Well-educated women and those who live alone are emotionally the hardest hit by breast cancer, according to the findings of a new Australian study announced during October's Breast Cancer Awareness Month.
The MBF Foundation Health and Wellbeing after Breast Cancer Study, undertaken by Monash University Medical School's Women's Health Program, found that older women tended to experience lower levels of overall wellbeing compared to women of similar age in the community two years after their diagnosis.
"Up until now, there has been uncertainty about exactly what the impact of being diagnosed with breast cancer is in terms of mood and wellbeing over time. In our study, we found that two years post diagnosis women with breast cancer were not more likely to be depressed but were more likely to experience a lowered sense of control over their life, and lower general health, with lessened vitality being limited to older women," explains Dr Susan R Davis, Professor of Women's Health, Monash University Medical School, who was involved in the study.
"The experience of having breast cancer is a personal one and is often accompanied by very complex emotions due to the fact that it strikes at a woman's very sense of self, purpose and sexuality."
Co-chief investigator of the study, Associate Professor Robin Bell, added: "That women living alone were more likely to have a lower wellbeing is a novel and important finding and would suggest that such women may benefit by targeted provision of social support."
More educated women are likely to be the best informed about their breast cancer and treatment, and their lower wellbeing results may reflect greater anxiety over decision making and their difficulty coping with a sense loss of control over their health and wellbeing.
"We would encourage health care providers to be sensitive to the fact that more highly educated women may deal less well with psychological aspects of their disease than others," said Professor Davis.
Breast cancer is the most common cancer among women in Australia, affecting one in nine women by the age of 85 years, and is responsible for around 2,600 deaths annually. With improvements in detection and treatment of breast cancer, 87 per cent of women affected survive five years or more from the time of detection.