Loss of Resources as Mediators between Interpersonal Trauma and Traumatic and Depressive Symptoms among Women with Cancer
trauma; social support; cancer; Psychology; women; posttraumatic-stress-disorder; ptsd symptoms; breast-cancer; resources; child sexual-abuse; empirical literature; long-term sequelae; partner relationship; psychological distress; vietnam veterans
We hypothesized that loss of interpersonal, financial and work resources would mediate the relationship between physical and sexual abuse, cancer-related Posttraumatic Stress Disorder (PTSD) symptoms, noncancer-related PTSD symptoms and depressive mood among women with cancer. Participants were 64 women with heterogeneous cancers (64.1% breast cancer) seeking outpatient treatment. Structured interviews were conducted to assess for preQ cancer interpersonal trauma, recent loss of interpersonal, financial and work resources, cancer-related PTSD symptoms, noncancer-related PTSD symptoms and depressive mood. Only interpersonal loss mediated the relationship between earlier interpersonal trauma and current PTSD symptoms and depressive mood. Implications of the findings are discussed.
Banou E; Hobfoll S E; Trochelman R D
Journal of Health Psychology
2009
2009-03
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1177/1359105308100204" target="_blank" rel="noreferrer noopener">10.1177/1359105308100204</a>
Using established predictors of post-traumatic stress to explain variations in recovery outcomes among orthopedic patients.
*Recovery of Function; 80 and over; 80 and Over; activity; Adult; adults; Aged; Arthroplasty; Clinical Assessment Tools; Coefficient Alpha; Comorbidity; Depression; Descriptive Statistics; disability; Disabled; distress; Female; Funding Source; health care; Hip Fractures – Surgery; Hip/*psychology; Human; Humans; Knee; Knee/*psychology; Male; Middle Age; Middle Aged; Ohio; Orthopedic Surgery; outcomes; P-Value; Pain; Pain Measurement; Post-Traumatic – Risk Factors; Post-Traumatic/*etiology; Prospective Studies; Record Review; Recovery; Regression; Regression Analysis; Replacement; Risk Assessment; Scales; Stress Disorders; T-Tests; Treatment Outcomes; Walking
The present studies examine whether information contained in medical records can be used to predict outcomes following two orthopedic procedures: repair of hip fracture and total knee replacement. Study 1 reports the acute, in-hospital recovery data from the medical records of 119 hip fracture patients. Study 2 is a prospective, longitudinal investigation of 3-month postoperative recovery of 110 total knee replacement patients. Patients characterized by a greater number of post-traumatic stress risk factors experienced poorer outcomes following orthopedic surgery. Our results suggest that patients at risk for negative outcomes can be identified by information readily available to medical personnel.
Cremeans-Smith Julie K; Contrera Kevin; Speering Leann; Miller Eric T; Pfefferle Kiel; Greene Kenneth; Delahanty Douglas L
Journal of Health Psychology
2015
2015-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/1359105313511135" target="_blank" rel="noreferrer noopener">10.1177/1359105313511135</a>
Predicting symptoms of post-traumatic stress among patients undergoing orthopedic surgery on the basis of routinely collected cardiovascular data.
Female; Male; Aged; Heart Rate; Sample Size; Arthroplasty; Knee; Blood Pressure; Human; Descriptive Statistics; Funding Source; P-Value; Scales; Evaluation Research; Middle Age; Clinical Assessment Tools; Impact of Events Scale; Outcomes (Health Care); Power Analysis; T-Tests; Replacement; Stress Disorders; Center for Epidemiological Studies Depression Scale; Cardiovascular System; Predictive Research; Post-Traumatic – Symptoms
Cremeans-Smith Julie K; Krupko Thomas A; Greene Kenneth; Delahanty Douglas L
Journal of Health Psychology
2013
2013-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/1359105312438110" target="_blank" rel="noreferrer noopener">10.1177/1359105312438110</a>
PTSD after Traumatic Injury: An Investigation of the Impact of Injury Severity and Peritraumatic Moderators.
Adult; Female; Male; Risk Factors; Hospitals; Midwestern United States; Questionnaires; Descriptive Statistics; Funding Source; P-Value; One-Way Analysis of Variance; Pearson's Correlation Coefficient; Regression; Community; Stress Disorders; Severity of Illness; Severity of Injury; Trauma – Complications; Post-Traumatic – Etiology; Trauma – Etiology
Gabert-Quillen Crystal A; Fallon William; Delahanty Douglas L
Journal of Health Psychology
2011
2011-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/1359105310386823" target="_blank" rel="noreferrer noopener">10.1177/1359105310386823</a>
Proximal and distal predictors of AIDS risk behaviors among inner-city African American and European American women
AIDS risk; attitudes; condom use; ethnic differences; health behavior; intervention; knowledge; model; perceptions; Psychology; safer sex; self-efficacy; social norms; stress
AIDS risk behavior and attitudes towards safer sex were studied in a sample of 666 African American and 626 European American women. Condom use, AIDS-related knowledge, risk perception, self-efficacy beliefs, attitudes and perceived partner attitudes, and an assertive coping style were analyzed with regard to mean differences and predictive power in both ethnic groups. Compared to European American women, African American women had less knowledge and lower self-efficacy beliefs towards safer sex behavior, but they perceived themselves to be at more risk and reported greater condom use. Further, ethnicity was found to moderate the effects of the psychological predictors on safer sex behavior. This moderator effect was tested using a structural equation modeling design. In both groups, risk perception was the strongest predictor of condom use. Among African American women, social-cognitive barriers (e.g. low self-efficacy beliefs, negative attitude towards condom use) worked as a second predictor and mediator of the effects of risk perception on condom use. In contrast, among European American women, social-cognitive factors had no effect on condom use. In general, prediction of safer sex behavior was stronger among African American women.
Schroder K E E; Hobfoll S E; Jackson A P; Lavin J
Journal of Health Psychology
2001
2001-03
Journal Article
<a href="http://doi.org/10.1177/135910530100600207" target="_blank" rel="noreferrer noopener">10.1177/135910530100600207</a>
Age moderates the relationship between source of social support and mental health in racial minority lesbian, gay, and bisexual youth.
depression; sexuality; social support; trauma; youth
We examined the relationship between source of social support and mental health (and the moderating impact of age) in 64 low socioeconomic status, racial minority lesbian, gay, and bisexual adolescents/young adults. Social support from family ( beta = -.302, p = .03; beta = -.364, p = .008), but not friends or significant others, was independently related to posttraumatic stress disorder and depression symptoms, respectively. Family social support was associated with lower posttraumatic stress disorder and depression symptoms in participants aged
Wise Anna E; Smith Brian C; Armelie Aaron P; Boarts Jessica M; Delahanty Douglas L
Journal of Health Psychology
2017
2017-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/1359105316686667" target="_blank" rel="noreferrer noopener">10.1177/1359105316686667</a>
Age moderates the relationship between source of social support and mental health in racial minority lesbian, gay, and bisexual youth
Depression; sexuality; social support; trauma; youth
We examined the relationship between source of social support and mental health (and the moderating impact of age) in 64 low socioeconomic status, racial minority lesbian, gay, and bisexual adolescents/young adults. Social support from family ( β = -.302, p = .03; β = -.364, p = .008), but not friends or significant others, was independently related to posttraumatic stress disorder and depression symptoms, respectively. Family social support was associated with lower posttraumatic stress disorder and depression symptoms in participants aged 16-19 years, while friend social support was associated with lower symptoms for participants aged over 20 years. Friend social support was also associated with lower posttraumatic stress disorder symptoms in participants aged 16-17 years. Interventions should target age-appropriate sources of social support.
Wise Anna E; Smith Brian C; Armelie Aaron P; Boarts Jessica M; Delahanty Douglas L
Journal of Health Psychology
2019
2019-06
<a href="http://doi.org/10.1177/1359105316686667" target="_blank" rel="noreferrer noopener">10.1177/1359105316686667</a>