title: Job attributes, job satisfaction and the return to health after breast cancer diagnosis and treatment.
abstract: BACKGROUND
  As detection and treatment of cancer has advanced, the number of working age women with breast cancer has increased. This study provides new information on the intersection of breast cancer treatment and job tasks and how, together, they impact employed and newly diagnosed women.
  
  
  METHODS
  The sample comprised 493 employed women within 2 months of initiating treatment. Job satisfaction and demands were assessed by a pre-diagnosis recall along with measures of mental and physical health and assessed again 9 months after initiating treatment. Using seemingly unrelated regression, we tested the effect of job tasks and satisfaction on mental and physical health 9 months post-treatment initiation, controlling for pre-diagnosis health status, patient characteristics, and job tasks.
  
  
  RESULTS
  Physical job demands prior to diagnosis were not significantly associated with mental or physical health 9 months after treatment initiation. Employment in cognitively demanding and less satisfying jobs was associated with decreases in mental health and increases in problems with work or daily activities 9 months post-treatment initiation (p<0.05). Women who received five or more cycles of chemotherapy reported lower vitality, social functioning, and worse measures of physical health compared with those who did not receive chemotherapy (p<0.05).
  
  
  CONCLUSIONS
  Employment in cognitively demanding and unsatisfying jobs may impede mental health recovery, particularly in patients who receive longer chemotherapy regimens. Such information may be used by patients and clinicians in deciding when to undergo chemotherapy and whether job tasks can be restructured to hasten recovery. Copyright © 2013 John Wiley & Sons, Ltd.
authors.affiliation: Department of Healthcare Policy and Research, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Barnes
authors.forename: Nicholas
authors.initials: N
authors.lastname: Robert
authors.forename: Cathy J
authors.initials: CJ
authors.lastname: Bradley
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000628:therapy*; D005260:Female; D006304:Health Status; D006801:Humans; D007587:Job Description; D007588:Job Satisfaction; D008603:Mental Health; D008875:Middle Aged; D020127:Recovery of Function
keywords: breast cancer; chemotherapy; job attributes; job satisfaction; mental health; occupation