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Quality of Life Research
Erschienen in: Quality of Life Research 8/2016

16.02.2016

Factors associated with depressive symptoms in young long-term breast cancer survivors

verfasst von: Andrea A. Cohee, Timothy Stump, Rebecca N. Adams, Shelley A. Johns, Diane Von Ah, Kathleen Zoppi, Betsy Fife, Patrick O. Monahan, David Cella, Victoria L. Champion

Erschienen in: Quality of Life Research | Ausgabe 8/2016

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Abstract

Purpose

Long-term breast cancer survivors frequently report distress (i.e., depressive symptoms) that impacts their quality of life. Previous studies have found that negative social interactions (“social constraints”) from partners contribute to long-term, unresolved cycling of intrusive thoughts and cognitive avoidance, resulting in psychological distress. However, these relationships have not been tested in long-term breast cancer survivors. Furthermore, the effect of partners’ depressive symptoms on the survivors’ depressive symptoms has not been tested within the context of these relationships. Therefore, the purpose of this study was to test relationships between breast cancer survivors’ depressive symptoms and (1) social constraints, cognitive avoidance, and intrusive thoughts, and (2) partners’ depressive symptoms.

Methods

Data were from a cross-sectional descriptive study of breast cancer survivors (N = 222) 3–8 years post-diagnosis and their partners, who completed surveys assessing demographic characteristics, social constraints, intrusive thoughts, cognitive avoidance, and depressive symptoms. Structural equation modeling confirmatory path analyses were conducted to determine significant relationships between survivors’ depressive symptoms and all other variables.

Results

Our model fits the data well. Breast cancer survivors’ depressive symptoms were predicted by social constraints and intrusive thoughts. The relationship between survivors’ depressive symptoms and partners’ depressive symptoms was close but not significant.

Conclusions

As hypothesized, depressive symptoms were predicted by social constraints and intrusive thoughts. Further research is needed to understand the possible relationship between survivors’ long-term depressive symptoms and cognitive avoidance and partners’ depressive symptoms. Our findings highlight the negative impact of social constraints from partners on psychological outcomes in long-term breast cancer survivors.
Vorheriger Artikel Determinants of quality of life among long-term breast cancer survivors
Nächster Artikel Health-related quality of life among Indigenous Australians diagnosed with cancer

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Metadaten
Titel
Factors associated with depressive symptoms in young long-term breast cancer survivors
verfasst von
Andrea A. Cohee
Timothy Stump
Rebecca N. Adams
Shelley A. Johns
Diane Von Ah
Kathleen Zoppi
Betsy Fife
Patrick O. Monahan
David Cella
Victoria L. Champion
Publikationsdatum
16.02.2016
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 8/2016
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1241-6

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