title: Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors.
abstract: This study sought to investigate the unique contributions of socio-ecological, cultural and cancer treatment-related factors in predicting depressive symptoms and cancer-specific distress among Latinas.
  
  
  
  Participants were 140 English or Spanish-speaking Latinas (Mage = 50.6) with non-metastatic breast cancer who were assessed within two years of diagnosis (Time 1) and three months later (Time 2).
  
  
  
  Hierarchical regression analyses identified predictors of depressive symptoms and cancer-specific distress at Time 1 and 2.
  
  
  
  Most women scored above the clinical cut-offs for depressive symptoms and cancer-specific distress. After adjusting for socio-ecological factors, greater Latino enculturation, measured by Latino ethnic identity, was significantly associated with greater cancer-specific distress at Time 1 (β = .20, p < .05). A significant interaction (p < .01) revealed that among women high on Latino identity, lower English language use was associated with more cancer-specific distress than higher English language use. After adjusting for socio-ecological factors, greater satisfaction with surgical treatment predicted improved depressive symptoms and cancer-specific distress across time (βs range from -.31 to -.18, ps < .01).
  
  
  
  Findings elucidate the complex relationship between culture and psychological outcomes in the breast cancer context and suggest that treatment satisfaction might be an important intervention target for Latinas.
authors.affiliation: a Department of Medical Social Sciences , Northwestern University Feinberg School of Medicine , Chicago , IL , USA.
authors.forename: Betina
authors.initials: B
authors.lastname: Yanez
authors.affiliation: b Department of Surgery , UCLA Medical Center , Los Angeles , CA , USA.
authors.forename: Melinda
authors.initials: M
authors.lastname: Maggard Gibbons
authors.affiliation: c Department of Psychology , University of California , Los Angeles , CA , USA.
authors.forename: Patricia I
authors.initials: PI
authors.lastname: Moreno
authors.affiliation: c Department of Psychology , University of California , Los Angeles , CA , USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Jorge
authors.affiliation: c Department of Psychology , University of California , Los Angeles , CA , USA.
authors.forename: Annette L
authors.initials: AL
authors.lastname: Stanton
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology* / Q000523:psychology / Q000601:surgery; D003466:Cultural Characteristics; D003863:Depression / Q000208:ethnology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D017060:Patient Satisfaction / Q000208:ethnology / Q000706:statistics & numerical data; D012044:Regression Analysis; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data
keywords: Latina; acculturation; breast cancer; distress; psychosocial; treatment satisfaction