Anxiety and Depression in Breast Cancer Survivors of Different Sexual Orientations
Anxiety and Depression in Breast Cancer Survivors of Different Sexual Orientations
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DOI：
10.1037/a0027494
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发表时间：
2012-06-01
影响因子：
5.9
通讯作者：
Winter, Michael
中科院分区：
文献类型：
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作者：
Boehmer, Ulrike;Glickman, Mark;Winter, Michael
目的：我们进行了一项研究，比较长期乳腺癌幸存者不同性取向的焦虑和抑郁情况，检验性少数女性（例如女同性恋和双性恋女性）焦虑和抑郁程度更高的假设。方法：我们从州癌症登记处招募了 257 名异性恋和 69 名性少数女性，她们被诊断患有原发性非转移性乳腺癌。为了增加性少数群体参与者的数量，我们使用便利的招募方法，额外招募了 112 名性少数女性，她们符合与登记样本相同的资格标准。通过电话调查，我们使用医院焦虑和抑郁量表（Zigmond & Snaith，1983）评估了参与者的临床和人口特征以及焦虑和抑郁的结果。结果：我们没有证实我们的研究假设，但发现性取向通过与人口和临床因素的相互作用与焦虑和抑郁相关。年龄较小和社会经济地位较低与更严重的焦虑和抑郁有关。这些因素只能解释不到 20% 的焦虑和抑郁差异。结论：长期乳腺癌幸存者样本显示出较低的心理发病率，而一些性少数幸存者则更加抑郁。未来的研究应该检查解释因素，以解释性少数幸存者的心理康复好于预期的情况。
Objective: We conducted a study comparing anxiety and depression by sexual orientation in long-term breast cancer survivors, testing the hypothesis that sexual minority women (e.g., lesbian and bisexual women) have greater levels of anxiety and depression. Method: From a state cancer registry, we recruited 257 heterosexual and 69 sexual minority women with a diagnosis of primary, nonmetastatic breast cancer. To increase the number of sexual minority participants, we used convenience recruitment methods and obtained an additional 112 sexual minority women who fit the same eligibility criteria as did the registry-derived sample. Using a telephone survey, we assessed clinical and demographic characteristics of the participants and the outcomes of anxiety and depression using the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983). Results: We did not confirm our study hypothesis but found that sexual orientation is associated with anxiety and depression through interactions with demographic and clinical factors. Younger age and lower socioeconomic status are associated with worse anxiety and depression. These factors explain less than 20% of the variance in anxiety and depression. Conclusions: This sample of long-term breast cancer survivors shows low levels of psychological morbidity, while some sexual minority survivors are more depressed. Future research should examine explanatory factors to account for the better-than-expected psychological rehabilitation of sexual minority survivors.