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

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalQuality of Life Research
DOIs
StateAccepted/In press - Feb 16 2016

Fingerprint

Survivors
Depression
Breast Neoplasms
Psychology
Neurobehavioral Manifestations
Interpersonal Relations
Cross-Sectional Studies
Quality of Life
Demography

Keywords

  • Breast cancer survivors
  • Depressive symptoms
  • Social cognitive processing
  • Social constraints

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Factors associated with depressive symptoms in young long-term breast cancer survivors. / Cohee, Andrea; Stump, Timothy; Adams, Rebecca N.; Johns, Shelley; Von Ah, Diane; Zoppi, Kathleen; Fife, Betsy; Monahan, Patrick; Cella, David; Champion, Victoria.

In: Quality of Life Research, 16.02.2016, p. 1-7.

Research output: Contribution to journalArticle

@article{af2d48670ed04eb8b01bc036af280241,
title = "Factors associated with depressive symptoms in young long-term breast cancer survivors",
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.",
keywords = "Breast cancer survivors, Depressive symptoms, Social cognitive processing, Social constraints",
author = "Andrea Cohee and Timothy Stump and Adams, {Rebecca N.} and Shelley Johns and {Von Ah}, Diane and Kathleen Zoppi and Betsy Fife and Patrick Monahan and David Cella and Victoria Champion",
year = "2016",
month = "2",
day = "16",
doi = "10.1007/s11136-016-1241-6",
language = "English (US)",
pages = "1--7",
journal = "Quality of Life Research",
issn = "0962-9343",
publisher = "Springer Netherlands",

}

TY - JOUR

T1 - Factors associated with depressive symptoms in young long-term breast cancer survivors

AU - Cohee, Andrea

AU - Stump, Timothy

AU - Adams, Rebecca N.

AU - Johns, Shelley

AU - Von Ah, Diane

AU - Zoppi, Kathleen

AU - Fife, Betsy

AU - Monahan, Patrick

AU - Cella, David

AU - Champion, Victoria

PY - 2016/2/16

Y1 - 2016/2/16

N2 - 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.

AB - 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.

KW - Breast cancer survivors

KW - Depressive symptoms

KW - Social cognitive processing

KW - Social constraints

UR - http://www.scopus.com/inward/record.url?scp=84958760771&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958760771&partnerID=8YFLogxK

U2 - 10.1007/s11136-016-1241-6

DO - 10.1007/s11136-016-1241-6

M3 - Article

SP - 1

EP - 7

JO - Quality of Life Research

JF - Quality of Life Research

SN - 0962-9343

ER -