Table 5.
Predictors of enduring clinical distress
| Predictora | Multivariate analysis OR (95 % CI)b, c |
|---|---|
| Sociodemographic factors | |
| Age at diagnosis | 0.99 (0.96–1.03) |
| Living situation | |
| With partner | 1.00 (reference) |
| With partner and child(ren) | 1.33 (0.72–2.43) |
| With child(dren) | 2.38 (0.95–5.95) |
| Alone | 1.09 (0.58–2.04) |
| Other | 2.58 (0.44–15.24) |
| Employment status | |
| Paid work | 1.00 (reference) |
| Homemaker | 0.73 (0.39–1.38) |
| Retired | 0.72 (0.33–1.57) |
| No work or unpaid | 1.19 (0.47–3.04) |
| (Partly) Work-disabled due to breast cancer | 0.69 (0.31–1.55) |
| Clinical factors | |
| Type of surgeryd | |
| Lumpectomy | 1.00 (reference) |
| Mastectomy | 1.12 (0.54–2.30) |
| Lumpectomy and mastectomy | 1.08 (0.15–7.67) |
| Radio- and or chemotherapy | |
| Radiotherapy only | 1.00 (reference) |
| Chemotherapy only | 1.04 (0.29–3.76) |
| Radio- and chemotherapy | 1.25 (0.76–2.05) |
| No radio- or chemotherapy | 1.58 (0.61–4.12) |
| Previous use of psychosocial services | |
| No | 1.00 (reference) |
| Yes | 1.19 (0.74–1.92) |
| Comorbidity | |
| 0 comorbid conditions | 1.00 (reference) |
| 1 comorbid condition | 1.19 (0.71–2.02) |
| 2 or more comorbid conditions | 1.69 (0.98–2.93) |
| Psychosocial factors | |
| Fatigue | |
| No | 1.00 (reference) |
| Yes | 1.31 (0.67–2.56) |
| Lack of physical fitness | |
| No | 1.00 (reference) |
| Yes | 1.75 (0.90–3.38) |
| Lack of muscle strength | |
| No | 1.00 (reference) |
| Yes | 1.82 (1.12–2.98) |
| Social support | 0.96 (0.77–1.19) |
| Life satisfaction | 0.77 (0.67–0.89) |
| Cancer worry | 1.40 (1.05–1.89) |
| Neuroticism | 1.09 (1.00–1.18) |
aPredictors are measured at 6 months postdiagnosis. Women with enduring distress are compared to those without enduring distress
bOR = odds ratio; CI = confidence interval
cPrinted in bold: multivariate analysis p < 0.05
dPatients who did not receive surgery (n = 2) were excluded from the analyses