title: Relationship Between Depressive Symptoms and Social Cognitive Processing in Partners of Long-Term Breast Cancer Survivors.
abstract: To determine (a) if depressive symptoms in partners of long-term breast cancer survivors (BCSs) could be predicted by social cognitive processing theory and (b) if partners of younger and older BCSs were differentially affected by the cancer experience. .
  
  
  
  A cross-sectional, descriptive study using self-report questionnaires. .
  
  
  
  Indiana University in Bloomington and 97 ECOG-ACRIN Cancer Research Group sites in the United States. .
  
  
  
  508 partners of BCSs diagnosed three to eight years prior to the study.  .
  
  
  
  Secondary data mediation analyses were conducted to determine if cognitive processing mediated the relationship between social constraints and depressive symptoms. Age-related differences on all scales were tested. .
  
  
  
  Depressive symptoms; secondary variables included social constraints, cognitive processing (avoidance and intrusive thoughts), and potentially confounding variables. .
  
  
  
  Cognitive processing mediated the relationship between social constraints and depressive symptoms for partners. Partners of younger BCSs reported worse outcomes on all measures than partners of older BCSs. .
  
  
  
  As predicted by the social cognitive processing theory, cognitive processing mediated the relationship between social constraints and depressive symptoms. In addition, partners of younger BCSs fared worse on social constraints, intrusive thoughts, and depressive symptoms than partners of older BCSs.  .
  
  
  
  Results provide support for using the social cognitive processing theory in an intervention design with partners of long-term BCSs to decrease depressive symptoms.
authors.affiliation: Indiana University in Indianapolis.
authors.forename: Andrea A
authors.initials: AA
authors.lastname: Cohee
authors.affiliation: Indiana University-Purdue University in Indianapolis.
authors.forename: Rebecca N
authors.initials: RN
authors.lastname: Adams
authors.affiliation: Indiana University.
authors.forename: Betsy L
authors.initials: BL
authors.lastname: Fife
authors.affiliation: Indiana University.
authors.forename: Diane M
authors.initials: DM
authors.lastname: Von Ah
authors.affiliation: Department of Measurement and Statistics, Indiana University.
authors.forename: Patrick O
authors.initials: PO
authors.lastname: Monahan
authors.affiliation: Community Health Network.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Zoppi
authors.affiliation: Northwestern University.
authors.forename: David
authors.initials: D
authors.lastname: Cella
authors.affiliation: Indiana University in Indianapolis.
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Champion
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology*; D000073116:Cancer Survivors / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology* / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report; D012747:Sexual Partners / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States
keywords: breast cancer; depressive symptoms; partners; social cognitive processing theory; social constraints