title: Breast Cancer Survivors' Supportive Care Needs, Posttraumatic Growth and Satisfaction with Doctors' Interpersonal Skills in Relation to Physical Activity 8 Months after the End of Treatment: A Prospective Exploratory Study.
abstract: OBJECTIVE
  We assessed whether breast cancer survivors' (BCSs) supportive care needs, posttraumatic growth (positive psychological changes) and satisfaction with doctors' interpersonal skills could be related to physical activity (PA).
  
  
  METHODS
  A total of 426 BCSs were approached during the last week of treatment. Eight months later, 278 (65%) provided information on their PA levels. Ordinal logistic multiple regressions were performed.
  
  
  RESULTS
  PA levels included no PA (n = 68), some PA (n = 83), high PA levels more than twice or more than 2 h per week (n = 127). The multivariate model significantly explained 13% of PA variance (p = 0.001). An increase in posttraumatic growth total scores (proportional OR = 1.310; p < 0.05) and a decrease in physical and daily living supportive care needs subscale scores (proportional OR = 0.980; p < 0.001) and in satisfaction with doctors' interpersonal skill scores (proportional OR = 0.898; p < 0.05) were significantly associated with an increase in the likelihood of performing higher levels of PA. A lower educational level was associated with a decrease in the likelihood of performing PA.
  
  
  CONCLUSIONS
  The prevalence of PA in BCSs should be improved. Positive psychological changes after a breast cancer experience might contribute to performing PA. Encouraging PA needs to be accompanied by the alleviation of physical symptoms.
authors.affiliation: Psychology Institute, LPPS EA 4057, University Paris Descartes, Sorbonne Paris Citx00E9;, Boulogne-Billancourt, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Brédart
authors.forename: Aurélie
authors.initials: A
authors.lastname: Untas
authors.forename: Laure
authors.initials: L
authors.lastname: Copel
authors.forename: Mylène
authors.initials: M
authors.lastname: Leufroy
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Mino
authors.forename: Claude
authors.initials: C
authors.lastname: Boiron
authors.forename: Sylvie
authors.initials: S
authors.lastname: Dolbeault
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Kop
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D003142:Communication; D003863:Depression / Q000209:etiology / Q000517:prevention & control; D004522:Educational Status; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009043:Motor Activity; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011446:Prospective Studies; D017741:Survivors / Q000523:psychology*; D013997:Time Factors