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- Title
Baseline Depressive Symptoms, Completion of Study Assessments, and Behavior Change in a Long-Term Dietary Intervention Among Breast Cancer Survivors.
- Authors
Wang, Julie; Pierce, John; Ayala, Guadalupe; Cadmus-Bertram, Lisa; Flatt, Shirley; Madanat, Hala; Newman, Vicky; Nichols, Jeanne; Natarajan, Loki; Wang, Julie B; Pierce, John P; Ayala, Guadalupe X; Cadmus-Bertram, Lisa A; Flatt, Shirley W; Newman, Vicky A; Nichols, Jeanne F
- Abstract
<bold>Background: </bold>Depressive symptoms can lower adherence and change in dietary studies. Behavioral activation may reduce these effects.<bold>Purpose: </bold>This study aims to assess relationships among depressive symptoms on adherence and dietary change in the Women's Healthy Eating and Living (WHEL) Study<bold>Methods: </bold>Secondary analyses from the WHEL Study, which achieved major dietary change in breast cancer survivors (N = 2817), were conducted. Logistic regressions were undertaken of baseline depressive symptoms (six-item Center for Epidemiologic Studies Depression Scale (CES-D)) with (1) completion of 1- and 4-year study assessments and (2) validated change in dietary behavior in the intervention group.<bold>Results: </bold>In the comparison group (vs. intervention), depressive symptoms lowered completion of dietary recalls and clinic visits [4 years: odds ratio (OR) = 2.0; 95 % confidence interval (CI) = 1.4-3.0]. The behaviorally oriented intervention achieved major change in those furthest from study targets, although changes were lower in those with depressive symptoms: fruit/vegetable (+37.2 %), fiber (+49.0 %), and fat (-22.4 %).<bold>Conclusions: </bold>Behavioral activation in dietary change interventions can overcome the impact of depressive symptoms.
- Subjects
BREAST cancer patients; MENTAL depression; FOOD habits; BEHAVIOR modification; PATIENT compliance; SYMPTOMS; DIET &; psychology; BREAST tumors; DIETARY fiber; FRUIT; HEALTH behavior; RESEARCH funding; VEGETABLES; CANCER &; psychology
- Publication
Annals of Behavioral Medicine, 2015, Vol 49, Issue 6, p819
- ISSN
0883-6612
- Publication type
journal article
- DOI
10.1007/s12160-015-9716-1