Factors associated with PTSD symptoms following treatment for breast cancer: test of the Andersen model.
The utility of Andersen's (1993, 1994) model of psychologic morbidity following cancer treatment for predicting PTSD symptoms in breast cancer survivors (N = 82) was examined. PTSD symptoms, physical comorbidity, social support, depression history, and pre-cancer traumatic stressors were assessed in a structured telephone interview. Multiple regression analysis indicated that Andersen model variables (physical comorbidity, education, disease stage, cancer treatment, depression history, social support) accounted for 39% of variance in PTSD symptom reports (p < .001). Addition to the model of time since treatment completion, pre-cancer traumatic stressors, age at diagnosis, and tamoxifen usage accounted for an additional 16% of variance (p < .001). Higher levels of PTSD symptoms were associated with less social support, greater pre-cancer trauma history, less time since treatment completion, and more advanced disease.
Andrykowski
M A
MA
University of Kentucky College of Medicine, Lexington 40536-0086, USA.
Cordova
M J
MJ
D000328:Adult; D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D008960:Models, Psychological; D009017:Morbidity; D011237:Predictive Value of Tests; D012044:Regression Analysis; D015203:Reproducibility of Results; D012307:Risk Factors; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology*; D011795:Surveys and Questionnaires