Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors.

Autor: Yanez B; a Department of Medical Social Sciences , Northwestern University Feinberg School of Medicine , Chicago , IL , USA., Maggard Gibbons M; b Department of Surgery , UCLA Medical Center , Los Angeles , CA , USA., Moreno PI; c Department of Psychology , University of California , Los Angeles , CA , USA., Jorge A; c Department of Psychology , University of California , Los Angeles , CA , USA., Stanton AL; c Department of Psychology , University of California , Los Angeles , CA , USA.
Jazyk: angličtina
Zdroj: Psychology & health [Psychol Health] 2016 Nov; Vol. 31 (11), pp. 1359-74. Date of Electronic Publication: 2016 Jul 26.
DOI: 10.1080/08870446.2016.1208821
Abstrakt: Objective: This study sought to investigate the unique contributions of socio-ecological, cultural and cancer treatment-related factors in predicting depressive symptoms and cancer-specific distress among Latinas.
Design: Participants were 140 English or Spanish-speaking Latinas (Mage = 50.6) with non-metastatic breast cancer who were assessed within two years of diagnosis (Time 1) and three months later (Time 2).
Main Measures: Hierarchical regression analyses identified predictors of depressive symptoms and cancer-specific distress at Time 1 and 2.
Results: Most women scored above the clinical cut-offs for depressive symptoms and cancer-specific distress. After adjusting for socio-ecological factors, greater Latino enculturation, measured by Latino ethnic identity, was significantly associated with greater cancer-specific distress at Time 1 (β = .20, p < .05). A significant interaction (p < .01) revealed that among women high on Latino identity, lower English language use was associated with more cancer-specific distress than higher English language use. After adjusting for socio-ecological factors, greater satisfaction with surgical treatment predicted improved depressive symptoms and cancer-specific distress across time (βs range from -.31 to -.18, ps < .01).
Conclusions: Findings elucidate the complex relationship between culture and psychological outcomes in the breast cancer context and suggest that treatment satisfaction might be an important intervention target for Latinas.
Databáze: MEDLINE
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