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Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study
Purpose This study examined associations between self-reported cognitive functioning and social support as well as social ties among women with breast cancer. Methods The study included 3351 women from the Women’s Health Initiative Life and Longevity After Cancer cohort who were diagnosed with breas...
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| Published in: | Supportive care in cancer 2023-01, Vol.31 (1), p.48, Article 48 |
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| creator | Yang, Yesol McLaughlin, Eric M. Naughton, Michelle J. Lustberg, Maryam B. Nolan, Timiya S. Kroenke, Candyce H. Weitlauf, Julie C. Saquib, Nazmus Shadyab, Aladdin H. Follis, Shawna Pan, Kathy Paskett, Electra D. |
| description | Purpose
This study examined associations between self-reported cognitive functioning and social support as well as social ties among women with breast cancer.
Methods
The study included 3351 women from the Women’s Health Initiative Life and Longevity After Cancer cohort who were diagnosed with breast cancer stages I–III. Social support was assessed using a modified Medical Outcomes Study (MOS) Social Support Survey, and marital status was obtained from the baseline questionnaire. We also assessed social ties (e.g., number of friends, relatives, living children) and cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function [FACT-COG]) on the year-1-follow up questionnaire. Multivariable quantile regression was used to estimate the changes in median cognitive scores. Kruskal–Wallis tests were used to assess the association of cognitive function with social ties.
Results
The majority of participants were non-Hispanic White (93.3%), presently married (49%), with at least a 4-year college degree (53.2%), and had been diagnosed with localized breast cancer (79%). A 10-point higher social support score correlated to a 0.32 higher (better) median cognitive score (
p
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| doi_str_mv | 10.1007/s00520-022-07505-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9758078</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2755579162</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-2e32828370097b22fdb82123ba97ffa488db5ca440632c272cd61ac4bc7d8ddf3</originalsourceid><addsrcrecordid>eNp9ksuO0zAUhiMEYsrAC7BAlth0pAn4EscJC6SqAlopEouCZmk5jt16lNjFdjrqjteY15hH4klw22G4LFhZlr_zHR_7z7KXCL5BELK3AUKKYQ4xziGjkOb0UTZBBSE5I6R-nE1gXaC8IJSeZc9CuIYQMUbx0-yMlBRThOpJdrdy0ogerMbt1vl4CcJpH40Kl0DYDki3tiaanQJ6tDIaZ4HT4MYNyoIbEzeg9UqECKSwUvl3QBvbGbsOQHs3gLhR4OrA_vh-G8BCiT5VLA9CcXROrxbLC9AYrY7NGmfXamfiHsx0VB7Mj1IwbZbNbH4BVnHs9s-zJ1r0Qb24X8-zrx8_fJkv8ubzp-V81uSyYEXMsSK4whVhENasxVh3bYURJq2omdaiqKqupVIUBSwJlphh2ZVIyKKVrKu6TpPz7P3Jux3bQXVS2ehFz7feDMLvuROG_31izYav3Y7XjFaQVUkwvRd4921UIfLBBKn6XljlxsAxo5SyGpU4oa__Qa_d6G0a70ilnyurOlH4REnvQvBKP1wGQX6IBD9FgqdI8GMkOE1Fr_4c46HkVwYSQE5ASEfp-f3v3v_R_gSrt8Qa</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2755001689</pqid></control><display><type>article</type><title>Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study</title><source>Springer Nature</source><source>Sociology Collection</source><source>ProQuest Social Science Premium Collection</source><creator>Yang, Yesol ; McLaughlin, Eric M. ; Naughton, Michelle J. ; Lustberg, Maryam B. ; Nolan, Timiya S. ; Kroenke, Candyce H. ; Weitlauf, Julie C. ; Saquib, Nazmus ; Shadyab, Aladdin H. ; Follis, Shawna ; Pan, Kathy ; Paskett, Electra D.</creator><creatorcontrib>Yang, Yesol ; McLaughlin, Eric M. ; Naughton, Michelle J. ; Lustberg, Maryam B. ; Nolan, Timiya S. ; Kroenke, Candyce H. ; Weitlauf, Julie C. ; Saquib, Nazmus ; Shadyab, Aladdin H. ; Follis, Shawna ; Pan, Kathy ; Paskett, Electra D.</creatorcontrib><description>Purpose
This study examined associations between self-reported cognitive functioning and social support as well as social ties among women with breast cancer.
Methods
The study included 3351 women from the Women’s Health Initiative Life and Longevity After Cancer cohort who were diagnosed with breast cancer stages I–III. Social support was assessed using a modified Medical Outcomes Study (MOS) Social Support Survey, and marital status was obtained from the baseline questionnaire. We also assessed social ties (e.g., number of friends, relatives, living children) and cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function [FACT-COG]) on the year-1-follow up questionnaire. Multivariable quantile regression was used to estimate the changes in median cognitive scores. Kruskal–Wallis tests were used to assess the association of cognitive function with social ties.
Results
The majority of participants were non-Hispanic White (93.3%), presently married (49%), with at least a 4-year college degree (53.2%), and had been diagnosed with localized breast cancer (79%). A 10-point higher social support score correlated to a 0.32 higher (better) median cognitive score (
p
< 0.001). Women who were presently married tended to have better cognition than women who were divorced/separated or widowed (
p
= 0.01). Significant associations were also present for having close relatives (
p
< 0.001) or friends (
p
< 0.001), with cognitive scores being higher in those with at least one close relative or friend compared to none.
Conclusion
Women reporting higher social support and greater numbers of friends or relatives have higher cognitive functioning. Compared to divorced or separated women, married women were likely to have higher cognitive functioning. These findings suggest that social support assessments have the potential to help identify women at higher risk of cognitive decline.</description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-022-07505-5</identifier><identifier>PMID: 36525119</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Breast cancer ; Breast Neoplasms - psychology ; Child ; Cognition ; Cognitive ability ; Divorce ; Female ; Humans ; Longevity ; Medicine ; Medicine & Public Health ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Questionnaires ; Rehabilitation Medicine ; Social Support ; Women's Health ; Womens health</subject><ispartof>Supportive care in cancer, 2023-01, Vol.31 (1), p.48, Article 48</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2e32828370097b22fdb82123ba97ffa488db5ca440632c272cd61ac4bc7d8ddf3</citedby><cites>FETCH-LOGICAL-c474t-2e32828370097b22fdb82123ba97ffa488db5ca440632c272cd61ac4bc7d8ddf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2755001689/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2755001689?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,777,781,882,21375,21376,27905,27906,33592,33593,34511,34512,43714,44096,73970,74388</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36525119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Yesol</creatorcontrib><creatorcontrib>McLaughlin, Eric M.</creatorcontrib><creatorcontrib>Naughton, Michelle J.</creatorcontrib><creatorcontrib>Lustberg, Maryam B.</creatorcontrib><creatorcontrib>Nolan, Timiya S.</creatorcontrib><creatorcontrib>Kroenke, Candyce H.</creatorcontrib><creatorcontrib>Weitlauf, Julie C.</creatorcontrib><creatorcontrib>Saquib, Nazmus</creatorcontrib><creatorcontrib>Shadyab, Aladdin H.</creatorcontrib><creatorcontrib>Follis, Shawna</creatorcontrib><creatorcontrib>Pan, Kathy</creatorcontrib><creatorcontrib>Paskett, Electra D.</creatorcontrib><title>Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
This study examined associations between self-reported cognitive functioning and social support as well as social ties among women with breast cancer.
Methods
The study included 3351 women from the Women’s Health Initiative Life and Longevity After Cancer cohort who were diagnosed with breast cancer stages I–III. Social support was assessed using a modified Medical Outcomes Study (MOS) Social Support Survey, and marital status was obtained from the baseline questionnaire. We also assessed social ties (e.g., number of friends, relatives, living children) and cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function [FACT-COG]) on the year-1-follow up questionnaire. Multivariable quantile regression was used to estimate the changes in median cognitive scores. Kruskal–Wallis tests were used to assess the association of cognitive function with social ties.
Results
The majority of participants were non-Hispanic White (93.3%), presently married (49%), with at least a 4-year college degree (53.2%), and had been diagnosed with localized breast cancer (79%). A 10-point higher social support score correlated to a 0.32 higher (better) median cognitive score (
p
< 0.001). Women who were presently married tended to have better cognition than women who were divorced/separated or widowed (
p
= 0.01). Significant associations were also present for having close relatives (
p
< 0.001) or friends (
p
< 0.001), with cognitive scores being higher in those with at least one close relative or friend compared to none.
Conclusion
Women reporting higher social support and greater numbers of friends or relatives have higher cognitive functioning. Compared to divorced or separated women, married women were likely to have higher cognitive functioning. These findings suggest that social support assessments have the potential to help identify women at higher risk of cognitive decline.</description><subject>Breast cancer</subject><subject>Breast Neoplasms - psychology</subject><subject>Child</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Divorce</subject><subject>Female</subject><subject>Humans</subject><subject>Longevity</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Questionnaires</subject><subject>Rehabilitation Medicine</subject><subject>Social Support</subject><subject>Women's Health</subject><subject>Womens health</subject><issn>0941-4355</issn><issn>1433-7339</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9ksuO0zAUhiMEYsrAC7BAlth0pAn4EscJC6SqAlopEouCZmk5jt16lNjFdjrqjteY15hH4klw22G4LFhZlr_zHR_7z7KXCL5BELK3AUKKYQ4xziGjkOb0UTZBBSE5I6R-nE1gXaC8IJSeZc9CuIYQMUbx0-yMlBRThOpJdrdy0ogerMbt1vl4CcJpH40Kl0DYDki3tiaanQJ6tDIaZ4HT4MYNyoIbEzeg9UqECKSwUvl3QBvbGbsOQHs3gLhR4OrA_vh-G8BCiT5VLA9CcXROrxbLC9AYrY7NGmfXamfiHsx0VB7Mj1IwbZbNbH4BVnHs9s-zJ1r0Qb24X8-zrx8_fJkv8ubzp-V81uSyYEXMsSK4whVhENasxVh3bYURJq2omdaiqKqupVIUBSwJlphh2ZVIyKKVrKu6TpPz7P3Jux3bQXVS2ehFz7feDMLvuROG_31izYav3Y7XjFaQVUkwvRd4921UIfLBBKn6XljlxsAxo5SyGpU4oa__Qa_d6G0a70ilnyurOlH4REnvQvBKP1wGQX6IBD9FgqdI8GMkOE1Fr_4c46HkVwYSQE5ASEfp-f3v3v_R_gSrt8Qa</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Yang, Yesol</creator><creator>McLaughlin, Eric M.</creator><creator>Naughton, Michelle J.</creator><creator>Lustberg, Maryam B.</creator><creator>Nolan, Timiya S.</creator><creator>Kroenke, Candyce H.</creator><creator>Weitlauf, Julie C.</creator><creator>Saquib, Nazmus</creator><creator>Shadyab, Aladdin H.</creator><creator>Follis, Shawna</creator><creator>Pan, Kathy</creator><creator>Paskett, Electra D.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230101</creationdate><title>Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study</title><author>Yang, Yesol ; McLaughlin, Eric M. ; Naughton, Michelle J. ; Lustberg, Maryam B. ; Nolan, Timiya S. ; Kroenke, Candyce H. ; Weitlauf, Julie C. ; Saquib, Nazmus ; Shadyab, Aladdin H. ; Follis, Shawna ; Pan, Kathy ; Paskett, Electra D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2e32828370097b22fdb82123ba97ffa488db5ca440632c272cd61ac4bc7d8ddf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast cancer</topic><topic>Breast Neoplasms - psychology</topic><topic>Child</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Divorce</topic><topic>Female</topic><topic>Humans</topic><topic>Longevity</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Questionnaires</topic><topic>Rehabilitation Medicine</topic><topic>Social Support</topic><topic>Women's Health</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Yesol</creatorcontrib><creatorcontrib>McLaughlin, Eric M.</creatorcontrib><creatorcontrib>Naughton, Michelle J.</creatorcontrib><creatorcontrib>Lustberg, Maryam B.</creatorcontrib><creatorcontrib>Nolan, Timiya S.</creatorcontrib><creatorcontrib>Kroenke, Candyce H.</creatorcontrib><creatorcontrib>Weitlauf, Julie C.</creatorcontrib><creatorcontrib>Saquib, Nazmus</creatorcontrib><creatorcontrib>Shadyab, Aladdin H.</creatorcontrib><creatorcontrib>Follis, Shawna</creatorcontrib><creatorcontrib>Pan, Kathy</creatorcontrib><creatorcontrib>Paskett, Electra D.</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Social Science Database (ProQuest)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Yesol</au><au>McLaughlin, Eric M.</au><au>Naughton, Michelle J.</au><au>Lustberg, Maryam B.</au><au>Nolan, Timiya S.</au><au>Kroenke, Candyce H.</au><au>Weitlauf, Julie C.</au><au>Saquib, Nazmus</au><au>Shadyab, Aladdin H.</au><au>Follis, Shawna</au><au>Pan, Kathy</au><au>Paskett, Electra D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>31</volume><issue>1</issue><spage>48</spage><pages>48-</pages><artnum>48</artnum><issn>0941-4355</issn><issn>1433-7339</issn><eissn>1433-7339</eissn><abstract>Purpose
This study examined associations between self-reported cognitive functioning and social support as well as social ties among women with breast cancer.
Methods
The study included 3351 women from the Women’s Health Initiative Life and Longevity After Cancer cohort who were diagnosed with breast cancer stages I–III. Social support was assessed using a modified Medical Outcomes Study (MOS) Social Support Survey, and marital status was obtained from the baseline questionnaire. We also assessed social ties (e.g., number of friends, relatives, living children) and cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function [FACT-COG]) on the year-1-follow up questionnaire. Multivariable quantile regression was used to estimate the changes in median cognitive scores. Kruskal–Wallis tests were used to assess the association of cognitive function with social ties.
Results
The majority of participants were non-Hispanic White (93.3%), presently married (49%), with at least a 4-year college degree (53.2%), and had been diagnosed with localized breast cancer (79%). A 10-point higher social support score correlated to a 0.32 higher (better) median cognitive score (
p
< 0.001). Women who were presently married tended to have better cognition than women who were divorced/separated or widowed (
p
= 0.01). Significant associations were also present for having close relatives (
p
< 0.001) or friends (
p
< 0.001), with cognitive scores being higher in those with at least one close relative or friend compared to none.
Conclusion
Women reporting higher social support and greater numbers of friends or relatives have higher cognitive functioning. Compared to divorced or separated women, married women were likely to have higher cognitive functioning. These findings suggest that social support assessments have the potential to help identify women at higher risk of cognitive decline.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36525119</pmid><doi>10.1007/s00520-022-07505-5</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2023-01, Vol.31 (1), p.48, Article 48 |
| issn | 0941-4355 1433-7339 1433-7339 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9758078 |
| source | Springer Nature; Sociology Collection; ProQuest Social Science Premium Collection |
| subjects | Breast cancer Breast Neoplasms - psychology Child Cognition Cognitive ability Divorce Female Humans Longevity Medicine Medicine & Public Health Nursing Nursing Research Oncology Pain Medicine Questionnaires Rehabilitation Medicine Social Support Women's Health Womens health |
| title | Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study |
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