{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:40:58Z","timestamp":1792608058048,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["MRSG\u201019\u2010086\u201001\u2010CPPB"],"award-info":[{"award-number":["MRSG\u201019\u2010086\u201001\u2010CPPB"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Financial toxicity, or the negative economic effect of cancer treatment, has been cross\u2010sectionally associated with poorer psychosocial outcomes in patients with breast cancer. Few studies have examined financial toxicity longitudinally or in Black women with cancer in particular.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Black women with non\u2010metastatic breast cancer enrolled in this prospective study within 2\u00a0months of diagnosis. Participants completed the Comprehensive Score for Financial Toxicity (COST) and the Center for Epidemiologic Studies Depression (CES\u2010D) at baseline, 2\u00a0months, 4\u00a0months, and 18\u00a0months. We used a random\u2010intercept cross\u2010lagged panel model to examine two components of the relationship between financial toxicity and depressive symptoms: the overall association (correlation of the intercepts) and the association over time. We hypothesized that financial toxicity would be associated with greater depressive symptoms (i.e., intercepts would be correlated). We further hypothesized that financial toxicity and depressive symptoms would predict each other over time (i.e., greater financial toxicity at one timepoint would be associated with greater depressive symptoms at the next timepoint, and vice versa).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 107 participants, mean baseline COST score was 24.1 (SD\u00a0=\u00a09.9); mean baseline CES\u2010D score was 15.0 (SD\u00a0=\u00a010.9). We found a strong overall association between depressive symptoms and financial toxicity (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a0\u22120.63,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), but the constructs did not predict each other over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Financial toxicity and depressive symptoms were strongly correlated, but we did not find prospective effects. Findings speak to the importance of longitudinal financial toxicity research in understanding patterns over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70633","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:58:08Z","timestamp":1792605488000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examination of Longitudinal Interdependence Between Financial Toxicity and Depressive Symptoms in Black Women With Breast Cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3891-8488","authenticated-orcid":false,"given":"Tess","family":"Thompson","sequence":"first","affiliation":[{"name":"School of Social Work University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6814-7795","authenticated-orcid":false,"given":"Thomas L.","family":"Rodebaugh","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8470-9075","authenticated-orcid":false,"given":"Demeisha","family":"Carlton\u2010Brown","sequence":"additional","affiliation":[{"name":"School of Social Work University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Margenthaler","sequence":"additional","affiliation":[{"name":"Division of General Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Glover\u2010Collins","sequence":"additional","affiliation":[{"name":"Division of General Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8773-0425","authenticated-orcid":false,"given":"Marjory","family":"Charlot","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Division of Oncology University of North Carolina School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Troester","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Epidemiology University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emani","family":"Sargent","sequence":"additional","affiliation":[{"name":"Brown School of Social Work Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-1666","authenticated-orcid":false,"given":"Bridgette","family":"Thom","sequence":"additional","affiliation":[{"name":"School of Social Work University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.70043"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/edbk\u201025\u2010473450"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.21575"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30369"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2012\u20100279"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ncc.0000000000001262"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.70075"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26801"},{"key":"e_1_2_10_10_1","unstructured":"FACIT Group \u201cCOST: A FACIT Measure of Financial Toxicity \u201d (2026) https:\/\/www.facit.org\/measures\/facit\u2010cost."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28814"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010023\u201008172\u2010w"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.12.003"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.46091"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010024\u201015895\u20105"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13544"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001539"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010soc\u2010090324\u2010022010"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21874"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/10732748251362950"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1200\/op\u201024\u201000598"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2144\/fsoa\u20102023\u20100229"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/25152459231158378"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000647"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcacs.2025.1452970"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1200\/op.24.00375"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hlae024"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/10732748251344469"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70633","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70633","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:58:10Z","timestamp":1792605490000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/pon.70633"],"URL":"https:\/\/doi.org\/10.1002\/pon.70633","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-08-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70633"}}