Prospective evaluation of the impact of stress, anxiety, and depression on household income among young women with early
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RESEARCH ARTICLE
Open Access
Prospective evaluation of the impact of stress, anxiety, and depression on household income among young women with early breast cancer from the Young and Strong trial Erin E. Cook1,2, Shoshana M. Rosenberg3,4, Kathryn J. Ruddy5, William T. Barry6, Mary Greaney7, Jennifer Ligibel3,4, Kim Sprunck-Harrild3, Michelle D. Holmes1, Rulla M. Tamimi1, Karen M. Emmons1 and Ann H. Partridge3,4*
Abstract Background: Young women with breast cancer tend to report lower quality of life and higher levels of stress than older women with breast cancer, and this may have implications for other psychosocial factors including finances. We sought to determine if stress, anxiety, and depression at diagnosis were associated with changes in household income over 12-months in young women with breast cancer in the United States. Methods: This study was a prospective, longitudinal cohort study comprised of women enrolled in the Young and Strong trial. Of the 467 women aged 18–45 newly diagnosed with early-stage breast cancer enrolled in the Young and Strong trial from 2012 to 2013, 356 (76%) answered income questions. Change in household income from baseline to 12 months was assessed and women were categorized as having lost, gained, maintained the same household income
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