Does a Community-Based Stress Management Intervention Affect Psychological Adaptation Among Underserved Black Breast Cancer Survivors?

Lechner, Suzanne C.; Whitehead, Nicole Ennis; Vargas, Sara; Annane, Debra; Robertson, Belinda; Carver, Charles S.; Kobetz, Erin; Antoni, Mike

doi:10.1093/jncimonographs/lgu032

Cited by 39 publications

(49 citation statements)

References 30 publications

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“…Further, 58 studies were excluded because they were conference abstracts or systematic reviews. Descriptive data for the 10 included studies reported data from a total of 1939 participants who were recruited from cancer centers, hospitals, or private oncology practices (Table ) …”

Section: Resultsmentioning

confidence: 99%

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A meta‐analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

Zhou

et al. 2018

Psycho-Oncology

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Section: Resultsmentioning

confidence: 99%

“…Table shows the risk of bias for each study. Of these, only 1 study was universally assessed as having a low risk of bias across all domains. Sequence generation generally followed accepted methods, although it was unreported in some studies, and only several authors reported methods of allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

A meta‐analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

Zhou

et al. 2018

Psycho-Oncology

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“…Even after 11-years, the women who received the intervention reported fewer depressive symptoms and better quality-of-life than the controls [83]. Lechner et al [84] examined the effectiveness of a community-based stress management intervention and breast cancer wellness and education program (Project CARE) on psychological outcomes among 114 African American breast cancer survivors. This was a 10-session, group-based, and evidence-based intervention, culturally adapted for African American women.…”

Section: Alleviating Depression and Anxiety Among Breast Cancer Survimentioning

confidence: 99%

“…This was a 10-session, group-based, and evidence-based intervention, culturally adapted for African American women. Participants in both intervention groups showed significant improvement on indices of psychological well-being, such as overall quality of life, intrusive thoughts, depressive symptoms, and stress levels [84]. Among survivors, complementary and alternative medicine techniques such as yoga and mindfulness-based stress reduction had beneficial effects on anxiety and depression [70–74].…”

Section: Alleviating Depression and Anxiety Among Breast Cancer Survimentioning

confidence: 99%

Advancing breast cancer survivorship among African-American women

Coughlin

Yoo

Whitehead³

et al. 2015

Breast Cancer Res Treat

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Purpose Advances have occurred in breast cancer survivorship but, for many African American women, challenges and gaps in relevant information remain. Methods This article identifies opportunities to address disparities in breast cancer survival and quality of life, and thereby to increase breast cancer survivorship among African American women. Results For breast cancer survivors, common side effects, lasting for long periods after cancer treatment, include fatigue, loss of strength, difficulty sleeping, and sexual dysfunction. For addressing physical and mental health concerns, a variety of interventions have been evaluated, including exercise and weight training, dietary interventions, yoga and mindfulness-based stress reduction, and support groups or group therapy. Obesity has been associated with breast cancer recurrence and poorer survival. Relative to white survivors, African American breast cancer survivors are more likely to be obese and less likely to engage in physical activity, although exercise improves overall quality of life and cancer-related fatigue. Considerable information exists about the effectiveness of such interventions for alleviating distress and improving quality of life among breast cancer survivors, but few studies have focused specifically on African American women with a breast cancer diagnosis. Studies have identified a number of personal factors that are associated with resilience, increased quality of life, and positive adaptation to a breast cancer diagnosis. Conclusions There is a need for a better understanding of breast cancer survivorship among African American women. Additional evaluations of interventions for improving the quality of life and survival of African American breast cancer survivors are desirable.

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“…These interventions should consider the stress that may be experienced in the transition from patient to survivor [38]. Although few interventions to improve HRQOL have been specifically developed and tested in Black BC survivors, available results show improved psychological outcomes [46,47]. Our study demonstrates the need for continued testing and refinement of these interventions in larger samples of Black BC survivors.…”

Section: Discussionmentioning

confidence: 89%

Health-related quality of life in Black breast cancer survivors with and without triple-negative breast cancer (TNBC)

Vadaparampil

Christie

Donovan

et al. 2017

Breast Cancer Res Treat

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Purpose Black women are more likely to develop early onset (≤50 years) breast cancer (BC) and have the lowest five-year, cause-specific survival rate of any United States (U.S.) racial or ethnic group. These disparities can be attributed partially to the higher rate of triple negative BC (TNBC) in Blacks. Yet, little is known about health-related quality of life (HRQOL) among Black women with TNBC. Methods Black women with invasive BC ≤50 years were recruited via the Florida State Cancer Registry as part of a population-based case-only study of etiology and outcomes of early-onset invasive BC. Of 460 consented participants, a subset of 355 self-reported sociodemographic, clinical, and psychosocial variables were collected. Descriptive analyses included participants with known TNBC (n=85) or non-TNBC (n=245) disease. Univariable and multivariable analyses were conducted to examine differences in factors associated with HRQOL. Results In unadjusted analyses, TNBC participants had significantly lower FACT-B total scores (90.1 ± 27.9) compared to non-TNBC (98.5 ± 27.6) participants (p<0.05). For the TNBC group, multivariable analyses indicated five individual-level and three systemic-level factors explain 80% of the response variation in HRQOL. For the non-TNBC group, seven individual-level factors and three systemic-level factors account for 76% of the variation in HRQOL scores. Conclusions Compared to Black women with non-TNBC, TNBC women have worse HRQOL. There are key individual and systemic-level factors that are unique to both groups. Findings can inform future HRQOL interventions to support young Black BC survivors.

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Does a Community-Based Stress Management Intervention Affect Psychological Adaptation Among Underserved Black Breast Cancer Survivors?

Cited by 39 publications

References 30 publications

A meta‐analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

A meta‐analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients

Advancing breast cancer survivorship among African-American women

Health-related quality of life in Black breast cancer survivors with and without triple-negative breast cancer (TNBC)

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