A Longitudinal Study of Depression, Fatigue, and Sleep Disturbances as a Symptom Cluster in Women With Breast Cancer Sheau-Yan Ho, BA, Kelly J. Rohan,

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A Longitudinal Study of Depression, Fatigue, and Sleep Disturbances as a Symptom Cluster in Women With Breast Cancer Sheau-Yan Ho, BA, Kelly J. Rohan, PhD, Justin Parent, BA, Felice A. Tager, PhD, Paula S. McKinley, PhD Journal of Pain and Symptom Management Volume 49, Issue 4, Pages 707-715 (April 2015) DOI: 10.1016/j.jpainsymman.2014.09.009 Copyright © 2015 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Saturated model of within- and cross-symptom temporal relations in breast cancer patients. Between-symptom correlations at T2 and T1–T3 within- and cross-symptom paths are not depicted to keep the figure legible. Journal of Pain and Symptom Management 2015 49, 707-715DOI: (10.1016/j.jpainsymman.2014.09.009) Copyright © 2015 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Model 1: depression, fatigue, and sleep disturbances in the postmenopausal sample. Only statistically significant pathways are displayed in the model. **P ≤ 0.01, ***P ≤ 0.001. Refer to Table 3 for model statistics. Journal of Pain and Symptom Management 2015 49, 707-715DOI: (10.1016/j.jpainsymman.2014.09.009) Copyright © 2015 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Model 2: depression, fatigue, and sleep disturbances in the premenopausal sample. Only statistically significant pathways are displayed in the model. **P ≤ 0.01, ***P ≤ 0.001. Refer to Table 3 for model statistics. Journal of Pain and Symptom Management 2015 49, 707-715DOI: (10.1016/j.jpainsymman.2014.09.009) Copyright © 2015 American Academy of Hospice and Palliative Medicine Terms and Conditions