@article{0fd470566f3342caac1a867e02d14b34,
title = "Trajectories of depression and anxiety in latina breast cancer survivors",
abstract = "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.",
keywords = "Anxiety, Breast cancer, Depression, Health disparity, Latina, Symptoms, Trajectories",
author = "Crane, {Tracy E.} and Badger, {Terry A.} and Alla Sikorskii and Chris Segrin and Hsu, {Chiu Hsieh} and Rosenfeld, {Anne G.}",
note = "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 ONFEditor@ons.org. (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.",
year = "2019",
month = mar,
doi = "10.1188/19.ONF.217-227",
language = "English (US)",
volume = "46",
pages = "217--227",
journal = "Oncology Nursing Forum",
issn = "0190-535X",
publisher = "Oncology Nursing Society",
number = "2",
}