The importance of contextual factors and age in association with anxiety and depression in Black breast cancer patients

Objectives Limited research exists on correlates of psychosocial distress in Black breast cancer patients. The goals of the study were to describe the prevalence of distress (anxiety and depression) in Black women with breast cancer and to examine the influence of demographic, clinical, contextual (...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2014-02, Vol.23 (2), p.143-150
Main Authors: Sheppard, Vanessa B., Harper, Felicity W. K., Davis, Kimberly, Hirpa, Fikru, Makambi, Kepher
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
African Americans - psychology
Age Factors
Anxiety
Anxiety - psychology
Anxiety-Depression
Attitude to Health
Breast cancer
Breast Neoplasms - psychology
Correlation analysis
Demographics
Depression - psychology
Distrust
Female
Humans
Linear Models
Mental depression
Middle Aged
Multivariate Analysis
Patient Participation
Patient satisfaction
Psychological distress
Religion and Psychology
Risk Factors
Self Efficacy
Selfefficacy
Stress, Psychological - psychology
Trust
Women
Womens health
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Summary:Objectives Limited research exists on correlates of psychosocial distress in Black breast cancer patients. The goals of the study were to describe the prevalence of distress (anxiety and depression) in Black women with breast cancer and to examine the influence of demographic, clinical, contextual (e.g., self‐efficacy, medical mistrust), and process of care factors (e.g., patient satisfaction) on women's level of anxiety and depression. Methods Eighty‐two Black women diagnosed with invasive non‐metastatic breast cancer were interviewed by phone. Collected data included demographic, clinical, contextual, and process of care factors. Bivariate correlations were used to examine relationships between those variables. Multiple linear regressions were used to examine predictors of anxiety and depression. Results About one‐third of the women (32%) met cut‐off thresholds for distress. Medical mistrust and positive attitude had significant influences on anxiety levels, whereas age and positive attitude were determinants of levels of depression. Participants with higher medical mistrust reported more anxiety (r = .379; p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3382