Latent Profile Analyses of Depressive Symptoms in Younger and Older Oncology Patients.

The aging of America will include a significant increase in the number of older patients with cancer, many of whom will experience significant depressive symptoms. Although geriatric depression is a well-studied construct, its symptom presentation in the context of cancer is less clear. Latent profi...

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Publicado en:Assessment Vol. 27; no. 7; pp. 1383 - 1399
Autores principales: Saracino, Rebecca M., Cham, Heining, Rosenfeld, Barry, J. Nelson, Christian
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2020
      vid: 27
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Latent Profile Analyses of Depressive Symptoms in Younger and Older Oncology Patients.
      aug:
        au:
          Saracino, Rebecca M.
          Cham, Heining
          Rosenfeld, Barry
          J. Nelson, Christian
        affil: Memorial Sloan Kettering Cancer Center, New York, NY, USA
      sug:
        subj:
          Neoplasms Psychosocial Factors
          Cancer Patients Psychosocial Factors
          Depression Symptoms
          Depression Symptoms
          Depression Symptoms
          Human
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Center for Epidemiological Studies Depression Scale
          Scales
          Questionnaires
          Severity of Illness
          Structural Equation Modeling
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: The aging of America will include a significant increase in the number of older patients with cancer, many of whom will experience significant depressive symptoms. Although geriatric depression is a well-studied construct, its symptom presentation in the context of cancer is less clear. Latent profile analysis was conducted on depressive symptoms in younger (40-64 years) and older (≥65 years) patients with cancer (N = 636). The sample was clinically heterogeneous (i.e., included all stages, dominated by advanced stage disease). Participants completed questionnaires including the Center for Epidemiological Studies Depression Scale, which was used for the latent profile analysis. A four-class pattern was supported for each age group. However, the four-class pattern was significantly different between the younger and older groups in terms of the item means within each corresponding latent class; differences were primarily driven by severity such that across classes, older adults endorsed milder symptoms. An unexpected measurement issue was uncovered regarding reverse-coded items, suggesting that they may generate unreliable scores on the Center for Epidemiological Studies Depression Scale for a significant subset of patients. The results indicate that cancer clinicians can expect to see depressive symptoms along a continuum of severity for patients of any age, with less severe symptoms among older patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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