TY - JOUR
T1 - Identifying risk and protective factors related to depressive symptoms among Northern Plains American Indian women cancer survivors
AU - Roh, Soonhee
AU - Burnette, Catherine E.
AU - Lee, Yeon Shim
AU - Giger, Jarod T.
AU - Goins, R. Turner
AU - Petereit, Daniel G.
AU - Lawler, Michael J.
AU - Lee, Kyoung Hag
N1 - Publisher Copyright:
© 2018, © 2018 Taylor & Francis Group, LLC.
PY - 2019/7/3
Y1 - 2019/7/3
N2 - Cancer is the leading cause of death among American Indian and Alaska Native (AIAN) women, and depressive symptoms have been linked to higher mortality, but research on depressive symptoms among AIAN cancer patients has been scant. The purpose of this exploratory study was, using the Framework of Historical Oppression, Resilience, and Transcendence, to examine risk and protective factors related to depressive symptoms in American Indian (AI) women cancer survivors. We examined the relationships of adverse childhood experiences (ACE), perceived health status, resilience, and social support with depressive symptoms in Northern Plains AI women cancer survivors. We used a cross-sectional design with purposive sampling of 73 female cancer survivors (aged 18 years or older) between June 2014 and February 2015. Hierarchical multiple regression was used to test three sets of variables in relation to depressive symptoms: (1) sociodemographics, (2) risk factors (ACE and perceived health), and (3) protective factors (psychological resilience and social support). Approximately 47 percent of participants had probable depressive symptoms. Depressive symptoms were inversely associated with perceived health, psychological resilience, and social support. These results support bolstering existing social support among AI cancer patients and survivors as well as prevention and intervention efforts that strengthen resilience.
AB - Cancer is the leading cause of death among American Indian and Alaska Native (AIAN) women, and depressive symptoms have been linked to higher mortality, but research on depressive symptoms among AIAN cancer patients has been scant. The purpose of this exploratory study was, using the Framework of Historical Oppression, Resilience, and Transcendence, to examine risk and protective factors related to depressive symptoms in American Indian (AI) women cancer survivors. We examined the relationships of adverse childhood experiences (ACE), perceived health status, resilience, and social support with depressive symptoms in Northern Plains AI women cancer survivors. We used a cross-sectional design with purposive sampling of 73 female cancer survivors (aged 18 years or older) between June 2014 and February 2015. Hierarchical multiple regression was used to test three sets of variables in relation to depressive symptoms: (1) sociodemographics, (2) risk factors (ACE and perceived health), and (3) protective factors (psychological resilience and social support). Approximately 47 percent of participants had probable depressive symptoms. Depressive symptoms were inversely associated with perceived health, psychological resilience, and social support. These results support bolstering existing social support among AI cancer patients and survivors as well as prevention and intervention efforts that strengthen resilience.
KW - American Indian women
KW - cancer survivors
KW - depressive symptoms
KW - protective factors
KW - risk factors
UR - http://www.scopus.com/inward/record.url?scp=85057581136&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85057581136&partnerID=8YFLogxK
U2 - 10.1080/03630242.2018.1544965
DO - 10.1080/03630242.2018.1544965
M3 - Article
C2 - 30481139
AN - SCOPUS:85057581136
SN - 0363-0242
VL - 59
SP - 646
EP - 659
JO - Women and Health
JF - Women and Health
IS - 6
ER -