Identifying risk and protective factors related to depressive symptoms among Northern Plains American Indian women cancer survivors

Soonhee Roh, Catherine E. Burnette, Yeon Shim Lee, Jarod T. Giger, R. Turner Goins, Daniel G. Petereit, Michael J. Lawler, Kyoung Hag Lee

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)646-659
Number of pages14
JournalWomen and Health
Volume59
Issue number6
DOIs
StatePublished - Jul 3 2019

Bibliographical note

Publisher Copyright:
© 2018, © 2018 Taylor & Francis Group, LLC.

Keywords

  • American Indian women
  • cancer survivors
  • depressive symptoms
  • protective factors
  • risk factors

ASJC Scopus subject areas

  • General Medicine

Fingerprint

Dive into the research topics of 'Identifying risk and protective factors related to depressive symptoms among Northern Plains American Indian women cancer survivors'. Together they form a unique fingerprint.

Cite this