UMMS Affiliation
Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
Publication Date
2021-06-09
Document Type
Article
Disciplines
Behavioral Medicine | Community Health | Community Health and Preventive Medicine | Neoplasms | Oncology | Preventive Medicine | Psychiatry and Psychology | Race and Ethnicity
Abstract
Background: Anxiety and depression symptoms are known to increase cancer symptom burden, yet little is known about the longitudinal integrations of these among Hispanic/Latinx patients. The goal of this study was to explore the trajectory and longitudinal interactions among anxiety and depression, cancer symptom burden, and health-related quality of life in Hispanic/Latinx cancer patients undergoing chemotherapy.
METHODS: Baseline behavioral assessments were performed before starting chemotherapy. Follow-up behavioral assessments were performed at 3, 6, and 9 months after starting chemotherapy. Descriptive statistics, chi-square tests, Fisher's exact tests, and Mann-Whitney tests explored associations among outcome variables. Adjusted multilevel mixed-effects linear regression models were also used to evaluate the association between HADS scores, follow-up visits, FACT-G scale, MDASI scale, and sociodemographic variables.
RESULTS: Increased cancer symptom burden was significantly related to changes in anxiety symptoms' scores (adjusted beta^ = 0.11 [95% CI: 0.02, 0.19]. Increased quality of life was significantly associated with decreased depression and anxiety symptoms (adjusted beta^ = -0.33; 95% CI: -0.47, -0.18, and 0.38 adjusted beta^= -0.38; 95% CI: -0.55, -0.20, respectively).
CONCLUSIONS: Findings highlight the need to conduct periodic mental health screenings among cancer patients initiating cancer treatment.
Keywords
Anxiety, Cancer, Cancer Symptom Burden, Depression, Hispanic/Latinx, Quality of Life
Rights and Permissions
Copyright © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
DOI of Published Version
10.3390/nursrep11020044
Source
Castro-Figueroa EM, Torres-Blasco N, Rosal MC, Jiménez JC, Castro-Rodríguez WP, González-Lorenzo M, Vélez-Cortés H, Toro-Bahamonde A, Costas-Muñiz R, Armaiz-Peña GN, Jim H. Brief Report: Hispanic Patients' Trajectory of Cancer Symptom Burden, Depression, Anxiety, and Quality of Life. Nurs Rep. 2021 Jun 9;11(2):475-483. doi: 10.3390/nursrep11020044. PMID: 34968222; PMCID: PMC8608069. Link to article on publisher's site
Journal/Book/Conference Title
Nursing reports (Pavia, Italy)
Related Resources
PubMed ID
34968222
Repository Citation
Castro-Figueroa EM, Torres-Blasco N, Rosal MC, Jimenez JC, Castro-Rodriguez WP, Gonzalez-Lorenzo M, Velez-Cortes H, Toro-Bahamonde A, Costas-Muniz R, Armaiz-Pena GN, Jim H. (2021). Brief Report: Hispanic Patients' Trajectory of Cancer Symptom Burden, Depression, Anxiety, and Quality of Life. UMass Worcester PRC Publications. https://doi.org/10.3390/nursrep11020044. Retrieved from https://escholarship.umassmed.edu/prc_pubs/170
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Behavioral Medicine Commons, Community Health Commons, Community Health and Preventive Medicine Commons, Neoplasms Commons, Oncology Commons, Preventive Medicine Commons, Psychiatry and Psychology Commons, Race and Ethnicity Commons