TY - THES TY - BOOK T1 - Psychological distress and associated personal and workplace stressors among breast cancer survivors A1 - Yong, Heng Weay. LA - English UL - http://discoverylib.upm.edu.my/discovery/Record/50263 AB - Introduction: The number of women employed at the time of breast cancer diagnosis has risen gradually and most of the survivors were younger than 65 years and the majority would most likely return to work. Working survivors might face social and economic hardship, workplace stress and psychological burdens either individually or with their coworkers or their superiors. Thus, this study will promote a better understanding of the psychological distress experienced by working breast cancer survivors, and to determine associated workplace and personal factors contributing to the psychological distress. Objective: To determine personal and workplace stressors and their associations with psychological distress of working breast cancer survivors. Methodology: This cross-sectional study was conducted at 2 hospitals and 4 support groups. One hundred and fifty breast cancer survivors were recruited. Personal Stress Inventory (PSI) and Job Content Questionnaire (JCQ) were used to determine personal and workplace stressors, respectively. Psychological distress was determined using the Hospital Anxiety and Depression Scale (HADS) and Distress Thermometer (DT). Salivary a-amylase assay kit was used to analyze the salivary a-amylase levels, are indicator of psychological distress. Results: The Cronbach's alpha coefficient for the Malay translated version of HADS subscales were better (a = 0.81 for anxiety and a= 0.73 for depression) compared to the Chinese version (a = 0.67 for anxiety and a= 0.70 for depression). The cut-off point of 5 on DT had maximized the balance between sensitivity and specificity rates in detecting the caseness of anxiety, depression and distress. In personal, family and household stressors were significantly associated with anxiety (OR =1.42, p