Table 2.
Depression Symptomsa | Anxiety Symptomsa | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Characteristic | Bivariate Model | Multivariate Model | Bivariate Model | Multivariate Model 1 | Multivariate Model 2 | |||||
β | P value | β | P value | β | P value | β | P value | β | P value | |
R2 = 0.236 | R2 = 0.367 | R2 = 0.344 | ||||||||
Age at baseline | 0.002 | 0.804 | 0.003 | 0.707 | −0.001 | 0.890 | 0.004 | 0.545 | 0.004 | 0.547 |
Marital status | ||||||||||
Married or living with partner | −0.072 | 0.584 | −0.072 | 0.627 | −0.155 | 0.270 | −0.211 | 0.139 | −0.194 | 0.169 |
Single | REF | REF | REF | REF | REF | |||||
Months since diagnosis | −0.012 | 0.623 | −0.023 | 0.364 | −0.015 | 0.550 | −0.027 | 0.274 | −0.026 | 0.287 |
Stage | ||||||||||
0 | REF | REF | REF | REF | REF | |||||
1 | −0.224 | 0.293 | −0.406 | 0.124 | −0.137 | 0.545 | −0.201 | 0.429 | −0.148 | 0.553 |
2 | −0.119 | 0.476 | −0.408 | 0.078 | 0.085 | 0.633 | −0.051 | 0.819 | −0.082 | 0.708 |
3 | −0.195 | 0.315 | −0.667 | 0.017 | 0.120 | 0.563 | −0.112 | 0.674 | −0.073 | 0.782 |
Surgery | ||||||||||
Mastectomy | −0.029 | 0.828 | 0.240 | 0.167 | 0.189 | 0.182 | 0.321 | 0.056 | 0.300 | 0.070 |
Lumpectomy | REF | REF | REF | REF | REF | |||||
Adjuvant breast cancer treatment | ||||||||||
Both radiation and chemotherapy | 0.190 | 0.332 | 0.654 | 0.009 | −0.051 | 0.806 | 0.161 | 0.499 | 0.125 | 0.594 |
Only radiation | 0.006 | 0.978 | 0.194 | 0.387 | −0.271 | 0.220 | −0.076 | 0.726 | −0.084 | 0.692 |
Only chemotherapy | −0.019 | 0.936 | 0.340 | 0.209 | −0.191 | 0.439 | −0.027 | 0.916 | −0.091 | 0.723 |
Neither radiation and chemotherapy | REF | REF | REF | REF | REF | |||||
History of depression | ||||||||||
Pre‐diagnosis history of depression | 0.268 | 0.117 | 0.169 | 0.342 | 0.360 | 0.048 | 0.243 | 0.158 | 0.272 | 0.111 |
No history of depression | REF | REF | REF | REF | REF | |||||
Intrusive thoughts (continuous)b | 0.024 | 0.001 | 0.022 | 0.008 | 0.047 | <0.001 | 0.094 | <0.001 | 0.134 | <0.001 |
Social support (continuous)c | ||||||||||
Emotional/informational support | −0.167 | 0.014 | −0.111 | 0.273 | −0.119 | 0.102 | 0.028 | 0.771 | 0.023 | 0.812 |
Tangible support | −0.124 | 0.025 | −0.061 | 0.416 | −0.161 | 0.006 | 0.083 | 0.396 | −0.070 | 0.330 |
Affectionate support | −0.116 | 0.060 | 0.113 | 0.339 | −0.210 | 0.001 | −0.126 | 0.268 | 0.129 | 0.363 |
Positive social interaction | −0.127 | 0.027 | −0.052 | 0.630 | −0.139 | 0.024 | 0.090 | 0.384 | 0.091 | 0.375 |
Interaction termsd | ||||||||||
Emotional support × intrusive thoughts | ns | ns | ns | |||||||
Tangible support × intrusive thoughts | ns | −0.013 | 0.034 | ns | ||||||
Affectionate support × intrusive thoughts | ns | ns | −0.022 | 0.005 | ||||||
Positive social interaction × intrusive thoughts | ns | ns | ns |
Note. Significant P values are listed in bold.
Brief Symptom Inventory‐18 with two scales assessing anxiety and depression symptoms30; response options were 0 (not at all), 1 (a little bit), 2 (moderately), 3 (quite a bit), or 4 (extremely); scale scores were calculated as the mean of the nonmissing items, with a possible range of 0 to 4; higher scores = more psychological distress.
7‐item Intrusive Thoughts Scale, a subscale of the Revised Impact of Event Scale; response options were 0 (not at all), 1 (rarely), 2 (sometimes), and 3 (often), and using the published scoring algorithm, responses were recoded to 0, 1, 3, and 5 and summed for a total score with a possible range = 0 to 35, with higher scores = more intrusive thoughts.24
19‐item Medical Outcomes Study Social Support Survey with four scales assessing emotional/informational, tangible, affectionate, and positive interaction support26; scales were scored as the mean of nonmissing items with a possible range of 1 to 5; higher scores = more support.
ns = Interaction terms that were not significant at the multivariate level and were dropped from the final multivariate models.