Increases in stress and adverse childhood experiences are associated with the co-occurrence of anxiety and depression in oncology patients.

Journal: Journal of psychosocial oncology

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Affiliated Institutions:  Department of Physiological Nursing, School of Nursing, University of California, San Francisco, CA, USA. Department of Psychiatry, School of Medicine, University of Arkansas, Little Rock, AK, USA. Phyllis F. Cantor Research Center, Dana Farber Cancer Institute, Boston, MA, USA. Department of Health Promotion and Prevention, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA. Department of Medicine, School of Medicine, University of California, San Francisco, CA, USA.

Abstract summary 

Identify subgroups of patients with distinct joint anxiety AND depression profiles and evaluate for differences in demographic and clinical characteristics, as well as stress, resilience, and coping.Longitudinal study.Patients ( = 1328) receiving chemotherapy.Measures of state anxiety and depression were done six times over two cycles of chemotherapy. All of the other measures were completed prior to second or third cycle of chemotherapy. Latent profile analysis was used to identify the distinct joint anxiety and depression profiles.Three classes were identified (i.e. Low Anxiety and Low Depression (57.5%); Moderate Anxiety and Moderate Depression (33.7%), High Anxiety and High Depression (8.8%)). For all of the stress measures, a dose response effect was seen among the profiles. Two worst profiles reported higher occurrence rates for a number of adverse childhood experiences.Patients need referrals for stress reduction techniques and mental health and social services.

Authors & Co-authors:  Coupe Block Mark Cooper Paul Dunn Hammer Conley Levine Miaskowski

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1080/07347332.2024.2326146
SSN : 1540-7586
Study Population
Male,Female
Mesh Terms
Other Terms
adverse childhood experiences;anxiety;cancer;coping;depression;post-traumatic stress disorder;psychological distress, resilience;stress
Study Design
Longitudinal Study
Study Approach
Country of Study
Publication Country
United States