{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T19:02:58Z","timestamp":1771268578348,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2011,3,7]],"date-time":"2011-03-07T00:00:00Z","timestamp":1299456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: To explore the beliefs held by breast cancer (BC) survivors about the factors that contribute to the development of their BC.<\/jats:p><jats:p>\u2009<jats:italic>Methods<\/jats:italic>: The BUPA Health Foundation Health and Well\u2010being after Breast Cancer Study is a prospective cohort study of 1684 women recruited within 12 months of their first diagnosis with invasive BC. Participants completed an enrollment questionnaire (EQ), first follow\u2010up questionnaire (FQ1) and a second follow\u2010up questionnaire (FQ2), 12 months and 24 months post\u2010EQ, respectively. In the FQ2, women were asked whether they believed anything contributed to the development of their BC and whether they had made lifestyle changes since the FQ1. Well\u2010being was assessed at the FQ2 using the Psychological General Well\u2010being Index (PGWB).<\/jats:p><jats:p>\u2009<jats:italic>Results<\/jats:italic>: In total, 1496\/1684 women completed the FQ2 and 43.5% reported belief in a factor that may have contributed to their developing BC. These women were more likely to be younger (<jats:italic>p<\/jats:italic>&lt;0.0001) and educated beyond high school (<jats:italic>p<\/jats:italic>&lt;0.0001). Stress (58.1%) was the most common reason given, followed by previous use of hormone therapy (17.0%) and a family history of any cancer (9.8%). Women who believed stress contributed to their BC had lower PGWB scores than other study participants (70.9 \u00b1 16.1, <jats:italic>n<\/jats:italic> = 361 versus 77.3 \u00b1 14.9, <jats:italic>n<\/jats:italic> = 1071, mean difference = 6.4, 95% CI: 4.6\u20138.2 <jats:italic>p<\/jats:italic>&lt;0.0001) and were more likely to have made lifestyle changes since their BC diagnosis.<\/jats:p><jats:p>\u2009<jats:italic>Conclusions<\/jats:italic>: Many women with BC believe that stress has contributed to their condition. Women who held this belief were more likely to adopt strategies to reduce stress than those who did not. 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