Are There Resilience Resources That Can Be Harnessed to Manage Psychological Distress in Spanish-speaking Latinas With Breast Cancer?
Year: 2019
Type: other
Abstract: Introduction: Latina breast cancer survivors are at higher risk of psychological distress than their white counterparts. We examined associations of intrapersonal and interpersonal resilience resources with psychological distress among Spanish-speaking Latinas with breast cancer.Methods: Analyses used baseline data from a RCT study of a stress management intervention among 151 Latinas with non-metastatic breast cancer. Outcome measures were health distress and anxiety. Intrapersonal resources included spirituality (meaning/peace), stress management skills (assertiveness, coping confidence with general problems), and cancer self-efficacy (patient activation, positive attitude and coping with breast cancer treatment). Interpersonal resources were social support (emotional, tangible) and neighborhood cohesion. Linear regression analyses examined bivariate and multivariate associations of resources with health distress and anxiety. Resources associated with outcomes at p<.20 in bivariate models were included in multivariate models. Final models regressed each outcome on remaining resources, controlling for education, marital status, cancer stage, surgery type, and treatment. Results: Self-efficacy for coping with breast cancer treatment was associated independently and inversely with both health distress (p<0.05) and anxiety (p<0.05). Coping confidence with general problems (p<0.05) and having a sense of neighborhood cohesion (p<0.05) were associated independently and inversely with health distress. Feeling a sense of peace (p<0.05) and having tangible social support (p<0.05) were associated independently and inversely with anxiety. Conclusions: Interventions that enhance self-efficacy in coping with problems and managing cancer side effects, and that foster skills to identify sources of support or a sense of peace may decrease feelings of psychological distress for Latinas with breast cancer.
Authors: Jasmine Santoyo-Olsson, Carmen Ortiz, Jasmine Santoyo-Olsson
Institutions: University of California, San Francisco, Círculo de Vida
Language: English
Topic: Cancer survivorship and care
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4213332203