THE RELATIONSHIP BETWEEN HEALTH LOCUS OF CONTROL, DEPRESSION, AND SOCIODEMOGRAPHIC FACTORS AND AMOUNT OF TIME BREAST CANCER PATIENTS WAIT BEFORE SEEKING DIAGNOSIS AND TREATMENT

• Published in: Psychiatria Danubina Vol. 29; no. 3; pp. 330 - 344
• Main Authors: Marijanovic, Inga, Pavlekovic, Gordana, Buhovac, Teo, Martinac, Marko
• Format: Journal Article Paper
• Language: English
• Published: Croatia Medicinska naklada 01.09.2017
• Subjects: Adult; Aged; Bosnia and Herzegovina; breast cancer; Breast Neoplasms - diagnosis; Breast Neoplasms - pathology; Breast Neoplasms - psychology; Cross-Sectional Studies; Delayed Diagnosis - psychology; depression; Depressive Disorder - epidemiology; Depressive Disorder - psychology; Female; health locus of control; Humans; Internal-External Control; Middle Aged; Neoplasm Staging; Patient Acceptance of Health Care; sociodemographic factors; Socioeconomic Factors; Statistics as Topic; Surveys and Questionnaires
• ISSN: 0353-5053; 1849-0867
• DOI: 10.24869/psyd.2017.330

In the Federation of Bosnia and Herzegovina, the prevalence and incidence of breast cancer has been increasing, and the national programme of early prevention, administered locally, is sporadic and without quality assurance. While many factors may influence women's decision to adopt prevention-oriented behaviours regarding breast cancer, this study has emphasised the importance of sociodemographic factors, psychological factors and mental wellbeing. Participants in the study were all patients who, during one year, were admitted for the first time for diagnosis and treatment in the biggest Clinical hospitals of the Herzegovina-Neretva region Patients were divided into two groups based on their TNM classification: "early stage" and "late stage". Three instruments were used in this study: an individual questionnaire about demographic and socioeconomic characteristics of the woman, the Multidimensional Health Locus of Control scales, and the Hamilton Depression Rating Scale. The majority of patients diagnosed with advanced disease were admitted to hospital in the late/advanced stages of the disease. Multi-variant analysis showed that the most statistically significant positive predictor for early admittance in hospital is living with family and marital status while religiosity has a negative predictive value. The results indicate that 59.7% of respondents do not have depression, while the remainder do have some degree of depression. There was no statistically significant difference in the degree of depression between women who were diagnosed and treated early and those who were not. The employment status of the respondents was the only significant factor related to degree of depression. Although health locus of control and depression are not statistically significant predictors of early hospital treatment, the recommendation is that further studies focus on the implementation of MHLC and HDRS scales within the community. This could be useful in planning appropriate and specific interventions, not only because of early diagnosis, but also to ensure good mental health and resilient behaviour.