxiety. Conclusions Our findings suggest that partner support may play a key role in a young woman's adjustment to a serious stressor such as breast cancer. In addition, younger age increases vulnerability to anxiety as does struggling with finances. Because supportive efforts of a partner have potential to protect against the impact of stress, interventions to enhance partner support and reduce anxiety might be beneficial to address challenges experienced as a couple in this setting.",
keywords = "anxiety, Cancer, Oncology, partner support, social support, young women",
author = "Borstelmann, {Nancy A.} and Rosenberg, {Shoshana M.} and Ruddy, {Kathryn J} and Tamimi, {Rulla M.} and Shari Gelber and Lidia Schapira and Steven Come and Virginia Borges and Evan Morgan and Partridge, {Ann H.}",
year = "2015",
month = "12",
day = "1",
doi = "10.1002/pon.3780",
language = "English (US)",
volume = "24",
pages = "1679--1685",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "12",

}

TY - JOUR

T1 - Partner support and anxiety in young women with breast cancer

AU - Borstelmann, Nancy A.

AU - Rosenberg, Shoshana M.

AU - Ruddy, Kathryn J

AU - Tamimi, Rulla M.

AU - Gelber, Shari

AU - Schapira, Lidia

AU - Come, Steven

AU - Borges, Virginia

AU - Morgan, Evan

AU - Partridge, Ann H.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Objective Using a large prospective cohort of women age 40 or younger diagnosed with breast cancer, we examined the relationship between perceived partner support and anxiety. Methods Six hundred seventy-five young women with breast cancer Stages I-III, median age 36, completed a self-report baseline questionnaire. Perceived partner support was assessed using items extracted from the marital subscale of the Cancer Rehabilitation Evaluation System; generalized social support was assessed with the Medical Outcomes Study-Social Support Survey. Anxiety was measured using the anxiety subscale of the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses evaluated the association between partner support, other sociodemographic factors, and anxiety. Results Mean age at diagnosis was 35.4 years. Fourteen percent of the women were not partnered, and among those who were partnered or in a significant relationship, 20% were categorized as unsupported. In univariate and multivariable analysis adjusting for sociodemographic factors, women in an unsupported-partnered relationship had higher odds of anxiety symptoms compared with women in a supported-partnered relationship. Young age and being financially insecure were also both independently associated with anxiety. Conclusions Our findings suggest that partner support may play a key role in a young woman's adjustment to a serious stressor such as breast cancer. In addition, younger age increases vulnerability to anxiety as does struggling with finances. Because supportive efforts of a partner have potential to protect against the impact of stress, interventions to enhance partner support and reduce anxiety might be beneficial to address challenges experienced as a couple in this setting.

AB - Objective Using a large prospective cohort of women age 40 or younger diagnosed with breast cancer, we examined the relationship between perceived partner support and anxiety. Methods Six hundred seventy-five young women with breast cancer Stages I-III, median age 36, completed a self-report baseline questionnaire. Perceived partner support was assessed using items extracted from the marital subscale of the Cancer Rehabilitation Evaluation System; generalized social support was assessed with the Medical Outcomes Study-Social Support Survey. Anxiety was measured using the anxiety subscale of the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses evaluated the association between partner support, other sociodemographic factors, and anxiety. Results Mean age at diagnosis was 35.4 years. Fourteen percent of the women were not partnered, and among those who were partnered or in a significant relationship, 20% were categorized as unsupported. In univariate and multivariable analysis adjusting for sociodemographic factors, women in an unsupported-partnered relationship had higher odds of anxiety symptoms compared with women in a supported-partnered relationship. Young age and being financially insecure were also both independently associated with anxiety. Conclusions Our findings suggest that partner support may play a key role in a young woman's adjustment to a serious stressor such as breast cancer. In addition, younger age increases vulnerability to anxiety as does struggling with finances. Because supportive efforts of a partner have potential to protect against the impact of stress, interventions to enhance partner support and reduce anxiety might be beneficial to address challenges experienced as a couple in this setting.

KW - anxiety

KW - Cancer

KW - Oncology

KW - partner support

KW - social support

KW - young women

UR - http://www.scopus.com/inward/record.url?scp=84955631295&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84955631295&partnerID=8YFLogxK

U2 - 10.1002/pon.3780

DO - 10.1002/pon.3780

M3 - Article

C2 - 25765893

AN - SCOPUS:84955631295

VL - 24

SP - 1679

EP - 1685

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 12

ER -