Low socioeconomic status and mental health outcomes in colorectal cancer survivors

Disadvantage? advantage? … or both?

M.A. Andrykowski, M.J. Aarts, L.V. van de Poll-Franse, F. Mols, G.D. Slooter, M.S.Y. Thong

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
The goal of this study is to examine the relationship between socioeconomic status (SES) and both positive and negative mental health (MH) outcomes in a population-based sample of colorectal cancer survivors. On the basis of theoretical conceptualizations of trauma and posttraumatic growth, low SES was hypothesized to be positively associated with both greater negative MH outcomes (e.g., distress) and greater positive MH outcomes (e.g., growth).
Methods
Colorectal cancer survivors (n = 1300; 57% male; mean age 69.4 and 4.0 years post-diagnosis) were recruited using a regional, population-based cancer registry in the Netherlands and completed a questionnaire assessing current negative and positive MH outcomes. Low, medium, and high SES respondents were identified using an area-level indicator of SES based on aggregated individual fiscal data on monetary home value and household income.
Results
Analysis of covariance and logistic regression analyses indicated that low SES was a risk factor for greater negative MH outcomes. Relative to high SES survivors, low SES survivors reported poorer status on nine indices of MH, and high SES survivors were about 50% less likely to report clinically important levels of anxiety and depression. Results provided partial support for the hypothesis low SES was a ‘risk’ factor for greater positive MH outcomes. Relative to high SES survivors, low SES survivors reported greater positive MH outcomes on 2 of 5 positive MH indices examined (Positive Self-Evaluation, Meaning of Cancer).
Conclusions
Study findings are the first to suggest that low SES might increase the likelihood of both greater negative as well as positive MH outcomes in cancer survivors.
Original languageEnglish
Pages (from-to)2462-2469
JournalPsycho-Oncology
Volume22
Issue number11
DOIs
Publication statusPublished - 2013

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Survivors
Mental Health
Neoplasms
Netherlands
Logistic Models
Depression
Wounds and Injuries

Cite this

@article{31a47fc36e624d83bc9407a2b1b99334,
title = "Low socioeconomic status and mental health outcomes in colorectal cancer survivors: Disadvantage? advantage? … or both?",
abstract = "ObjectiveThe goal of this study is to examine the relationship between socioeconomic status (SES) and both positive and negative mental health (MH) outcomes in a population-based sample of colorectal cancer survivors. On the basis of theoretical conceptualizations of trauma and posttraumatic growth, low SES was hypothesized to be positively associated with both greater negative MH outcomes (e.g., distress) and greater positive MH outcomes (e.g., growth).MethodsColorectal cancer survivors (n = 1300; 57{\%} male; mean age 69.4 and 4.0 years post-diagnosis) were recruited using a regional, population-based cancer registry in the Netherlands and completed a questionnaire assessing current negative and positive MH outcomes. Low, medium, and high SES respondents were identified using an area-level indicator of SES based on aggregated individual fiscal data on monetary home value and household income.ResultsAnalysis of covariance and logistic regression analyses indicated that low SES was a risk factor for greater negative MH outcomes. Relative to high SES survivors, low SES survivors reported poorer status on nine indices of MH, and high SES survivors were about 50{\%} less likely to report clinically important levels of anxiety and depression. Results provided partial support for the hypothesis low SES was a ‘risk’ factor for greater positive MH outcomes. Relative to high SES survivors, low SES survivors reported greater positive MH outcomes on 2 of 5 positive MH indices examined (Positive Self-Evaluation, Meaning of Cancer).ConclusionsStudy findings are the first to suggest that low SES might increase the likelihood of both greater negative as well as positive MH outcomes in cancer survivors.",
author = "M.A. Andrykowski and M.J. Aarts and {van de Poll-Franse}, L.V. and F. Mols and G.D. Slooter and M.S.Y. Thong",
year = "2013",
doi = "10.1002/pon.3309",
language = "English",
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pages = "2462--2469",
journal = "Psycho-Oncology",
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Low socioeconomic status and mental health outcomes in colorectal cancer survivors : Disadvantage? advantage? … or both? / Andrykowski, M.A.; Aarts, M.J.; van de Poll-Franse, L.V.; Mols, F.; Slooter, G.D.; Thong, M.S.Y.

In: Psycho-Oncology, Vol. 22, No. 11, 2013, p. 2462-2469.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Low socioeconomic status and mental health outcomes in colorectal cancer survivors

T2 - Disadvantage? advantage? … or both?

AU - Andrykowski, M.A.

AU - Aarts, M.J.

AU - van de Poll-Franse, L.V.

AU - Mols, F.

AU - Slooter, G.D.

AU - Thong, M.S.Y.

PY - 2013

Y1 - 2013

N2 - ObjectiveThe goal of this study is to examine the relationship between socioeconomic status (SES) and both positive and negative mental health (MH) outcomes in a population-based sample of colorectal cancer survivors. On the basis of theoretical conceptualizations of trauma and posttraumatic growth, low SES was hypothesized to be positively associated with both greater negative MH outcomes (e.g., distress) and greater positive MH outcomes (e.g., growth).MethodsColorectal cancer survivors (n = 1300; 57% male; mean age 69.4 and 4.0 years post-diagnosis) were recruited using a regional, population-based cancer registry in the Netherlands and completed a questionnaire assessing current negative and positive MH outcomes. Low, medium, and high SES respondents were identified using an area-level indicator of SES based on aggregated individual fiscal data on monetary home value and household income.ResultsAnalysis of covariance and logistic regression analyses indicated that low SES was a risk factor for greater negative MH outcomes. Relative to high SES survivors, low SES survivors reported poorer status on nine indices of MH, and high SES survivors were about 50% less likely to report clinically important levels of anxiety and depression. Results provided partial support for the hypothesis low SES was a ‘risk’ factor for greater positive MH outcomes. Relative to high SES survivors, low SES survivors reported greater positive MH outcomes on 2 of 5 positive MH indices examined (Positive Self-Evaluation, Meaning of Cancer).ConclusionsStudy findings are the first to suggest that low SES might increase the likelihood of both greater negative as well as positive MH outcomes in cancer survivors.

AB - ObjectiveThe goal of this study is to examine the relationship between socioeconomic status (SES) and both positive and negative mental health (MH) outcomes in a population-based sample of colorectal cancer survivors. On the basis of theoretical conceptualizations of trauma and posttraumatic growth, low SES was hypothesized to be positively associated with both greater negative MH outcomes (e.g., distress) and greater positive MH outcomes (e.g., growth).MethodsColorectal cancer survivors (n = 1300; 57% male; mean age 69.4 and 4.0 years post-diagnosis) were recruited using a regional, population-based cancer registry in the Netherlands and completed a questionnaire assessing current negative and positive MH outcomes. Low, medium, and high SES respondents were identified using an area-level indicator of SES based on aggregated individual fiscal data on monetary home value and household income.ResultsAnalysis of covariance and logistic regression analyses indicated that low SES was a risk factor for greater negative MH outcomes. Relative to high SES survivors, low SES survivors reported poorer status on nine indices of MH, and high SES survivors were about 50% less likely to report clinically important levels of anxiety and depression. Results provided partial support for the hypothesis low SES was a ‘risk’ factor for greater positive MH outcomes. Relative to high SES survivors, low SES survivors reported greater positive MH outcomes on 2 of 5 positive MH indices examined (Positive Self-Evaluation, Meaning of Cancer).ConclusionsStudy findings are the first to suggest that low SES might increase the likelihood of both greater negative as well as positive MH outcomes in cancer survivors.

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ER -