TY - JOUR
T1 - Trajectories of depression and anxiety in latina breast cancer survivors
AU - Crane, Tracy E.
AU - Badger, Terry A.
AU - Sikorskii, Alla
AU - Segrin, Chris
AU - Hsu, Chiu Hsieh
AU - Rosenfeld, Anne G.
N1 - Funding Information:
Tracy E. Crane, PhD, MS, RDN, is an assistant professor in the College of Nursing at the University of Arizona in Tucson; Terry A. Badger, PhD, RN, PMHCNS-BC, FAAN, is a professor in the College of Nursing and the College of Medicine at the University of Arizona and chair of the Community Health and Systems Health Science Division at the University of Arizona Cancer Center in Tucson; Alla Sikorskii, PhD, is a professor in the Department of Psychiatry and Department of Statistics and Probability at Michigan State University in East Lansing; and Chris Segrin, PhD, is a professor in the College of Social and Behavioral Science, Chiu-Hsieh Hsu, PhD, is a professor in the Mel and Enid Zuckerman College of Public Health, and Anne G. Rosenfeld, PhD, RN, is a professor emerita in the College of Nursing, all at the University of Arizona. Crane can be reached at tecrane@ email.arizona.edu, with copy to [email protected]. (Submitted June 2018. Accepted October 9, 2018.) This research was funded through a grant (principal investigator [PI]: Badger) from the Livestrong Foundation and grants (PEP-08-300-01 PC1, RSG-12-120-01-CPPB, PI: Badger) from the American Cancer Society. Crane has previously received honorarium from the Shaw Cancer Center, has previously participated on speakers bureaus for the Circuelle Foundation, and has received additional support from NRG Oncology. Badger has previously consulted for the National Cancer Institute, and has received additional support from the American Cancer Society, Merck, and the V Foundation.
Publisher Copyright:
© 2019 Oncology Nursing Society. All rights reserved.
PY - 2019/3
Y1 - 2019/3
N2 - 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.
AB - 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.
KW - Anxiety
KW - Breast cancer
KW - Depression
KW - Health disparity
KW - Latina
KW - Symptoms
KW - Trajectories
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U2 - 10.1188/19.ONF.217-227
DO - 10.1188/19.ONF.217-227
M3 - Article
C2 - 30767959
AN - SCOPUS:85061616548
SN - 0190-535X
VL - 46
SP - 217
EP - 227
JO - Oncology nursing forum
JF - Oncology nursing forum
IS - 2
ER -