Crane Tracy E, Badger Terry A, Sikorskii Alla, Segrin Chris, Hsu Chiu-Hsieh, Rosenfeld Anne G
University of Arizona.
University of Arizona Cancer Center.
Oncol Nurs Forum. 2019 Mar 1;46(2):217-227. doi: 10.1188/19.ONF.217-227.
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.
Three trajectories emerged for depression.
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.
识别具有独特抑郁和焦虑轨迹的拉丁裔乳腺癌幸存者亚组，并检查与这些亚组相关的预测因素。
对来自三项心理社会干预研究的拉丁裔乳腺癌幸存者（N = 293）进行二次分析。
在入组时、第8周和第16周评估抑郁和焦虑情况。采用基于群体的生长混合模型来识别遵循不同抑郁和焦虑轨迹的亚组。使用多项逻辑回归模型来识别基于轨迹的亚组成员资格的预测因素。
出现了三种抑郁轨迹。
接受乳腺癌治疗的拉丁裔女性患抑郁和焦虑的风险较高，且这些症状遵循不同的轨迹。需要心理社会干预来管理这些症状，特别是对于抑郁和焦虑持续或加重的亚组。
