Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors |
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Authors: | Betina Yanez Melinda Maggard Gibbons Patricia I Moreno Alexandra Jorge Annette L Stanton |
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Institution: | 1. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA;2. Department of Surgery, UCLA Medical Center, Los Angeles, CA, USA;3. Department of Psychology, University of California, Los Angeles, CA, USA |
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Abstract: | 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. |
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Keywords: | Latina breast cancer acculturation psychosocial distress treatment satisfaction |
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