Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship
Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship
复制标题
DOI：
10.1002/pon.3357
复制
发表时间：
2013-12-01
期刊：
影响因子：
3.6
通讯作者：
VandeWeerd, Carla
中科院分区：
文献类型：
--
作者：
Loi, Claudia X. Aguado;Baldwin, Julie A.;VandeWeerd, Carla
背景：女性癌症患者同时出现抑郁症会使癌症治疗复杂化，导致两种疾病的治疗依从性差，如果不治疗会降低生存率。本研究的目的是探讨拉丁裔乳腺癌survivors.MethodsA封闭式问卷调查抑郁症的危险因素，通过电话管理68拉丁裔乳腺癌诊断在过去的5years。使用患者健康量表9测量抑郁症状，并应用恩迪科特替代标准。采用认知评价健康量表和简明科普量表测量评价和应对。描述性统计，双变量和多元线性回归分析完成。ResultsApproximately 45.6%的妇女报告抑郁症状。多变量分析表明，认知评价变量（减少挑战或克服的潜力），应对变量（增加接受，较少的积极重构，较少的积极应对，较少使用情感支持，物质使用和更多的自责），身体形象差，较少的家庭和同伴支持与抑郁症的风险增加显着相关。个人内部变量占最大的解释方差（69%）。ConclusionsThis study identified several risk factors for depression.研究结果强调了干预计划的必要性，以帮助妇女正常化与癌症及其治疗相关的情绪和思想，并提高她们的认知能力，以克服，接受和积极地重新构建癌症和妇女在整个癌症连续体中面临的其他困难情况。家庭和同伴的支持对改善抑郁症状的重要性也很明显。版权所有（c）2013约翰威利父子有限公司
BackgroundCo-occurring depression in women with cancer can complicate cancer treatment, lead to poor treatment adherence for both conditions, and decrease survival if left untreated. The purpose of this study was to explore risk factors for depression among Latina breast cancer survivors.MethodsA closed-ended questionnaire was administered by telephone to 68 Latinas diagnosed with breast cancer within the past 5years. Depression symptoms were measured using the Patient Health Questionaire-9 with the Endicott substitutive criteria applied. The Cognitive Appraisal Health Scale and the Brief COPE were used to measure appraisal and coping. Descriptive statistics, bivariate and multiple linear regression analyses were completed.ResultsApproximately 45.6% of women reported depressive symptoms. Multivariate analyses showed that a cognitive appraisal variable (decreased challenge or the potential to overcome), coping variables (increased acceptance, less positive reframing, less active coping, less use of emotional support, substance use and more self-blame), poor body image, less family and peer support to be significantly associated with an increased risk for depression. Intrapersonal variables accounted for the greatest explained variance (69%).ConclusionsThis study identified several risk factors for depression. Study findings highlight the need for intervention programs to help women normalize emotions and thoughts related to cancer and its treatments, and to improve their cognitive abilities to overcome, accept, and positively reframe cancer and other difficult situations women face throughout the cancer continuum. The importance of family and peer support to improve depressive symptoms was also evident. Copyright (c) 2013 John Wiley & Sons, Ltd.