{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:25:35Z","timestamp":1790659535265,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["109977"],"award-info":[{"award-number":["109977"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Aim of the study was to compare working and non\u2010working patients over a period of 12\u00a0months regarding socio\u2010demographic, cancer\u2010specific and mental health parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was conducted as part of a Germany\u2010wide longitudinal survey among 1398 patients in 13 national Comprehensive Cancer Centers. The sample used for analysis consisted of <jats:italic>n<\/jats:italic>\u00a0=\u00a0430 cancer patients younger than 65\u00a0years (age <jats:italic>M<\/jats:italic>\u00a0=\u00a052.4\u00a0years, SD\u00a0=\u00a08.1; 67.0% females). Socio\u2010demographic, cancer\u2010specific and mental health parameters (Depression: Patient Health Questionnaire, Anxiety: Generalized Anxiety Disorder Scale, Distress: Distress Thermometer) were assessed at baseline during hospitalization and at 12 months follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>73.7% of all patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a0317) have returned to work after one year. While working and non\u2010working patients did not differ in socio\u2010demographic parameters, there were significant differences in the presence of metastases, tumor and treatment status. Mixed analysis of variances revealed significant interactions between working status and time for depression (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.009), anxiety (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003) and distress (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.007). Non\u2010working patients reported higher levels of depression, anxiety and distress than working patients over time. A logistic regression showed significant associations between lower depression (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.019), lower distress (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.033) and the absence of a tumor (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.015) with working status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of cancer survivors returned to work. Non\u2010working patients had higher levels of depression, anxiety and distress than working patients. After controlling for cancer\u2010specific factors, mental health parameters were still independently associated with working status. Return to work can thus be associated with an improved mental health in cancer survivors. In order to establish causality, further research is necessary.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5877","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T04:33:50Z","timestamp":1641443630000},"page":"893-901","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Return to work after cancer: Improved mental health in working cancer survivors"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3688-5141","authenticated-orcid":false,"given":"Marietta","family":"Lieb","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Friedrich\u2010Alexander\u2010University Erlangen\u2010N\u00fcrnberg University Hospital of Erlangen  Erlangen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"W\u00fcnsch","sequence":"additional","affiliation":[{"name":"Clinic for Psychosomatic Medicine and Psychotherapy Medical Center Freiburg Faculty of Medicine University Freiburg in Cooperation with Outpatient Support for Cancer Patients Comprehensive Cancer Center Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9366-5893","authenticated-orcid":false,"given":"Katharina","family":"Schieber","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Friedrich\u2010Alexander\u2010University Erlangen\u2010N\u00fcrnberg University Hospital of Erlangen  Erlangen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinna","family":"Bergelt","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf Center for Psychosocial Medicine  Hamburg 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