Department of Psychiatry, Chonnam National University Medical School, Gwangju, South Korea.
Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Psychooncology. 2022 Feb;31(2):167-175. doi: 10.1002/pon.5802. Epub 2021 Aug 30.
Identifying modifiable factors affecting work ability among cancer survivors is important. The primary aim of the present study was to examine the effects of depression and related psychological factors on work ability among breast cancer survivors in Australia.
In this cross-sectional electronic and postal survey, Australian breast cancer survivors were investigated. Work status and conditions before and after cancer treatment were analysed. Work ability was measured using the Work Limitation Questionnaire©-Short Form (WLQ-SF) with its four domains (time management, physical tasks, mental-interpersonal tasks, and output tasks). Three psychological factors were investigated: depression, fear of cancer recurrence, and demoralisation. Sociodemographic and clinical data were also collected. Multivariate regression analysis was used to identify the associations of psychological factors with WLQ-SF.
Among eligible survivors, 310 (50%) responded to the survey and were analysed. Nearly one third reported their work conditions had changed after cancer treatment. The depressed group reported limited work ability in 35%-44% of the four domains of WLQ-SF, while the non-depressed group reported limited work ability in only 8%-13%. At-work productivity loss was approximately fourfold higher in the depressed group than in the non-depressed group. In multivariate analysis, at-work productivity loss was associated with depression, demoralisation, and past history of anxiety.
After breast cancer treatment, work conditions changed toward lower wages and working hours. Depression, demoralisation, and past history of anxiety were associated with lower work ability. Further evaluations of work rehabilitation in breast cancer survivors are warranted.
确定影响癌症幸存者工作能力的可改变因素非常重要。本研究的主要目的是调查抑郁和相关心理因素对澳大利亚乳腺癌幸存者工作能力的影响。
本横断面电子和邮寄调查研究了澳大利亚乳腺癌幸存者。分析了癌症治疗前后的工作状况和条件。使用工作限制问卷 - 短表（WLQ-SF）及其四个领域（时间管理、体力任务、心理-人际交往任务和产出任务）来衡量工作能力。调查了三个心理因素：抑郁、对癌症复发的恐惧和意志消沉。还收集了社会人口统计学和临床数据。采用多元回归分析确定心理因素与 WLQ-SF 的关联。
在合格的幸存者中，有 310 人（50%）对调查做出了回应并进行了分析。近三分之一的人报告说他们的工作条件在癌症治疗后发生了变化。抑郁组报告在 WLQ-SF 的四个领域中有 35%-44%的工作能力受限，而非抑郁组仅报告 8%-13%的工作能力受限。在工作中生产力损失在抑郁组大约是无抑郁组的四倍。在多变量分析中，工作中的生产力损失与抑郁、意志消沉和过去的焦虑史有关。
乳腺癌治疗后，工作条件朝着降低工资和工作时间的方向变化。抑郁、意志消沉和过去的焦虑史与较低的工作能力有关。有必要进一步评估乳腺癌幸存者的工作康复情况。
