Skip to main content
Erschienen in: Journal of Cancer Survivorship 1/2013

01.03.2013

Physical activity, psychological distress, and receipt of mental healthcare services among cancer survivors

verfasst von: Guixiang Zhao, Chaoyang Li, Jun Li, Lina S. Balluz

Erschienen in: Journal of Cancer Survivorship | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Physical activity confers multiple health benefits in the general population. This study examined the associations of physical activity with serious psychological distress (SPD) and receipt of mental healthcare services among U.S. adult cancer survivors.

Methods

We analyzed data from 4,797 cancer survivors (aged ≥18 years) and 38,571 adults without cancer who participated in the 2009 Behavioral Risk Factor Surveillance System. SPD was assessed using the Kessler-6 questionnaire. Adjusted prevalence and prevalence ratios were estimated by conducting log-linear regression analysis while controlling for potential confounders.

Results

Overall, 6.6 % of cancer survivors (vs. 3.7 % of adults without cancer, P < 0.001) reported having SPD, and 14.0 % of cancer survivors (vs. 10.0 % of adults without cancer, P < 0.001) reported receiving mental healthcare services; the percentages decreased with increasing physical activity levels. After multivariate adjustment, compared to cancer survivors who were physically inactive, cancer survivors who engaged in physical activity >0 to <150 min/week and ≥150 min/week were 62 % and 61 % (P < 0.001 for both) less likely to report SPD, respectively; cancer survivors who engaged in physical activity ≥150 min/week were 33 % (P < 0.05) less likely to report receiving mental healthcare services. Additionally, the inverse association between physical activity and receiving mental healthcare services persisted among women with breast or reproductive cancers and among men and women with gastrointestinal cancers.

Conclusion

The inverse associations between physical activity and SPD or receiving mental healthcare services suggest that physical activity may play a role in improving mental health among cancer survivors.

Implications for cancer survivors

Healthcare clinicians may consider routinely monitoring and assessing the psychological well-being of cancer survivors and educate them about the potential benefits of physical activity in improving their mental health.
Literatur
5.
Zurück zum Zitat Zhao L, Portier K, Stein K, Baker F, Smith T. Exploratory factor analysis of the cancer problems in living scale: a report from the American Cancer Society′s Studies of Cancer Survivors. J Pain Symptom Manage. 2009;37:676–86.PubMedCrossRef Zhao L, Portier K, Stein K, Baker F, Smith T. Exploratory factor analysis of the cancer problems in living scale: a report from the American Cancer Society′s Studies of Cancer Survivors. J Pain Symptom Manage. 2009;37:676–86.PubMedCrossRef
6.
Zurück zum Zitat Nord C, Mykletun A, Thorsen L, Bjoro T, Fossa SD. Self-reported health and use of health care services in long-term cancer survivors. Int J Cancer. 2005;114:307–16.PubMedCrossRef Nord C, Mykletun A, Thorsen L, Bjoro T, Fossa SD. Self-reported health and use of health care services in long-term cancer survivors. Int J Cancer. 2005;114:307–16.PubMedCrossRef
7.
Zurück zum Zitat van de Poll-Franse LV, Mols F, Vingerhoets AJ, Voogd AC, Roumen RM, Coebergh JW. Increased health care utilisation among 10-year breast cancer survivors. Support Care Cancer. 2006;14:436–43.PubMedCrossRef van de Poll-Franse LV, Mols F, Vingerhoets AJ, Voogd AC, Roumen RM, Coebergh JW. Increased health care utilisation among 10-year breast cancer survivors. Support Care Cancer. 2006;14:436–43.PubMedCrossRef
9.
Zurück zum Zitat Stein KD, Syrjala KL, Andrykowski MA. Physical and psychological long-term and late effects of cancer. Cancer. 2008;112:2577–92.PubMedCrossRef Stein KD, Syrjala KL, Andrykowski MA. Physical and psychological long-term and late effects of cancer. Cancer. 2008;112:2577–92.PubMedCrossRef
10.
Zurück zum Zitat Banks E, Byles JE, Gibson RE, et al. Is psychological distress in people living with cancer related to the fact of diagnosis, current treatment or level of disability? Findings from a large Australian study. Med J Aust. 2010;193:S62–7.PubMed Banks E, Byles JE, Gibson RE, et al. Is psychological distress in people living with cancer related to the fact of diagnosis, current treatment or level of disability? Findings from a large Australian study. Med J Aust. 2010;193:S62–7.PubMed
11.
Zurück zum Zitat Boyes AW, Girgis A, Zucca AC, Lecathelinais C. Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. Med J Aust. 2009;190:S94–8.PubMed Boyes AW, Girgis A, Zucca AC, Lecathelinais C. Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. Med J Aust. 2009;190:S94–8.PubMed
12.
Zurück zum Zitat Boyes AW, Girgis A, D'Este C, Zucca AC. Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis. J Affect Disord. 2011;135:184–92.PubMedCrossRef Boyes AW, Girgis A, D'Este C, Zucca AC. Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis. J Affect Disord. 2011;135:184–92.PubMedCrossRef
13.
Zurück zum Zitat Couper JW, Love AW, Pollard AC, Bloch S. Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. Med J Aust. 2009;191:294–5.PubMed Couper JW, Love AW, Pollard AC, Bloch S. Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. Med J Aust. 2009;191:294–5.PubMed
14.
Zurück zum Zitat Lynch BM, Steginga SK, Hawkes AL, Pakenham KI, Dunn J. Describing and predicting psychological distress after colorectal cancer. Cancer. 2008;112:1363–70.PubMedCrossRef Lynch BM, Steginga SK, Hawkes AL, Pakenham KI, Dunn J. Describing and predicting psychological distress after colorectal cancer. Cancer. 2008;112:1363–70.PubMedCrossRef
15.
Zurück zum Zitat Mehnert A, Koch U. Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. J Psychosom Res. 2008;64:383–91.PubMedCrossRef Mehnert A, Koch U. Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. J Psychosom Res. 2008;64:383–91.PubMedCrossRef
16.
Zurück zum Zitat Neilson KA, Pollard AC, Boonzaier AM, et al. Psychological distress (depression and anxiety) in people with head and neck cancers. Med J Aust. 2010;193:S48–51.PubMed Neilson KA, Pollard AC, Boonzaier AM, et al. Psychological distress (depression and anxiety) in people with head and neck cancers. Med J Aust. 2010;193:S48–51.PubMed
17.
Zurück zum Zitat Hoffman KE, McCarthy EP, Recklitis CJ, Ng AK. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009;169:1274–81.PubMedCrossRef Hoffman KE, McCarthy EP, Recklitis CJ, Ng AK. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009;169:1274–81.PubMedCrossRef
18.
Zurück zum Zitat Hamer M, Chida Y, Molloy GJ. Psychological distress and cancer mortality. J Psychosom Res. 2009;66:255–8.PubMedCrossRef Hamer M, Chida Y, Molloy GJ. Psychological distress and cancer mortality. J Psychosom Res. 2009;66:255–8.PubMedCrossRef
19.
Zurück zum Zitat Ku PW, Fox KR, Chen LJ. Physical activity and depressive symptoms in Taiwanese older adults: a seven-year follow-up study. Prev Med. 2009;48:250–5.PubMedCrossRef Ku PW, Fox KR, Chen LJ. Physical activity and depressive symptoms in Taiwanese older adults: a seven-year follow-up study. Prev Med. 2009;48:250–5.PubMedCrossRef
20.
Zurück zum Zitat Ku PW, Fox KR, Chen LJ, Chou P. Physical activity and depressive symptoms in older adults: 11-year follow-up. Am J Prev Med. 2012;42:355–62.PubMedCrossRef Ku PW, Fox KR, Chen LJ, Chou P. Physical activity and depressive symptoms in older adults: 11-year follow-up. Am J Prev Med. 2012;42:355–62.PubMedCrossRef
21.
Zurück zum Zitat McHugh JE, Lawlor BA. Exercise and social support are associated with psychological distress outcomes in a population of community-dwelling older adults. J Health Psychol. 2012;17:833–44. McHugh JE, Lawlor BA. Exercise and social support are associated with psychological distress outcomes in a population of community-dwelling older adults. J Health Psychol. 2012;17:833–44.
22.
Zurück zum Zitat Salguero A, Martinez-Garcia R, Molinero O, Marquez S. Physical activity, quality of life and symptoms of depression in community-dwelling and institutionalized older adults. Arch Gerontol Geriatr. 2011;53:152–7.PubMedCrossRef Salguero A, Martinez-Garcia R, Molinero O, Marquez S. Physical activity, quality of life and symptoms of depression in community-dwelling and institutionalized older adults. Arch Gerontol Geriatr. 2011;53:152–7.PubMedCrossRef
23.
Zurück zum Zitat Ten Have M, de Graaf R, Monshouwer K. Physical exercise in adults and mental health status findings from the Netherlands mental health survey and incidence study (NEMESIS). J Psychosom Res. 2011;71:342–8.PubMedCrossRef Ten Have M, de Graaf R, Monshouwer K. Physical exercise in adults and mental health status findings from the Netherlands mental health survey and incidence study (NEMESIS). J Psychosom Res. 2011;71:342–8.PubMedCrossRef
24.
Zurück zum Zitat George ES, Jorm L, Kolt GS, Bambrick H, Lujic S. Physical activity and psychological distress in older men: findings from the New South Wales 45 and up study. J Aging Phys Act. 2012;20:300–16. George ES, Jorm L, Kolt GS, Bambrick H, Lujic S. Physical activity and psychological distress in older men: findings from the New South Wales 45 and up study. J Aging Phys Act. 2012;20:300–16.
25.
Zurück zum Zitat Vallance JK, Murray TC, Johnson ST, Elavsky S. Quality of life and psychosocial health in postmenopausal women achieving public health guidelines for physical activity. Menopause. 2010;17:64–71.PubMedCrossRef Vallance JK, Murray TC, Johnson ST, Elavsky S. Quality of life and psychosocial health in postmenopausal women achieving public health guidelines for physical activity. Menopause. 2010;17:64–71.PubMedCrossRef
26.
Zurück zum Zitat Vallance JK, Eurich DT, Lavallee CM, Johnson ST. Physical activity and health-related quality of life among older men: an examination of current physical activity recommendations. Prev Med. 2012;54:234–6.PubMedCrossRef Vallance JK, Eurich DT, Lavallee CM, Johnson ST. Physical activity and health-related quality of life among older men: an examination of current physical activity recommendations. Prev Med. 2012;54:234–6.PubMedCrossRef
27.
Zurück zum Zitat Balboa-Castillo T, Leon-Munoz LM, Graciani A, Rodriguez-Artalejo F, Guallar-Castillon P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47.PubMedCrossRef Balboa-Castillo T, Leon-Munoz LM, Graciani A, Rodriguez-Artalejo F, Guallar-Castillon P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47.PubMedCrossRef
28.
Zurück zum Zitat Bertheussen GF, Romundstad PR, Landmark T, Kaasa S, Dale O, Helbostad JL. Associations between physical activity and physical and mental health—a HUNT 3 study. Med Sci Sports Exerc. 2011;43:1220–8.PubMedCrossRef Bertheussen GF, Romundstad PR, Landmark T, Kaasa S, Dale O, Helbostad JL. Associations between physical activity and physical and mental health—a HUNT 3 study. Med Sci Sports Exerc. 2011;43:1220–8.PubMedCrossRef
29.
Zurück zum Zitat Mokdad AH, Stroup DF, Giles WH. Public health surveillance for behavioral risk factors in a changing environment. Recommendations from the behavioral risk factor surveillance team. MMWR Recomm Rep. 2003;52:1–12.PubMed Mokdad AH, Stroup DF, Giles WH. Public health surveillance for behavioral risk factors in a changing environment. Recommendations from the behavioral risk factor surveillance team. MMWR Recomm Rep. 2003;52:1–12.PubMed
30.
Zurück zum Zitat Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soc Prev Med. 2001;46 Suppl 1:S3–42. Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soc Prev Med. 2001;46 Suppl 1:S3–42.
31.
Zurück zum Zitat Nelson DE, Powell-Griner E, Town M, Kovar MG. A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health. 2003;93:1335–41.PubMedCrossRef Nelson DE, Powell-Griner E, Town M, Kovar MG. A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health. 2003;93:1335–41.PubMedCrossRef
32.
Zurück zum Zitat Zhao G, Ford ES, Li C, Strine TW, Dhingra S, Berry JT, Mokdad AH. Serious psychological distress and its associations with body mass index: findings from the 2007 Behavioral Risk Factor Surveillance System. Int J Public Health. 2009;54 Suppl 1:30–6.PubMedCrossRef Zhao G, Ford ES, Li C, Strine TW, Dhingra S, Berry JT, Mokdad AH. Serious psychological distress and its associations with body mass index: findings from the 2007 Behavioral Risk Factor Surveillance System. Int J Public Health. 2009;54 Suppl 1:30–6.PubMedCrossRef
34.
Zurück zum Zitat Mehnert A, Berg P, Henrich G, Herschbach P. Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors. Psychooncology. 2009;18:1273–80.PubMedCrossRef Mehnert A, Berg P, Henrich G, Herschbach P. Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors. Psychooncology. 2009;18:1273–80.PubMedCrossRef
35.
Zurück zum Zitat Adamsen L, Quist M, Midtgaard J, et al. The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Support Care Cancer. 2006;14:116–27.PubMedCrossRef Adamsen L, Quist M, Midtgaard J, et al. The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Support Care Cancer. 2006;14:116–27.PubMedCrossRef
36.
Zurück zum Zitat Adamsen L, Quist M, Andersen C, et al. Effect of a multimodal high intensity exercise intervention in cancer patients undergoing chemotherapy: randomised controlled trial. BMJ. 2009;339:b3410.PubMedCrossRef Adamsen L, Quist M, Andersen C, et al. Effect of a multimodal high intensity exercise intervention in cancer patients undergoing chemotherapy: randomised controlled trial. BMJ. 2009;339:b3410.PubMedCrossRef
37.
Zurück zum Zitat Basen-Engquist K, Hughes D, Perkins H, Shinn E, Taylor CC. Dimensions of physical activity and their relationship to physical and emotional symptoms in breast cancer survivors. J Cancer Surviv. 2008;2:253–61.PubMedCrossRef Basen-Engquist K, Hughes D, Perkins H, Shinn E, Taylor CC. Dimensions of physical activity and their relationship to physical and emotional symptoms in breast cancer survivors. J Cancer Surviv. 2008;2:253–61.PubMedCrossRef
38.
Zurück zum Zitat Courneya KS, Friedenreich CM. Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med. 1999;21:171–9.PubMedCrossRef Courneya KS, Friedenreich CM. Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med. 1999;21:171–9.PubMedCrossRef
39.
Zurück zum Zitat Courneya KS, Mackey JR, Bell GJ, Jones LW, Field CJ, Fairey AS. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol. 2003;21:1660–8.PubMedCrossRef Courneya KS, Mackey JR, Bell GJ, Jones LW, Field CJ, Fairey AS. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol. 2003;21:1660–8.PubMedCrossRef
40.
Zurück zum Zitat Lynch BM, Cerin E, Owen N, Aitken JF. Associations of leisure-time physical activity with quality of life in a large, population-based sample of colorectal cancer survivors. Cancer Causes Control. 2007;18:735–42.PubMedCrossRef Lynch BM, Cerin E, Owen N, Aitken JF. Associations of leisure-time physical activity with quality of life in a large, population-based sample of colorectal cancer survivors. Cancer Causes Control. 2007;18:735–42.PubMedCrossRef
41.
Zurück zum Zitat Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF. Prospective relationships of physical activity with quality of life among colorectal cancer survivors. J Clin Oncol. 2008;26:4480–7.PubMedCrossRef Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF. Prospective relationships of physical activity with quality of life among colorectal cancer survivors. J Clin Oncol. 2008;26:4480–7.PubMedCrossRef
42.
Zurück zum Zitat Friedenreich CM, Gregory J, Kopciuk KA, Mackey JR, Courneya KS. Prospective cohort study of lifetime physical activity and breast cancer survival. Int J Cancer. 2009;124:1954–62.PubMedCrossRef Friedenreich CM, Gregory J, Kopciuk KA, Mackey JR, Courneya KS. Prospective cohort study of lifetime physical activity and breast cancer survival. Int J Cancer. 2009;124:1954–62.PubMedCrossRef
43.
Zurück zum Zitat Irwin ML, Smith AW, McTiernan A, et al. Influence of pre- and postdiagnosis physical activity on mortality in breast cancer survivors: the health, eating, activity, and lifestyle study. J Clin Oncol. 2008;26:3958–64.PubMedCrossRef Irwin ML, Smith AW, McTiernan A, et al. Influence of pre- and postdiagnosis physical activity on mortality in breast cancer survivors: the health, eating, activity, and lifestyle study. J Clin Oncol. 2008;26:3958–64.PubMedCrossRef
44.
Zurück zum Zitat Duijts SF, Faber MM, Oldenburg HS, van Beurden M, Aaronson NK. Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors—a meta-analysis. Psychooncology. 2011;20:115–26.PubMedCrossRef Duijts SF, Faber MM, Oldenburg HS, van Beurden M, Aaronson NK. Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors—a meta-analysis. Psychooncology. 2011;20:115–26.PubMedCrossRef
45.
Zurück zum Zitat Midtgaard J, Rorth M, Stelter R, et al. The impact of a multidimensional exercise program on self-reported anxiety and depression in cancer patients undergoing chemotherapy: a phase II study. Palliat Support Care. 2005;3:197–208.PubMedCrossRef Midtgaard J, Rorth M, Stelter R, et al. The impact of a multidimensional exercise program on self-reported anxiety and depression in cancer patients undergoing chemotherapy: a phase II study. Palliat Support Care. 2005;3:197–208.PubMedCrossRef
46.
Zurück zum Zitat Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26.PubMedCrossRef Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26.PubMedCrossRef
47.
Zurück zum Zitat Chambers SK, Lynch BM, Aitken J, Baade P. Relationship over time between psychological distress and physical activity in colorectal cancer survivors. J Clin Oncol. 2009;27:1600–6.PubMedCrossRef Chambers SK, Lynch BM, Aitken J, Baade P. Relationship over time between psychological distress and physical activity in colorectal cancer survivors. J Clin Oncol. 2009;27:1600–6.PubMedCrossRef
48.
Zurück zum Zitat Tangka FK, Trogdon JG, Richardson LC, Howard D, Sabatino SA, Finkelstein EA. Cancer treatment cost in the United States: has the burden shifted over time? Cancer. 2010;116:3477–84.PubMedCrossRef Tangka FK, Trogdon JG, Richardson LC, Howard D, Sabatino SA, Finkelstein EA. Cancer treatment cost in the United States: has the burden shifted over time? Cancer. 2010;116:3477–84.PubMedCrossRef
Metadaten
Titel
Physical activity, psychological distress, and receipt of mental healthcare services among cancer survivors
verfasst von
Guixiang Zhao
Chaoyang Li
Jun Li
Lina S. Balluz
Publikationsdatum
01.03.2013
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 1/2013
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-012-0254-6

Weitere Artikel der Ausgabe 1/2013

Journal of Cancer Survivorship 1/2013 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.