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- Title
Trajectories of Depression and Anxiety in Latina Breast Cancer Survivors.
- Authors
Crane, Tracy E.; Badger, Terry A.; Sikorskii, Alla; Segrin, Chris; Chiu-Hsieh Hsu; Rosenfeld, Anne G.
- Abstract
OBJECTIVES: To identify subgroups of Latina breast cancer survivors with unique trajectories of depression and anxiety and examine predictors associated with these subgroups. SAMPLE & SETTING: Secondary analysis of Latina breast cancer survivors (N = 293) from three psychosocial intervention studies. METHODS & VARIABLES: Depression and anxiety were assessed at intake and at weeks 8 and 16. Group-based growth mixture modeling was used to identify subgroups who followed distinct trajectories of depression and anxiety. Multinomial logistic regression models were used to identify predictors of trajectory-based subgroup membership. RESULTS: Three trajectories emerged for depression: low/moderate-stable (78%), high-improving (7%), and high-stable (15%). Three subgroups based on the trajectories of anxiety were low-stable (73%), high-improving (18%), and high-worsening (9%). Chemotherapy, age, and social support discriminated among the three depression trajectory subgroups. All anxiety trajectory subgroups had significantly different initial scores. No demographic or clinical factors were associated with anxiety trajectories. IMPLICATIONS FOR NURSING: Latina women treated for breast cancer are at an elevated risk for depression and anxiety and follow distinct trajectories of these symptoms. Psychosocial interventions are needed to manage these symptoms, particularly for subgroups in which depression and anxiety persist or worsen.
- Subjects
UNITED States; PREVENTION of psychological stress; ANXIETY; BREAST tumors; ANALYSIS of variance; CANCER patient psychology; CHI-squared test; CONFIDENCE intervals; MENTAL depression; PSYCHOLOGICAL distress; HISPANIC Americans; QUALITY of life; LOGISTIC regression analysis; SECONDARY analysis; SOCIAL support; SYMPTOMS; WELL-being; DATA analysis software; STATE-Trait Anxiety Inventory; DESCRIPTIVE statistics; ODDS ratio; CANCER &; psychology
- Publication
Oncology Nursing Forum, 2019, Vol 46, Issue 2, p217
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/19.ONF.217-227