ABSTRACT
This study examined a threshold model that proposes that social support exhibits a curvilinear association with adjustment and distress, such that support in excess of a critical threshold level has decreasing incremental benefits. Women diagnosed with a first occurrence of breast cancer (N = 154) completed survey measures of perceived support (Social Provisions Scale), quality of life (Functional Living Index--Cancer), adjustment (Psychological Adjustment to Illness Scale) and psychological distress (Brief Symptom Inventory) approximately 3 weeks after surgical treatment and 8-16 months later. Consistent with a threshold model, multiple regression analyses suggested a significant curvilinear relationship between social support and distress at Time 1 and Time 2 and between social support and adjustment at Time 2. Consistent with this model, the significant bivariate correlations between social support and outcomes were accounted for almost entirely by women in the lowest quartile of support. Social support among women in the highest 3 quartiles was unrelated or only marginally related to adjustment and distress.
Subject(s)
Adaptation, Psychological , Anxiety/psychology , Breast Neoplasms/psychology , Breast Neoplasms/surgery , Depression/psychology , Sick Role , Social Support , Adult , Aged , Aged, 80 and over , Anxiety/diagnosis , Breast Neoplasms/drug therapy , Breast Neoplasms/radiotherapy , Chemotherapy, Adjuvant/psychology , Combined Modality Therapy/psychology , Depression/diagnosis , Female , Follow-Up Studies , Humans , Middle Aged , Models, Psychological , Quality of Life/psychology , Radiotherapy, Adjuvant , Statistics as TopicABSTRACT
In this study, we aimed to explore the experiences of 10 female Taiwanese childhood sexual abuse (CSA) survivors (age range = 20-39 years) to broaden our understanding of the post-abuse coping process in a Chinese sociocultural context. This investigation was grounded on a feminist paradigm, and the consensual qualitative research method (Hill et al., 2005; Hill, Thompson, & Williams, 1997) was utilized as the strategy of inquiry. The transactional and ecological model of coping that emerged from the data describes the dynamic interplay among (a) intrapersonal, interpersonal, and sociocultural factors and (b) the coping process and outcomes of CSA survivors. Implications for research on CSA recovery and culturally appropriate interventions in a collectivistic sociocultural context are discussed.
Subject(s)
Adaptation, Psychological , Child Abuse, Sexual/psychology , Models, Psychological , Survivors/psychology , Adolescent , Adult , Child , Child Abuse, Sexual/statistics & numerical data , Female , Humans , Social Support , Surveys and Questionnaires , Survivors/statistics & numerical data , Taiwan , Young AdultABSTRACT
INTRODUCTION: Emotional care of the breast cancer patient is not well understood; this lack of understanding results in both a high cost to the patient, as well as the health care system. This study examined the role of problem-solving style as a predictor of emotional distress, adjustment to breast cancer, and physical function immediately post-surgery and 12 months later. METHODS: The sample consisted of 121 women diagnosed with breast cancer and undergoing surgery as a primary treatment. The survivors completed a measure of problem-solving style and three outcome measures immediately post-surgery, as well as at 1 year later. There was a 95.6% retention rate at 1 year. RESULTS: Multiple hierarchical regressions revealed, after controlling for patient demographics and stage of cancer, that problem-solving style (particularly personal control) was associated with emotional distress, adjustment to chronic illness, and physical function immediately following surgical intervention. In addition, a more positive problem-solving style was associated with less emotional distress, but not a better adaptation to a chronic illness or physical functioning 12 months later; the Personal Control again was the best single predictor of the emotional distress, adding 10% of the variance in predicting this outcome. CONCLUSIONS: The utility of post-surgery assessment may help identify those in need for problem-solving training to improve these outcomes at 1 year. Future studies need to determine the impact of interventions tailored to levels of problem-solving styles in cancer survivors over time. IMPLICATIONS FOR CANCER SURVIVORS: Understanding the role of problem solving style in breast cancer survivors deserves attention as it is associated with emotional distress immediately and one year after medical intervention. Problem-solving style should be evaluated early, and interventions established for those most at risk for emotional distress.
Subject(s)
Adaptation, Psychological/physiology , Breast Neoplasms/rehabilitation , Breast Neoplasms/therapy , Problem Solving/physiology , Psychotherapy/methods , Activities of Daily Living/psychology , Adult , Breast Neoplasms/diagnosis , Breast Neoplasms/psychology , Female , Follow-Up Studies , Humans , Mastectomy/psychology , Mastectomy/rehabilitation , Middle Aged , Prognosis , Psychological Tests , Treatment Outcome , Young AdultABSTRACT
This study examined the psychometric properties of the Drinking Motives Measure (DMM) on a sample of 227 collegiate athletes. Confirmatory factor analyses indicated that the 4-factor structure of the DMM provided a better fit than either 2- or 1-factor models, but the overall fit of the 4-factor model was moderate at best. A revised 3-factor model consistent with prior research (M. L. Cooper, M. Russell, J. B. Skinner, & M. Windle, 1992) provided the best fit. Hierarchical multiple regression analyses indicated that the 3 DMM factors included in the revised model accounted for 17%-21% of the unique variance on alcohol consumption variables. Results provide preliminary evidence supporting the internal consistency, construct validity, and convergent validity of the revised 3-factor DMM with collegiate athletes.