Relation of social constraints on disclosure to adjustment among Chinese American cancer survivors: A multiprocesses approach
Autor: | Shelby Ivy, Bernice Cheung, Krystal Warmoth, Celia C. Y. Wong, Qian Lu |
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Rok vydání: | 2018 |
Předmět: |
Adult
Breast Neoplasms Experimental and Cognitive Psychology Truth Disclosure Ambivalence 03 medical and health sciences Social support 0302 clinical medicine Breast cancer Cancer Survivors medicine Humans Emotional expression 030212 general & internal medicine Path analysis (statistics) Depressive symptoms Aged Chinese americans Asian Depression Social Support Middle Aged medicine.disease Intrusive thought Psychiatry and Mental health Oncology 030220 oncology & carcinogenesis Female medicine.symptom Psychology Clinical psychology |
Zdroj: | Psycho-Oncology. 27:977-982 |
ISSN: | 1057-9249 |
DOI: | 10.1002/pon.4604 |
Popis: | Purpose The present study examines the association between social constraints and depressive symptoms among Chinese American breast cancer survivors, and the mechanism underling this association. A multiprocesses model is tested to examine the mediating roles of ambivalence over emotional expression (AEE), avoidance, intrusive thoughts, and social support in the association between social constraints and depressive symptoms among Chinese American breast cancer survivors. Methods Ninety-six Chinese American breast cancer survivors were recruited from Chinese community organizations. They were asked to complete a questionnaire package that assessed social constraints, AEE, avoidance, intrusive thoughts, social support, depressive symptoms, and demographic information. Path analysis was conducted to test the hypothesized model. Results The overall and specific indirect effects of social constraints on depressive symptoms through AEE, avoidance, intrusive thoughts, and social support are significant. When the mediators are controlled for, the direct effect of social constraints on depressive symptoms is no longer significant. Conclusions A multiprocesses model of social constraints and depressive symptoms is tested in a sample of Chinese American breast cancer survivors. The findings suggest that the existence of multiple pathways through which social constraints may associate with depressive symptoms among Chinese American breast cancer survivors. |
Databáze: | OpenAIRE |
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