{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:04:18Z","timestamp":1785251058607,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"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":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to evaluate physical, psychosocial, and spiritual factors associated with happiness in breast cancer survivors during the reentry period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>It is a cross\u2010sectional study with 283 nonmetastatic breast cancer survivors who completed treatment within 1\u00a0year. We included survivors who completed questionnaires on happiness and health\u2010related quality of life (QoL) 2\u00a0years after cancer diagnosis. Happiness and QoL was measured using the Subjective Happiness Scale and EORTC QLQ\u2010C30, respectively. Multivariable logistic regression was used to find factors associated with happiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the study participants was 48.5\u00a0\u00b1\u00a07.8\u00a0years. Among the 283 survivors, 14.5%, 43.8%, 32.5%, and 2.1% reported being \u201cvery happy,\u201d \u201chappy,\u201d \u201cneutral,\u201d and \u201cnot happy at all,\u201d respectively. Happy survivors reported a better general health status and QoL (67.6 vs 49.6; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01), and fewer symptoms compared to unhappy survivors. Happy survivors were more likely to feel certain about the future (27.2% vs 11.9%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01), have a strong purpose in life (22.4% vs 9.3%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01), and feel hopeful (36.4% vs 8.5%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01) compared to unhappy survivors. In a multivariate model, having purpose (OR\u00a0=\u00a02.50, 95% CI 1.42\u20104.40) and hope (OR\u00a0=\u00a04.07, 95% CI 2.23\u20107.45) in life were found to be associated with happiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the reentry period, breast cancer survivors who are hopeful and have a clear purpose in life are more likely to be happy than those who are not. Setting proper life goals might be beneficial to help breast cancer survivors who experience persistent QoL issues.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4408","type":"journal-article","created":{"date-parts":[[2017,2,24]],"date-time":"2017-02-24T09:28:14Z","timestamp":1487928494000},"page":"1922-1928","source":"Crossref","is-referenced-by-count":32,"title":["Who are happy survivors? Physical, psychosocial, and spiritual factors associated with happiness of breast cancer survivors during the transition from cancer patient to survivor"],"prefix":"10.1002","volume":"26","author":[{"given":"Danbee","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Health Sciences and Technology, SAIHST Sungkyunkwan University  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Im\u2010Ryung","family":"Kim","sequence":"additional","affiliation":[{"name":"Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun\u2010Kyung","family":"Choi","sequence":"additional","affiliation":[{"name":"Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul South 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Jin","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wonshik","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer Research Institute Seoul National University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong\u2010Young","family":"Noh","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer Research Institute Seoul National University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9081-0266","authenticated-orcid":false,"given":"Juhee","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Health Sciences and Technology, SAIHST Sungkyunkwan University  Seoul South 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