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Published on: November 30, 2015
Racial and ethnic differences in post-traumatic stress trajectories in breast cancer survivors
Melissa Mazor1, Alex Nelson2, Krystina Mathelier3
1Division of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Purpose:
To describe differences in post-traumatic stress (PTS) symptoms over time among racial and ethnic minoritized breast cancer survivors (BCS) with comorbid diabetes.
Design:
In a multisite longitudinal study, post-traumatic stress was evaluated at baseline, 6 and 12 months through self-reported questionnaires (Impact of Events Scale-Revised [IES-R]).
Participants:
One hundred and seventy-eight post-treatment BCS with diabetes were recruited from three tertiary medical centers.
Findings:
Relative to non-Hispanic White women, minoritized women reported higher total IES-R scores at all time points. In the adjusted model, Latina women reported persistently higher IES-R total scores and Latina, and 'Other' women reported higher avoidance scores.
Conclusions:
Minoritized BCS with comorbid diabetes report higher rates of cancer related PTS that persist over 12 months.
Implications For Psychosocial Providers:
Post diagnosis PTS evaluation and support is important in survivorship and primary care practices. Linkage to socially and culturally sensitive community support may be warranted.
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