Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship

Loi, Claudia X. Aguado; Baldwin, Julie A.; McDermott, Robert J.; McMillan, Susan C.; Tyson, Dinorah Martinez; Yampolskaya, Svetlana; VandeWeerd, Carla

doi:10.1002/pon.3357

Cited by 50 publications

(38 citation statements)

References 50 publications

(81 reference statements)

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“…Prior studies of women with breast and gynecologic cancers demonstrated that acceptance coping was positively associated with QOL, whereas denial and self‐blame negatively correlated with this outcome . Similarly, studies have shown that denial and self‐blame coping correlated with greater psychological distress in patients with potentially curable breast and head and neck cancers . Although our findings are consistent with these results, most of these studies lacked male representation and evaluated patients with curable disease at varying times in their disease course.…”

Section: Discussionsupporting

confidence: 88%

The relationship between coping strategies, quality of life, and mood in patients with incurable cancer

Nipp

El‐Jawahri

Fishbein

et al. 2016

Cancer

194

171

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Background Patients with incurable cancer face many physical and emotional stressors, yet little is known about their coping strategies or the relationship between their coping strategies, quality of life (QOL) and mood. Methods As part of a randomized trial of palliative care, this study assessed baseline QOL (Functional Assessment of Cancer Therapy–General), mood (Hospital Anxiety and Depression Scale), and coping (Brief COPE) in patients within 8 weeks of a diagnosis of incurable lung or gastrointestinal cancer and before randomization. To examine associations between coping strategies, QOL, and mood, we used linear regression, adjusting for patients’ age, sex, marital status, and cancer type. Results Participant Sample There were 350 participants (mean age, 64.9 years), and the majority were male (54.0%), were married (70.0%), and had lung cancer (54.6%). Most reported high utilization of emotional support coping (77.0%), whereas fewer reported high utilization of acceptance (44.8%), self-blame (37.9%), and denial (28.2%). Emotional support (QOL: β = 2.65, P < .01; depression: β = −0.56, P = .02) and acceptance (QOL: β = 1.55, P < .01; depression: β = −0.37, P = .01; anxiety: β = −0.34, P = .02) correlated with better QOL and mood. Denial (QOL: β = −1.97, P < .01; depression: β = 0.36, P = .01; anxiety: β = 0.61, P < .01) and self-blame (QOL: β = −2.31, P < .01; depression: β = 0.58, P < .01; anxiety: β = 0.66, P < .01) correlated with worse QOL and mood. Conclusion Patients with newly diagnosed, incurable cancer use a variety of coping strategies. The use of emotional support and acceptance coping strategies correlated with better QOL and mood, whereas the use of denial and self-blame negatively correlated with these outcomes. Interventions to improve patients’ QOL and mood should seek to cultivate the use of adaptive coping strategies.

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Section: Discussionsupporting

confidence: 88%

The relationship between coping strategies, quality of life, and mood in patients with incurable cancer

Nipp

El‐Jawahri

Fishbein

et al. 2016

Cancer

194

171

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“…A person may use different coping strategies over time, and the effectivity of a certain strategy depends on the situation. Several studies found that cancer patients using active, problem‐focused coping strategies were healthier both psychologically and physically . Cancer patients using an avoiding coping strategy experienced more depressive symptoms and worse physical health, although, not all studies confirm this .…”

Section: Introductionmentioning

confidence: 99%

The relation between depression, coping and health locus of control: differences between older and younger patients, with and without cancer

et al. 2015

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“…Other studies indicate that some impairments endure over longer periods. Physical (eg, pain), psychological (eg, psychological distress), and social (eg, role functioning) difficulties are reported by BC survivors even many years after diagnosis …”

Section: Introductionmentioning

confidence: 99%

“…Physical (eg, pain), psychological (eg, psychological distress), and social (eg, role functioning) difficulties are reported by BC survivors even many years after diagnosis. [9][10][11][12] In fact, there is marked variability in trajectories of adjustment from diagnosis into sustained survivorship. 13 Both cross-sectional and longitudinal studies indicate that individual differences in adjustment are associated with a wide range of factors, including sociodemographic (eg, age and education), disease-related (eg, treatment type), and psychosocial factors (eg, social support and optimism).…”

mentioning

confidence: 99%

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

2016

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Objectives: Breast cancer (BC) can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to BC. This systematic review examines which sociodemographic, disease-related, and psychosocial factors near diagnosis predict later psychological adjustment to BC. Methods:Database searches were conducted in nine different health-related databases from 2000 to December 2015 using relevant search terms. Full-text, peer-reviewed articles in English that analyzed potential predictors of psychological adjustment in longitudinal studies were considered for inclusion.Results: Of 1780 abstracts 41 studies fulfilled inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adjustment were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress, and quality of life for women with BC, in predictable ways. Other psychosocial variables, such as cognitive and body image factors, predicted psychological adjustment but were explored only by a few studies. Conclusions:The majority of studies showed a significant relationship between psychosocial factors and psychological adjustment. These results point to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be referred for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress.

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Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship

Cited by 50 publications

References 50 publications

The relationship between coping strategies, quality of life, and mood in patients with incurable cancer

The relationship between coping strategies, quality of life, and mood in patients with incurable cancer

The relation between depression, coping and health locus of control: differences between older and younger patients, with and without cancer

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

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