TY - JOUR
T1 - An exploration of the relative influence of patient's age and cancer recurrence status on symptom distress, anxiety, and depression over time
AU - Step, Mary M.
AU - Kypriotakis, George M.
AU - Rose, Julia H.
N1 - Funding Information:
This study was supported by funds granted to Dr. Step through a Case Comprehensive Cancer Center support grant from the National Cancer Institute CA043703. Dr. Rose and Dr. Kypriotakis were further supported by National Cancer Institute and National Institute of Aging funds (Rose: R01CA10282).
PY - 2013/3/1
Y1 - 2013/3/1
N2 - Past research suggests that psychosocial responses to advanced or recurrent cancer vary by age. This study compares the relative influences of patients age and recurrence status on indicators of symptom distress, anxiety, and depression following a diagnosis of advanced cancer. A prospective study of advanced cancer support provided patient outcome data reported at baseline, 3-, and 6-month intervals. Cohorts were defined by age group and recurrence status and latent growth curves fit to anxiety, depression, and symptom distress outcomes. Middle-age recurrent patients reported the highest symptom distress, depression, and anxiety across time points. Older recurrent patients fared worse at baseline than older nonrecurrent patients, but outcome scores converged across time points. Recurrent cancer presents a distinct challenge that, for middle-age patients, persists across time. It may be beneficial to develop targeted educational and support resources for middle-age patients with recurrent disease.
AB - Past research suggests that psychosocial responses to advanced or recurrent cancer vary by age. This study compares the relative influences of patients age and recurrence status on indicators of symptom distress, anxiety, and depression following a diagnosis of advanced cancer. A prospective study of advanced cancer support provided patient outcome data reported at baseline, 3-, and 6-month intervals. Cohorts were defined by age group and recurrence status and latent growth curves fit to anxiety, depression, and symptom distress outcomes. Middle-age recurrent patients reported the highest symptom distress, depression, and anxiety across time points. Older recurrent patients fared worse at baseline than older nonrecurrent patients, but outcome scores converged across time points. Recurrent cancer presents a distinct challenge that, for middle-age patients, persists across time. It may be beneficial to develop targeted educational and support resources for middle-age patients with recurrent disease.
KW - age differences
KW - anxiety
KW - cancer recurrence
KW - depression
KW - distress
UR - http://www.scopus.com/inward/record.url?scp=84876137680&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876137680&partnerID=8YFLogxK
U2 - 10.1080/07347332.2012.761318
DO - 10.1080/07347332.2012.761318
M3 - Article
C2 - 23514253
AN - SCOPUS:84876137680
SN - 0734-7332
VL - 31
SP - 168
EP - 190
JO - Journal of Psychosocial Oncology
JF - Journal of Psychosocial Oncology
IS - 2
ER -