Skip to main content

Advertisement

Log in

Cancer survivors’ received and needed social support from their work place and the occupational health services

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Goals of work

Even though a lot of studies have been conducted concerning cancer patients’ social support, the importance of social support from the work life is unclear. We examined the amount of emotional and practical support that cancer survivors needed and had actually received from their coworkers, supervisors, and the occupational health personnel. We also examined whether disease-related or sociodemographic background variables were associated with needed or received support. Finally, we investigated whether there were differences between various sources in received or needed support.

Patients and methods

The data consisted of a total of 640 cancer survivors with breast cancer, lymphoma, testicular or prostate cancer, aged 25–57 years at the time of diagnosis. Information on social support was collected with a mailed questionnaire using an adapted version of the Structural-Functional Social Support Scale (SFSS).

Main results

The cancer survivors had received most support from their coworkers and they hoped for more support especially from the occupational health care personnel (39% of women and 29% of men). The men who had lymphoma, had received chemotherapy, or had low education level needed more support. The need for practical support from the occupational health personnel was fivefold between the chemotherapy-treated and those not treated. The women both received and needed more support than the men did.

Conclusions

There is a clear need for additional social support from work life among the cancer survivors especially from the occupational health personnel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Aass N, Fosså S-D, Dahl A-A, Moe T-J (1997) Prevalence of anxiety and depression in cancer patients seen at the Norwegian Radium Hospital. Eur J Cancer 33:1597–1604

    Article  PubMed  CAS  Google Scholar 

  2. Baruch-Feldman C, Brondolo E, Ben-Dayan D, Schwartz J (2002) Sources of social support and burnout, job satisfaction, and productivity. J Occup Health Psychol 7:84–93

    Article  PubMed  Google Scholar 

  3. Bildt C, Michelsen H (2002) Gender differences in the effects from working conditions on mental health: a 4-year follow-up. Int Arch Occup Environ Health 75:252–258

    Article  PubMed  Google Scholar 

  4. Blanchard C, Albrecht T, Ruckdeschel J, Grant C-H, Hemmich R-M (1995) The role of social support in adaption to cancer and to survival. J Psychosoc Oncol 13:75–95

    Article  Google Scholar 

  5. Bloom J-R, Stewart SL, Johnston M, Banks P, Fobair P (2001) Sources of support and the physical and mental well-being of young women with breast cancer. Soc Sci Med 53:1513–1524

    Article  PubMed  CAS  Google Scholar 

  6. Bradley C-J, Bednarek H-L (2002) Employment patterns of long-term cancer survivors. Psychooncology 11:188–198

    Article  PubMed  Google Scholar 

  7. Chan C-W, Molassiotis A, Yam B-M, Chan S-J, Lam C-S (2001) Traveling through the cancer trajectory: social support perceived by women with gynecologic cancer in Hong Kong. Cancer Nurs 24:387–394

    Article  PubMed  CAS  Google Scholar 

  8. Chirikos T-N, Russell-Jacobs A, Cantor A-B (2002) Indirect economic effects of long-term breast cancer survival. Cancer Pract 10:248–255

    Article  PubMed  Google Scholar 

  9. Dakof G-A, Taylor S-E (1990) Victims’ perceptions of social support: what is helpful from whom? J Pers Soc Psychol 58:80–89

    Article  PubMed  CAS  Google Scholar 

  10. de Jong N, Courtens A-M, Abu-Saad H-H, Schouten H-C (2002) Fatigue in patients with breast cancer receiving adjuvant chemotherapy: a review of the literature. Cancer Nurs 25:283–297

    Article  PubMed  Google Scholar 

  11. De Leeuw J-R, De Graeff A, Ros W-J, Hordijk G-J, Blijham G-H, Winnubst, J-A (2000) Negative and positive influences of social support on depression in patients with head and neck cancer: a prospective study. Psychooncology 9:20–28

    Article  PubMed  Google Scholar 

  12. Deimling G-T, Wagner L-J, Bowman K-F, Sterns S, Kercher K, Kahana B (2005) Coping among older-adult, long-term cancer survivors. Psychooncology (in press)

  13. Diggle P, Liang K-Y, Zeger S (1994) Analysis of longitudinal data. Clarendon, Oxford

    Google Scholar 

  14. Elo A-L, Dallner M, Gamberale F, Hottinen V, Knardhal S, Lindstom K, Skostad A, Orhede E (2001) User’s guide for the QPSNordic: general Nordic questionnaire for psychological and social factors at work. Nordic Council of Ministers: Copenhagen

    Google Scholar 

  15. Elovainio M, Kivimaki M, Vahtera J, Ojanlatva A, Korkeila K, Suominen S, Helenius H, Koskenvuo M (2003) Social support, early retirement, and a retirement preference: a study of 10,489 Finnish adults. J Occup Environ Med 45:433–439

    Article  PubMed  Google Scholar 

  16. Flaherty J, Richman J (1989) Gender differences in the perception and utilization of social support: theoretical perspectives and an empirical test. Soc Sci Med 28: 1221–1228

    Article  PubMed  CAS  Google Scholar 

  17. Guidry J-J, Greisinger A, Aday L-A, Winn R-J, Vernon S, Trochmorton T-A (1996) Barriers to cancer treatment: a review of published research. Oncol Nurs Forum 23:1393–1398

    PubMed  CAS  Google Scholar 

  18. Hann D, Baker F, Denniston M, Gesme D, Reding D, Flynn T, Kennedy J, Kieltyka R-L (2002) The influence of social support on depressive symptoms in cancer patients: age and gender differences. J Psychosom Res 52:279–283

    Article  PubMed  Google Scholar 

  19. Harrison J, Maguire P, Pitceathly C (1995) Confiding in crisis: gender differences in pattern of confiding among cancer patients. Soc Sci Med 41:1255–1260

    Article  PubMed  CAS  Google Scholar 

  20. Hewitt M, Rowland J-H, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol A Biol Sci Med Sci 58:82–91

    PubMed  Google Scholar 

  21. Hipkins J, Whitworth M, Tarrier N, Jayson G (2004) Social support, anxiety and depression after chemotherapy for ovarian cancer: a prospective study. Br J Health Psychol 9:569–581

    Article  PubMed  Google Scholar 

  22. Ihlebaek C, Eriksen H-R (2003) Occupational and social variation in subjective health complaints. Occup Med (Lond) 53:270–278

    Article  Google Scholar 

  23. Kornblith A-B, Herndon J-E, Zuckerman E, Viscoli C-M, Horwitz R-I, Cooper M-R, Tkaczuk K-H, Perry M-C, Budman D, Norton L-C, Holland J (2001) Social support as a buffer to the psychological impact of stressful life events in women with breast cancer. Cancer 91:443–454

    Article  PubMed  CAS  Google Scholar 

  24. Krishnasamy M (1995) Social support and the patient with cancer: a consideration of the literature. J Adv Nurs 23:757–762

    Article  Google Scholar 

  25. Lehto U-S, Ojanen M, Kellokumpu-Lehtinen P (2005) Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Ann Oncol 16:805–816

    Article  PubMed  Google Scholar 

  26. Lehto-Järnstedt U-S, Ojanen M, Kellokumpu-Lehtinen P (2004) Cancer-specific social support received by newly diagnosed cancer patients: validating the new Structural–Functional Social Support Scale (SFSS) measurement tool. Support Care Cancer 12:326–337

    Article  PubMed  Google Scholar 

  27. Lehto-Järnstedt U-S, Ojanen M, Kellokumpu-Lehtinen P (2004) Structural–Functional Social Support Scale, QOLID, the Quality of Life Instruments Database

  28. Lindley C, McCune JS, Thomason TE, Lauder D, Sauls A, Adkings S, Sawyer W-T (1999) Perception of chemotherapy side effects cancer versus noncancer patients. Cancer Pract 7:59–65

    Article  PubMed  CAS  Google Scholar 

  29. Maunsell E, Drolet M, Brisson J, Brisson C, Masse B, Deschenes L (2004) Work situation after breast cancer: results from a population-based study. J Natl Cancer Inst 96:1813–1822

    Article  PubMed  Google Scholar 

  30. Mustard C-A, Vermeulen M, Lavis J-N (2003) Is position in the occupational hierarchy a determinant of decline in perceived health status? Soc Sci Med 57:2291–2303

    Article  PubMed  Google Scholar 

  31. Peeters M, Blanc P-L (2001) Towards a match between job demands and sources of social support: a study among oncology care providers. Eur J Work Organ Psychol 10:53–72

    Article  Google Scholar 

  32. Schaefer C, Coyne J-C, Lazarus RS (1981) The health-related functions of social support. J Behav Med 4:381–406

    Article  PubMed  CAS  Google Scholar 

  33. Sharpe L, Butow P, Smith C, McConnell D, Large C (2005) The relationship between available support, unmet needs and caregiver burden in patients with advanced cancer and their carers. Psychooncology 14:102–114

    Article  PubMed  Google Scholar 

  34. Short PF, Vasey J-J, Tunceli K (2005) Employment pathways in a large cohort of adult cancer survivors. Cancer 103:1292–1301

    Article  PubMed  Google Scholar 

  35. Spelten E-R, Verbeek J-H, Uitterhoeve A-L, Ansik A-C, Van Der Lelie J, De Reijke D, Kammeijer R, De Haes J-C, Sprangers M-A (2003) Cancer, fatigue and the return of patients to work—a prospective cohort study. Eur J Cancer 39:1562–1567

    Article  PubMed  CAS  Google Scholar 

  36. Taskila-Åbrandt T, Martikainen R, Virtanen SV, Hietanen P, Pukkala E, Lindbohm M-L (2004) The impact of education and occupation on the employment status of cancer survivors. Eur J Cancer 40:2488–2493

    Article  Google Scholar 

  37. Taskinen H (ed) (2004) Good occupational health practice —a guide for planning and follow-up of occupational health services. Ministry of Social Affairs and Health, Finnish Institute of Occupational Health, Helsinki

  38. Tilastokeskus (2001) Ammattiluokitus (ISCO-88). Tilastokeskus, Helsinki

    Google Scholar 

  39. Väänänen A, Toppinen-Tanner S, Kalimo R, Mutanen P, Vahtera J, Peiro J-M (2003) Job characteristics, physical and psychological symptoms, and social support as antecedents of sickness absence among men and women in the private industrial sector. Soc Sci Med 57:807–824

    Article  PubMed  Google Scholar 

  40. Wardle J, McCaffery K, Nadel M, Atkin W (2004) Socioeconomic differences in cancer screening participation: comparing cognitive and psychosocial explanations. Soc Sci Med 59:249–261

    Article  PubMed  Google Scholar 

  41. Vickers M (2001) Work and unseen chronic illness—silent voices. Routledge, London

    Google Scholar 

Download references

Acknowledgements

We thank the Nordic Cancer Union (NCU), the Finnish Work Environment Fund, and Finnish Cancer Organizations for supporting this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Taina Taskila.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Taskila, T., Lindbohm, ML., Martikainen, R. et al. Cancer survivors’ received and needed social support from their work place and the occupational health services. Support Care Cancer 14, 427–435 (2006). https://doi.org/10.1007/s00520-005-0005-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-005-0005-6

Keywords

Navigation