TY - JOUR PY - 2015// TI - Exploration of depressive symptoms in African American cancer patients JO - Journal of mental health A1 - Zhang, Amy Y. A1 - Gary, Faye A. A1 - Zhu, Hui SP - 351 EP - 356 VL - 24 IS - 6 N2 - BACKGROUND: Accurately assessing depression in African American cancer patients is difficult because of the similarities of physical symptoms observed in cancer and depression.

AIM: To identify universal and distinctive depressive symptoms in African American cancer patients.

METHODS: Seventy-four cancer patients (34 depressed and 23 non-depressed African Americans, and 17 depressed Whites) were interviewed. Qualitative and quantitative analyses were conducted.

RESULTS: Compared to non-depressed African Americans, depressed African Americans reported irritability, social isolation, insomnia, fatigue and crying (p ≤ 0.05) more frequently over time. Compared to depressed Whites, they reported sadness, frustration and intrusive thoughts less frequently (p ≤ 0.05), but insomnia and fatigue more frequently (p ≤ 0.05) during cancer treatment. There was little racial difference at the time of interview.

CONCLUSION: Depressed African American cancer patients may benefit from more culturally sensitive depression measures that consider symptoms of irritability, social isolation and altered expressions of depressive mood.

Language: en

LA - en SN - 0963-8237 UR - http://dx.doi.org/10.3109/09638237.2014.998806 ID - ref1 ER -