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Do Anxiety, Body Image, Social Support and Coping Strategies Predict Survival in Breast Cancer? A Ten-Year Follow-Up Study

Received May 30, 2006; revised June 20, 2006; accepted July 13, 2006. From the University of Bordeaux, Psychology Laboratory, Bordeaux, France. Send correspondence and reprint requests to Florence Cousson-Gélie, University of Bordeaux 2, Psychology Laboratory EA 3662, IFR 99, Public Health, 3 Ter Place de la Victoire, 33076 Bordeaux CEDEX, France. e-mail: florence.gelie{at}ps.u-bordeaux2.fr
© 2007 The Academy of Psychosomatic Medicine

A longitudinal study enrolled 75 women with primary breast cancer. Before the confirmation of diagnosis, authors measured trait-anxiety and body satisfaction. Three weeks after diagnosis, coping strategies and state-anxiety were evaluated. The number of days of survival was measured 10 years after diagnosis. In Cox proportional-hazards models adjusting for severity of disease and age, high social support and low state-anxiety predicted an increased risk of death from breast cancer. A significant increased risk of death in women with low scores on the Body Image Questionnaire appeared only in the univariate model.

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