title: Mental health outcomes in older women with breast cancer: impact of perceived family support and adjustment.
abstract: OBJECTIVE
  (1) To examine the mental health of older women with breast cancer in relation to support provided by, and the adjustment of, significant others including partners, children, and other family members or friends and (2) to document how often physicians address the women's significant others and the helpfulness of doing so.
  
  
  METHODS
  A cross-sectional survey of newly diagnosed breast cancer patients aged 55 years or older (n = 222) was conducted.
  
  
  RESULTS
  Partners, and in many instances children and other family members or friends, provided support. Support from partners and adjustment of both partners and children independently predicted less depression and anxiety among the study participants. For racial/ethnic minorities, support from, and adjustment of, adult children assumed particular importance. Nonetheless, women reported that their physicians rarely asked their significant others how they were coping (15%) or referred them to a support group (3%), even though both behaviors were rated as extremely helpful.
  
  
  CONCLUSIONS
  For older women with breast cancer, both partners and adult children were important sources of support and their adjustment affected the women's mental health. Support sources and their impact on women's mental health varied among racial/ethnic groups, suggesting the importance of culturally sensitive provision of care by clinicians.
authors.affiliation: Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024-2933, USA. rmaly@mednet.ucla.edu
authors.forename: Rose C
authors.initials: RC
authors.lastname: Maly
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Umezawa
authors.forename: Barbara
authors.initials: B
authors.lastname: Leake
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Silliman
mesh_terms: D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy*; D003430:Cross-Sectional Studies; D005195:Family Relations; D005260:Female; D006306:Health Surveys; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D010287:Parent-Child Relations; D012944:Social Support; D016896:Treatment Outcome