Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women's Health Initiative Observational Cohort.
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| Title: | Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women's Health Initiative Observational Cohort. |
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| Authors: | Aggarwal A (AUTHOR), Freund K (AUTHOR), Sato A (AUTHOR), Adams-Campbell LL (AUTHOR), Lopez AM (AUTHOR), Lessin LS (AUTHOR), Ockene J (AUTHOR), Wallace RB (AUTHOR), Williams CD (AUTHOR), Bonds DE (AUTHOR) |
| Source: | Journal of Women's Health (15409996). Oct2008, Vol. 17 Issue 8, p1353-1361. 9p. |
| Subjects: | Colon cancer patients, Cancer in women, Breast cancer patients, Medical screening, Mental depression, Health risk assessment, Mammograms, Analysis of covariance, Women's mental health |
| Abstract: | Background: Women with depressive symptoms may use preventive services less frequently and experience poorer health outcomes. We investigated the association of depressive symptoms with breast and colorectal cancer screening rates and stage of cancer among a cohort of postmenopausal women. Methods: In The Women's Health Initiative Observational Study, 93,676 women were followed on average for 7.6 years. Depressive symptoms were measured at baseline and at 3 years using the 6-item scale from the Center for Epidemiological Studies Depression scale (CES-D). We calculated a cancer screening rate expressed as a proportion of the years that women were current with recommended cancer screening over the number of follow-up visits in the study. Breast and colorectal cancers were staged based on Surveillance, Epidemiology and End Results (SEER) classification. Results: At baseline, 15.8% (12,621) women were positive for depressive symptoms, and 6.9% (4,777) were positive at both baseline screening and at 3 years. The overall average screening rate was 71% for breast cancer and 53% for colorectal cancer. The breast cancer screening rate was 1.5% (CI 0.9%-2.0%) lower among women who reported depressive symptoms at baseline than among those who did not. Depressive symptoms were not a predictor for colorectal cancer screening. Stage of breast and colorectal cancer was not found to be associated with depressive symptoms after adjusting for covariates. Conclusions: Among a healthy and self-motivated cohort of women, self-reported depressive symptoms were associated with lower rates of screening mammography but not with colorectal cancer screening. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105683556 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women's Health Initiative Observational Cohort. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Aggarwal+A%22">Aggarwal A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Freund+K%22">Freund K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sato+A%22">Sato A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Adams-Campbell+LL%22">Adams-Campbell LL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lopez+AM%22">Lopez AM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lessin+LS%22">Lessin LS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ockene+J%22">Ockene J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wallace+RB%22">Wallace RB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams+CD%22">Williams CD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonds+DE%22">Bonds DE</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Oct2008, Vol. 17 Issue 8, p1353-1361. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Colon+cancer+patients%22">Colon cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+in+women%22">Cancer in women</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer+patients%22">Breast cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Health+risk+assessment%22">Health risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Mammograms%22">Mammograms</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+covariance%22">Analysis of covariance</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+mental+health%22">Women's mental health</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Women with depressive symptoms may use preventive services less frequently and experience poorer health outcomes. We investigated the association of depressive symptoms with breast and colorectal cancer screening rates and stage of cancer among a cohort of postmenopausal women. Methods: In The Women's Health Initiative Observational Study, 93,676 women were followed on average for 7.6 years. Depressive symptoms were measured at baseline and at 3 years using the 6-item scale from the Center for Epidemiological Studies Depression scale (CES-D). We calculated a cancer screening rate expressed as a proportion of the years that women were current with recommended cancer screening over the number of follow-up visits in the study. Breast and colorectal cancers were staged based on Surveillance, Epidemiology and End Results (SEER) classification. Results: At baseline, 15.8% (12,621) women were positive for depressive symptoms, and 6.9% (4,777) were positive at both baseline screening and at 3 years. The overall average screening rate was 71% for breast cancer and 53% for colorectal cancer. The breast cancer screening rate was 1.5% (CI 0.9%-2.0%) lower among women who reported depressive symptoms at baseline than among those who did not. Depressive symptoms were not a predictor for colorectal cancer screening. Stage of breast and colorectal cancer was not found to be associated with depressive symptoms after adjusting for covariates. Conclusions: Among a healthy and self-motivated cohort of women, self-reported depressive symptoms were associated with lower rates of screening mammography but not with colorectal cancer screening. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1089/jwh.2007.0544 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1353 Subjects: – SubjectFull: Colon cancer patients Type: general – SubjectFull: Cancer in women Type: general – SubjectFull: Breast cancer patients Type: general – SubjectFull: Medical screening Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Health risk assessment Type: general – SubjectFull: Mammograms Type: general – SubjectFull: Analysis of covariance Type: general – SubjectFull: Women's mental health Type: general Titles: – TitleFull: Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women's Health Initiative Observational Cohort. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Aggarwal A – PersonEntity: Name: NameFull: Freund K – PersonEntity: Name: NameFull: Sato A – PersonEntity: Name: NameFull: Adams-Campbell LL – PersonEntity: Name: NameFull: Lopez AM – PersonEntity: Name: NameFull: Lessin LS – PersonEntity: Name: NameFull: Ockene J – PersonEntity: Name: NameFull: Wallace RB – PersonEntity: Name: NameFull: Williams CD – PersonEntity: Name: NameFull: Bonds DE IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 15409996 Numbering: – Type: volume Value: 17 – Type: issue Value: 8 Titles: – TitleFull: Journal of Women's Health (15409996) Type: main |
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