Partners of young breast cancer survivors: a cross-sectional evaluation of psychosocial concerns, coping, and mental health

J Psychosoc Oncol. 2020 Nov-Dec;38(6):670-686. doi: 10.1080/07347332.2020.1823546. Epub 2020 Oct 1.

Abstract

Purpose: Evaluation of psychosocial concerns, coping style, and mental health in partners of young (diagnosed at ≤40 years) survivors of early-stage breast cancer (BC).

Design: Cross-sectional; partners participated in a one-time survey.

Sample: 289 participants; most were male, white, working full-time, college educated, with median age of 43 years, parenting children <18 years old.

Methods: Logistic regression was used to explore associations with anxiety and depression (≥8 on Hospital Anxiety and Depression sub-scales).

Findings: Overall, 41% reported symptoms of anxiety, 18% reported symptoms of depression, and 44% identified maladaptive coping. Multivariable regression analyses revealed: lower social support and poorer quality of life significantly associated with depression (p < .05); maladaptive coping, fulltime employment, poorer caregiver QOL, and less education significantly associated with anxiety.

Conclusions: Partners of young BC survivors who use more maladaptive coping strategies, report less social support, work fulltime, and/or who have lower education levels experience negative mental health outcomes.

Implications for psychosocial oncology: Enhancing constructive coping and ensuring all partners have access to supportive resources may improve partners' emotional adjustment.

Keywords: Anxiety; breast cancer; coping; partners; survivorship; young women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Anxiety / epidemiology*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / therapy
  • Cancer Survivors / statistics & numerical data*
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Female
  • Humans
  • Male
  • Neoplasm Staging
  • Sexual Partners / psychology*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult