Center of Community Alliance for Research and Education (CCARE), Department of Population Sciences, City of Hope National Medical Center, Duarte, CA 91010-3000, USA.
Psychooncology. 2013 Apr;22(4):845-53. doi: 10.1002/pon.3084. Epub 2012 Apr 30.
Healthcare professionals are providing care for a growing number of Latinas who are breast cancer survivors (BCS) and at greater risk for distress. This study reports on the prevalence of depressive symptomatology among a cohort of Latina BCS.
This study reports the outcomes of a population-based sample of 232 Latina BCS recruited via case ascertainment from the California-Cancer and hospital registries.
Fifty-three percent had elevated depressive symptoms. In the regression model, education, physical functioning, social support, family stress, functional stress, social functioning, and Spanish language preference were significantly associated with depressive symptoms.
Among Latina BCS, the prevalence of depressed mood may be higher than European-Americans and presents a formidable clinical challenge. These findings underscore the need for timely, appropriate assessment of distress and its contributing factors including patients' socio-ecological contexts and family strain to inform effective patient-centered and family-centered psychosocial referrals and intervention strategies to reduce distress and the undue burden of cancer among Latinos. Latino survivors constitute an increasing proportion of patients in community medical practices. Thus, the requisite to perform follow-up cancer care that addresses the needs of the whole person is rapidly emerging in prominence as a component of medical practice. Therefore, primary care providers and oncology and mental health specialists must work collaboratively via the sharing of electronic medical records, survivorship care plans, and consultations to implement the Institute of Medicine and National Comprehensive Cancer Network recommendations by attending to the psychological status of cancer patients to optimize patient outcomes.
医疗保健专业人员正在为越来越多的乳腺癌幸存者（BCS）和处于更大困扰风险中的拉丁裔女性提供护理。本研究报告了一组拉丁裔 BCS 患者中抑郁症状的流行情况。
本研究报告了通过加利福尼亚癌症和医院登记处的病例确定从人群中招募的 232 名拉丁裔 BCS 的结果。
53%的人有明显的抑郁症状。在回归模型中，教育程度、身体功能、社会支持、家庭压力、功能压力、社会功能和西班牙语偏好与抑郁症状显著相关。
在拉丁裔 BCS 中，情绪低落的患病率可能高于欧洲裔美国人，这构成了严峻的临床挑战。这些发现强调了及时、适当评估困扰及其相关因素的必要性，包括患者的社会生态背景和家庭压力，以制定有效的以患者为中心和以家庭为中心的心理社会转介和干预策略，从而减轻拉丁裔人群的困扰和癌症带来的不必要负担。拉丁裔幸存者在社区医疗实践中的患者比例不断增加。因此，执行后续癌症护理以满足整个人的需求作为医疗实践的一个组成部分迅速变得越来越重要。因此，初级保健提供者和肿瘤学和心理健康专家必须通过共享电子病历、生存护理计划和咨询来协作，以通过关注癌症患者的心理状况来优化患者的治疗效果，从而实施医学研究所和国家综合癌症网络的建议。
