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Symptoms of Anxiety and Depression Among Slovenian Breast Cancer Survivors Post-Treatment During the COVID-19 Pandemic: A Cross-Sectional Study

Open Access
|Jan 2024

Figures & Tables

Figure 1.

Distribution of depression and anxiety based on the HADS score (n=430).
Distribution of depression and anxiety based on the HADS score (n=430).

Figure 2.

Comparisons between the mean values of symptoms of anxiety and depression across age groups.
The abbreviation ‘d’ represents Cohen’s d effect size, while ‘**’ denotes statistical significance with a p-value below 0.01.
Comparisons between the mean values of symptoms of anxiety and depression across age groups. The abbreviation ‘d’ represents Cohen’s d effect size, while ‘**’ denotes statistical significance with a p-value below 0.01.

Sociodemographic, disease and treatment-related variables (N=430)_

CharacteristicSample of BC survivors
Age (mean±SD), range: 18-9055.7±12.4
Marital status, n (%)
Married/partnered332 (77.2)
Single, divorced60 (14)
Widowed38 (8.8)
Education (n, %)
Primary Education28 (6.5)
Secondary Education194 (45.1)
University, PhD208 (48.4)
Employment (n, %)
Full-time employed171 (39.8)
Half-time employed86 (20.0)
Unemployed13 (3.0)
Retired146 (34.5)
Disabled retired14 (3.3)
Place of residence (n, %)
Urban161 (37.4)
Suburban155 (36.0)
Rural114 (26.5)
Smoking status (n, %)
Yes41 (9.5)
No313 (72.8)
No, but smoked in the past76 (17.7)
Cancer stage (n, %)
0-I90 (20.9)
II252 (58.6)
III88 (20.5)
Primary treatment, besides surgery (n, %)
Chemotherapy only (C)48 (11.6)
Radiotherapy only (R)169 (39.3)
C and R163 (37.9)
None50 (11.6)
Time since treatment (mean±SD),
range: 8-66 months29.9±18.2
Hormonal therapy (n, %)
Yes274 (63.7)
No156 (36.3)

Final linear regression model predicting symptoms of anxiety and depression_

VariableHADS-AHADS-D
Standardized beta
Age-0.13*
Marital status (ref. married)
Single, divorceda0.040.06
Widoweda 0.03
Education (ref. Primary)
Secondarya-0.2-0.05
University, PhDa0.050.03
Employment status (ref. full-time)
Half-time 0.04
Unemployeda-0.05
Disabled retireda0.040.01
Place of residence (ref. urban)
Rural”0.060.02
Time since treatment-0.01
Treatment type (ref. None)
Chemotherapya0.07
Chemotherapy and radiotherapya0.000.05
No. of comorbidities-0.010.06
Psychological support0.03
EQ-5D - index, quality of life-0.27**-0.27**
FCRI, fear of cancer recurrence0.29**0.20**
RS-14, resilience-0.15**-0.36**
MPSS-total, social support-0.10*-0.14**
CaSUN-PES, unmet needs0.16**
DOI: https://doi.org/10.2478/sjph-2024-0008 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 55 - 62
Submitted on: Oct 9, 2023
Accepted on: Nov 30, 2023
Published on: Jan 3, 2024
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Špela MIROŠEVIČ, Judith PRINS, Nikola BEŠIĆ, Simona BORŠTNAR, Andreja Cirila ŠKUFCA SMRDEL, Vesna HOMAR, Marko POPOVIĆ, Zalika KLEMENC-KETIŠ, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.