Breast cancer, psychological distress and life events among young women.
Since 1983, studies have suggested an interaction between the severe life events, psychological distress and the etiology of Cancer. However, these associations are still under dispute. The aim of the present study was to examine the relationship between life events, psychological distress and Breast Cancer (BC) among young women.


METHODS
A case control study. The study population included 622 women, under the age of 45 years. 255 were diagnosed for BC, and 367 were healthy women. A validated Brief Symptom Inventory (BSI) and Life Event Questionnaire were used.


RESULTS
The cases presented significantly higher scores of depression compared to the controls and significant lower scores of happiness and optimism. A significant difference was found when comparing the groups according to the cumulative number of life events (two or more events). A multivariate analysis suggest that exposure to more than one life event is positively associated with BC [Odds Ratio(OR) :1.62 95% Confidence Interval (CI): 1.09-2.40], and that a general feeling of happiness and optimism has a "protective effect" on the etiology of BC. (OR-0.75, 95% CI:0.64-0.86).


CONCLUSIONS
Young women who were exposed to a number of life events, should be considered as a risk group for BC and treated accordingly.
Peled
Ronit
R
Department of Health Systems Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. ronitpeled@yahoo.com
Carmil
Devora
D
Siboni-Samocha
Orly
O
Shoham-Vardi
Ilana
I
D000328:Adult; D001007:Anxiety; D001943:Breast Neoplasms / Q000453:epidemiology / Q000523:psychology*; D016022:Case-Control Studies; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D004522:Educational Status; D005190:Family; D005260:Female; D006240:Happiness; D006801:Humans; D015994:Incidence; D007557:Israel / Q000453:epidemiology; D008016:Life Change Events; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D016017:Odds Ratio; D018579:Patient Selection; D012016:Reference Values; D013315:Stress, Psychological; D011795:Surveys and Questionnaires