Relationship between depressive symptoms at social cognitive processing in partners of long term breast cancer survivors.

Date 22 October 2018
Event ESMO 2018 Congress
Session Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care
Topics Breast Cancer
Psychosocial Aspects of Cancer
Survivorship
Presenter Gouri Shankar Bhattacharyya
Citation Annals of Oncology (2018) 29 (suppl_8): viii557-viii561. 10.1093/annonc/mdy296
Authors G.S. Bhattacharyya1, H. Malhotra2, G. Babu3, A. Vora4, T. Shahid5, S. Misra Ghosh6
  • 1Medical Oncology, Salt Lake City Medical Centre, 700064 - Kolkata/IN
  • 2Division Of Medical Oncology, Birla Cancer Center, 302004 - Jaipur/IN
  • 3Kidwai Memorial Institute Of Oncology, HCG Curie Centre of Oncology, Bangalore/IN
  • 4Medical Oncology, Pratiksha Hospital, 122002 - Gurugram, Haryana/IN
  • 5Oncology, Apollo Gleneagles Cancer Hospital, 700054 - Kolkata/IN
  • 6Psychiatry, Fortis Hospital, Kolkata, Kolkata/IN

Abstract

Background

The number of breast cancer survivors are increasing, so does the number of partners effected by the illness. An estimated 20-40% of spouses suffer from mood disturbance, anxiety and other effective disorders related to the spouses' illness. The survivor usually has a trend of decreasing levels of depression, but about 25% have long term depression. Studies have found relationship between survivor and spousal outcomes. Previous studies have shown decreased quality of life, loss of sleep, fatigue, decline in general health and increase in cardiovasular disease in among partners of survivors. Little is known of the mechanisms of this and there is very little data from developing countries like India.

Methods

208 partners of breast cancer survivors (post operative, post chemo, and/or radiotherapy) diagnosed between 3 yrs to 10 yrs prior to study, were sampled. Secondary data mediations were conducted to determine, if cognitive processing mediated the relationship between social constraints and depressive symptoms. Age related difference on all stage were tested. Depressive symptoms; secondary variables including social constraints; cognitive processing and potential confounding variables were the main research variables.

Results

Cognitive processing, mediated the relationship between social constraints and depressive syptoms for partners. Partners of younger breast cancer patients and with lower education status had worst outcomes. Younger survivors reported more depressive symptoms, higher scores on intrusive thoughts and more social constraints.

Conclusions

As predicted by the social cognitive processing theory cognitive processing mediated relationship between social constraints and depressive syptoms. In addition, partners of younger breast cancer survors faced worst on social constraints, intrusive thoughts and depressive symptoms more. Results provide support for using social cognitive processing theory in an intervention design with partners of long term breast cancer survivors to decrease depressive symptoms; open communication on social constraints and discsussion of these negative psychological impacts would help. Education of spouse would be important.

Clinical trial identification

Legal entity responsible for the study

Gouri Shankar Bhattacharyya.

Funding

Has not received any funding.

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.