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ORIGINAL INVESTIGATION Psychological Distress in Long-term Survivors of Adult-Onset Cancer Results From a National Survey Karen E. Hoffman, MD, MHSc; Ellen P. McCarthy, PhD, MPH; Christopher J. Recklitis, PhD, MPH; Andrea K. Ng, MD, MPH Background: As advances in cancer screening and treat- adjustment for clinical and sociodemographic variables ment increase the number of long-term cancer survi- (age, sex, race, relationship status, educational attain- vors, it is important to understand the long-term psy- ment, insurance status, comorbidities, smoking history, chological sequelae of the cancer experience. and ability to perform instrumental activities of daily liv- ing), survivors remained significantly more likely to ex- Methods: The 4636 respondents who identified them- perience SPD (adjusted odds ratio, 1.4; 95% confidence selves as survivors of adult-onset cancer of 5 years or more interval, 1.2-1.7). After adjustment for other clinical and and 122 220 respondents who were never diagnosed as sociodemographic variables, long-term survivors who having cancer were identified in the 2002 to 2006 Na- were younger, were unmarried, had less than a high school tional Health Interview Survey. The primary outcome in education, were uninsured, had more comorbidities, or this population-based study was serious psychological dis- had difficulty performing instrumental activities of daily
JAMA Internal Medicine – American Medical Association
Published: Jul 27, 2009
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