Family Predictors of Psychosocial Outcomes Among Hong Kong Chinese Cancer Patients in Palliative Care: Living and Dying with the “Support Paradox”

Chan, Wing Shing; Epstein, Irwin; Reese, Dona J.; Chan, Cecilia L. W.

doi:10.1080/00981380902765824

Cited by 32 publications

(19 citation statements)

References 33 publications

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“…Quantitative studies have found that family support was positively associated with Chinese cancer patient's well‐being (Sun & Stewart ; Chan et al . ). These suggest the critical role of family support in the well‐being among Chinese cancer patients.…”

Section: Introductionmentioning

confidence: 97%

Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China

Yeung

Lü

2013

Eur J Cancer Care (Engl)

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Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in ChinaPrevious studies have shown that self-efficacy influences cancer survivors' quality of life. As most of the relevant findings are based on Caucasian cancer survivors, whether the same relationship holds among Asian cancer patients and through what mechanism self-efficacy influences quality of life are unclear. This study examined the association between self-efficacy and quality of life among Chinese cancer survivors, and proposed affect (positive and negative) as a mediator between self-efficacy and quality of life. A sample of 238 Chinese cancer survivors (75% female, mean age = 55.7) were recruited from Beijing, China. Self-efficacy, affect (positive and negative) and quality of life were measured in a questionnaire package. Self-efficacy was positively associated with quality of life and positive affect, and negatively associated with negative affect. Path analyses revealed the direct effect from self-efficacy to quality of life and the indirect effects from self-efficacy to quality of life through positive affect and negative affect. The beneficial role of self-efficacy in Chinese cancer survivors' quality of life and the mediating role of affect in explaining the relationship between self-efficacy and quality of life are supported. Future interventions should include self-care and affect regulation skills training to enhance cancer survivors' self-efficacy and positive affect, as this could help to improve Chinese cancer survivors' quality of life.

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Section: Introductionmentioning

confidence: 97%

Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China

Yeung

Lü

2013

Eur J Cancer Care (Engl)

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“…12,14 Chinese family members and patients are often interdependent. 15,16 Patients often rely on family members for emotional support and decision making, 17,18 and caregivers' support and acceptance may be considered an essential personal resource that may be associated with better psychosocial outcomes of Chinese palliative care patients. 19 As a result, family members still play a crucial role in deciding whether patients should know the truth.…”

Section: Introductionmentioning

confidence: 99%

Being Aware of the Prognosis: How Does It Relate to Palliative Care Patients' Anxiety and Communication Difficulty with Family Members in the Hong Kong Chinese Context?

Chan

2011

Journal of Palliative Medicine

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Chinese family members play an important role in end-of-life decision making. Culturally, they may believe that a patient's awareness of a poor prognosis could harm his or her well-being, and thus they may avoid telling the truth to the patient. To examine this cultural belief empirically, this study aimed to explore the relationships among the patient's awareness of the prognosis, the family's awareness of the prognosis, the patient's anxiety, and difficulty in communicating with family members. Clinical data mining was the research method. Clinical records of deceased cancer patients in the palliative care unit of a hospital during 2003-2005 were reviewed, and 935 patients were included in this study. Logistic regression analyses indicated that patients who did not have a clear awareness of their prognosis were more likely to experience anxiety (odds ratio [OR] = 1.44, 95% CI = 1.14-1.82, p = 0.002) and difficulty communicating with family members (OR = 2.11, 95% CI = 1.62-2.76, p < 0.001). Patients whose family members were less aware of the prognosis were more likely to experience difficulty communicating with family members (OR = 4.48, 95% CI = 1.93-10.42, p < 0.001). This study further suggests that awareness of prognosis may not harm Chinese patients. Instead, unrealistic incomplete awareness of prognosis by patients and family members may be associated with patient anxiety and difficulty communicating.

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“…But, informants rarely expressed this directly to their caregivers. Chan et al. (2009) propose a ‘support paradox’ to explain this feeling of ambivalence.…”

Section: Discussionmentioning

confidence: 99%

Holistic concerns of Chinese stroke survivors during hospitalization and in transition to home

Yeung

Wong

Mok

2011

Journal of Advanced Nursing

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Family Predictors of Psychosocial Outcomes Among Hong Kong Chinese Cancer Patients in Palliative Care: Living and Dying with the “Support Paradox”

Cited by 32 publications

References 33 publications

Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China

Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China

Being Aware of the Prognosis: How Does It Relate to Palliative Care Patients' Anxiety and Communication Difficulty with Family Members in the Hong Kong Chinese Context?

Holistic concerns of Chinese stroke survivors during hospitalization and in transition to home

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