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Depression, anxiety and other psychosocial factors are hypothesized to be involved in cancer development. We examined whether psychosocial factors interact with or modify the effects of health behaviors, such as smoking and alcohol use, in relation to cancer incidence. Two-stage individual participant data meta-analyses were performed based on 22 cohorts of the PSYchosocial factors and CAncer (PSY-CA) study. We examined nine psychosocial factors (depression diagnosis, depression symptoms, anxiety diagnosis, anxiety symptoms, perceived social support, loss events, general distress, neuroticism, relationship status), seven health behaviors/behavior-related factors (smoking, alcohol use, physical activity, body mass index, sedentary behavior, sleep quality, sleep duration) and seven cancer outcomes (overall cancer, smoking-related, alcohol-related, breast, lung, prostate, colorectal). Effects of the psychosocial factor, health behavior and their product term on cancer incidence were estimated using Cox regression. We pooled cohort-specific estimates using multivariate random-effects meta-analyses. Additive and multiplicative interaction/effect modification was examined. This study involved 437,827 participants, 36,961 incident cancer diagnoses, and 4,749,481 person years of follow-up. Out of 744 combinations of psychosocial factors, health behaviors, and cancer outcomes, we found no evidence of interaction. Effect modification was found for some combinations, but there were no clear patterns for any particular factors or outcomes involved. In this first large study to systematically examine potential interaction and effect modification, we found no evidence for psychosocial factors to interact with or modify health behaviors in relation to cancer incidence. The behavioral risk profile for cancer incidence is similar in people with and without psychosocial stress.

Titel:	Psychosocial factors, health behaviors and risk of cancer incidence: Testing interaction and effect modification in an individual participant data meta-analysis.
Autor/in / Beteiligte Person:	Basten, M ; Pan, KY ; van Tuijl LA ; de Graeff A ; Dekker, J ; Hoogendoorn, AW ; Lamers, F ; Ranchor, AV ; Vermeulen, R ; Portengen, L ; Voogd, AC ; Abell, J ; Awadalla, P ; Beekman, ATF ; Bjerkeset, O ; Boyd, A ; Cui, Y ; Frank, P ; Galenkamp, H ; Garssen, B ; Hellingman, S ; Huisman, M ; Huss, A ; Keats, MR ; Kok, AAL ; Krokstad, S ; van Leeuwen FE ; Luik, AI ; Noisel, N ; Payette, Y ; Penninx, BWJH ; Rissanen, I ; Roest, AM ; Rosmalen, JGM ; Ruiter, R ; Schoevers, RA ; Soave, D ; Spaan, M ; Steptoe, A ; Stronks, K ; Sund, ER ; Sweeney, E ; Twait, EL ; Teyhan, A ; Verschuren, WMM ; van der Willik KD ; Geerlings, MI
Link:	Full Text Finder (Volltext)
Zeitschrift:	International journal of cancer, Jg. 154 (2024-05-15), Heft 10, S. 1745-1759
Veröffentlichung:	1995- : New York, NY : Wiley-Liss ; <i>Original Publication</i>: 1966-1984 : Genève : International Union Against Cancer, 2024
Medientyp:	academicJournal
ISSN:	1097-0215 (electronic)
DOI:	10.1002/ijc.34852
Schlagwort:	Male Humans Anxiety etiology Smoking Alcohol Drinking Health Behavior Neoplasms psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Meta-Analysis; Journal Article Language: English [Int J Cancer] 2024 May 15; Vol. 154 (10), pp. 1745-1759. <i>Date of Electronic Publication: </i>2024 Jan 30. MeSH Terms: Neoplasms* / psychology ; Male ; Humans ; Anxiety / etiology ; Smoking ; Alcohol Drinking ; Health Behavior References: Basten M. Depression and anxiety and their interaction with health behaviors in relation to cancer incidence: an individual participant data meta-analysis. J Psychosoc Oncol Res Pract. 2022;4(S2):2-3 (Abstract 29). ; Chida Y, Hamer M, Wardle J, Steptoe A. Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Clin Pract Oncol. 2008;5:466-475. ; Heikkila K, Nyberg ST, Theorell T, et al. Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116,000 European men and women. BMJ. 2013;346:f165. ; Jia Y, Li F, Liu YF, Zhao JP, Leng MM, Chen L. 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Grant Information: 086118 United Kingdom WT_ Wellcome Trust; R01AG017644 United States AG NIA NIH HHS; 086118 United Kingdom WT_ Wellcome Trust; R01AG017644 United States AG NIA NIH HHS Contributed Indexing: Keywords: cancer incidence; health behaviors; individual participant data meta-analysis; interaction/effect modification; psychosocial factors Entry Date(s): Date Created: 20240130 Date Completed: 20240314 Latest Revision: 20240314 Update Code: 20240314

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Psychosocial factors, health behaviors and risk of cancer incidence: Testing interaction and effect modification in an individual participant data meta-analysis.