title: Vitality, mental health, and satisfaction with information after breast cancer.
abstract: OBJECTIVE
  The purpose of this study was to investigate the relationship between satisfaction with information about treatment-related and survivorship issues and mental health outcomes, including vitality, in long-term breast cancer survivors.
  
  
  METHODS
  Participants who had finished treatment for breast cancer at least 3 months before enrollment completed a survey instrument designed to evaluate satisfaction with diagnostic and treatment information and satisfaction with survivorship information. Mental health and vitality were measured using the Medical Outcomes Study SF-36, and distress was measured using the impact of events scale. Bivariate analyses and linear regression analyses were performed to investigate the relationships between satisfaction with information, mental health, vitality, and distress controlling for clinical and treatment variables.
  
  
  RESULTS
  The survey was completed by 231 participants (response rate 83%). More respondents were highly satisfied with treatment information (87%) than with survivorship information (30%, p=0.0001). There was a strong positive relationship between satisfaction with information (both treatment and survivorship issues) and vitality, mental health, and a strong negative relationship with distress. In multivariate analyses, satisfaction with treatment information was independently associated with mental health (p<0.01), and satisfaction with survivorship information was independently associated with vitality (p<0.05).
  
  
  CONCLUSIONS
  Among patients who have completed treatment for breast cancer, satisfaction with diagnosis and treatment information is greater than satisfaction with survivorship issues and satisfaction with information may play an important role in mental health outcomes.
  
  
  CONCLUSIONS
  Given the relationship between satisfaction with information and vitality, interventions to improve informational support regarding survivorship issues are warranted.
authors.affiliation: Department of Medicine, Hematology/Oncology, University of Michigan, 1500 East Medical Center Drive, 4310 CCGC, Ann Arbor, MI 48109-0936, United States. jjgriggs@gmail.com
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Griggs
authors.forename: Melony E S
authors.initials: ME
authors.lastname: Sorbero
authors.forename: Julie B
authors.initials: JB
authors.lastname: Mallinger
authors.forename: Megan
authors.initials: M
authors.lastname: Quinn
authors.forename: Margaret
authors.initials: M
authors.lastname: Waterman
authors.forename: Beverly
authors.initials: B
authors.lastname: Brooks
authors.forename: Brian
authors.initials: B
authors.lastname: Yirinec
authors.forename: Cleveland G
authors.initials: CG
authors.lastname: Shields
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001362:Avoidance Learning; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D003430:Cross-Sectional Studies; D003479:Curriculum; D005260:Female; D017144:Focus Groups; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D016014:Linear Models; D008603:Mental Health; D008875:Middle Aged; D015999:Multivariate Analysis; D009518:New York; D010353:Patient Education as Topic / Q000592:standards*; D017060:Patient Satisfaction; D011788:Quality of Life / Q000523:psychology; D012944:Social Support; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*