Job attributes, job satisfaction and the return to health after breast cancer diagnosis and treatment.
Job attributes, job satisfaction and the return to health after breast cancer diagnosis and treatment.
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DOI：
10.1002/pon.3385
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发表时间：
2014-02
期刊：
影响因子：
3.6
通讯作者：
Bradley CJ
中科院分区：
文献类型：
--
作者：
Barnes AJ;Robert N;Bradley CJ
随着癌症检测和治疗的进步，患乳腺癌的工作年龄妇女人数有所增加。这项研究提供了关于乳腺癌治疗和工作任务的交叉点的新信息，以及它们如何共同影响就业和新诊断的女性。样本包括493名在开始治疗后2个月内的就业妇女。工作满意度和需求进行了评估，诊断前回忆沿着与心理和身体健康的措施，并再次评估后9个月开始治疗。使用看似不相关的回归，我们测试了工作任务和满意度对心理和身体健康的影响，治疗开始后9个月，控制诊断前的健康状况，患者特征和工作任务。诊断前的体力工作需求与治疗开始后9个月的心理或身体健康没有显着相关。在治疗开始后9个月，从事认知要求高和不太满意的工作与心理健康下降和工作或日常活动问题增加有关（p<0.05）。与未接受化疗的女性相比，接受5个或更多周期化疗的女性报告活力较低，社会功能较差，身体健康状况较差（p<0.05）。从事认知要求高和不满意的工作可能会阻碍心理健康的恢复，特别是在接受较长化疗方案的患者中。这些信息可以被病人和临床医生用来决定何时接受化疗，以及是否可以重组工作任务以加速康复。
As detection and treatment of cancer has advanced, the number of working age women with breast cancer has increased. This study provides new information on the intersection of breast cancer treatment and job tasks and how, together, they impact employed and newly diagnosed women. The sample comprised 493 employed women within 2 months of initiating treatment. Job satisfaction and demands were assessed by a pre-diagnosis recall along with measures of mental and physical health and assessed again 9 months after initiating treatment. Using seemingly unrelated regression, we tested the effect of job tasks and satisfaction on mental and physical health 9 months post-treatment initiation, controlling for pre-diagnosis health status, patient characteristics, and job tasks. Physical job demands prior to diagnosis were not significantly associated with mental or physical health 9 months after treatment initiation. Employment in cognitively demanding and less satisfying jobs was associated with decreases in mental health and increases in problems with work or daily activities 9 months post-treatment initiation (p<0.05). Women who received five or more cycles of chemotherapy reported lower vitality, social functioning, and worse measures of physical health compared with those who did not receive chemotherapy (p<0.05). Employment in cognitively demanding and unsatisfying jobs may impede mental health recovery, particularly in patients who receive longer chemotherapy regimens. Such information may be used by patients and clinicians in deciding when to undergo chemotherapy and whether job tasks can be restructured to hasten recovery.