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Cited by 23Cancer survivorship and carePatient-Provider Communication in HealthcareWomen's cancer prevention and management

Anxiety and depression among Black breast cancer survivors: Examining the role of patient-provider communication and cultural values

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Lake, Paige W., Conley, Claire C., Pal, Tuya, Sutton, Steven K., Vadaparampil, Susan T.·2022·Patient Education and Counseling
DOI 10.1016/j.pec.2021.12.020PMC PMC10777429
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Abstract

Objective Breast cancer survivors frequently experience anxiety and depression post-treatment. Patient-provider communication and cultural values may impact these psychological outcomes. We examined the impact of patient-provider communication and cultural values on anxiety and depression among Black breast cancer survivors.Methods Using an observational, cross-sectional design, 351 survivors self-reported patient-provider communication (quality, confidence), cultural values (religiosity, collectivism, future time orientation), anxiety, and depression. Patients were categorized into high, moderate, and low levels of communication and cultural values. Separate linear regressions examined the effect of levels of communication and cultural values on anxiety and depression, controlling for sociodemographic variables.Results A subset of breast cancer survivors reported clinically significant symptoms of anxiety (40%) and depression (20%). Communication was associated with anxiety (β = -0.14, p = 0.01) and depression (β = -0.10, p = 0.04). Specifically, women reporting higher levels of communication quality/confidence reported lower levels of anxiety and depression. There was a trend towards a significant association between cultural values and depression (β = -0.09, p = 0.06).Conclusions Black breast cancer survivors experience poor psychological functioning. Effective patient-provider communication may reduce anxiety and depression post-treatment.Practice implications Patient-provider relationships and patient empowerment may be key components of cancer survivorship. Special attention should be paid to patient-centered communication for Black breast cancer survivors.

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  • Enhancing team communication may be an important intervention for African American breast cancer patients.

    “Enhancing team communication may be an important intervention for African American breast cancer patients [9].”

    From Psychological Intervention and Breast Cancer (2024) · cites this paper as [9]

    The Practice implications section recommends interventions to improve communication between Black breast cancer patients and their providers. It does not address communication among members of a care team, which “team communication” could imply. (LLM, conf=0.78)

    Experimental — accuracy not yet measured

  • 20% of Black breast cancer patients had significant depression.

    “Up to 40% of Black breast cancer patients had anxiety, and 20% had significant depression [9].”

    From Psychological Intervention and Breast Cancer (2024) · cites this paper as [9]

    The Discussion reports clinically significant depression in 20% of the study’s Black breast cancer survivors. The citing sentence describes Black breast cancer patients generally, whereas the reported rate is for a post-treatment survivor sample. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Patients who noted communication issues with their medical providers had a higher incidence of distress.

    “Patients who noted communication issues with their medical providers had a higher incidence of distress [9].”

    From Psychological Intervention and Breast Cancer (2024) · cites this paper as [9]

    The Discussion reports that Black breast cancer survivors who perceived better provider communication had lower levels of anxiety and depression, supporting an association between communication difficulties and psychological symptoms. The study was cross-sectional and measured symptom levels, not the incidence of new distress cases; it also does not establish that communication difficulties caused the symptoms. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Up to 40% of Black breast cancer patients had anxiety.

    “Up to 40% of Black breast cancer patients had anxiety, and 20% had significant depression [9].”

    From Psychological Intervention and Breast Cancer (2024) · cites this paper as [9]

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Authors
Lake, P. W., Conley, C. C., Pal, T., Sutton, S. K., & Vadaparampil, S. T.
Affiliations
  • Moffitt Cancer Center (US)
  • Georgetown University (US)
  • Vanderbilt University Medical Center (US)
Corresponding author
Vadaparampil, Susan T.
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2022-07
Volume
105
Issue
7
Pages
2391-2396
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2021.12.020
PMC
PMC10777429
OpenAlex
W4223992126
Cited by
23
References
62
Citations by year
2026: 2 · 2025: 6 · 2024: 9 · 2023: 5 · 2022: 1
FWCI
2.20
Type
journal article
Language
en
Open access
Licence
Locations
  • Patient Education and Counseling (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
American Cancer Society
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords
breast cancer survivors, anxiety, depression, patient-provider communication, cultural values, Black women, religiosity, collectivism, future time perspective, patient-centered communication, patient empowerment, cancer survivorship
MeSH terms
Cancer Survivors, Anxiety, Breast Neoplasms, Communication, Cross-Sectional Studies, Depression, Female, Humans, Survivors

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