Self-stigma predicts lower quality of life in Chinese American breast cancer survivors: exploring the mediating role of intrusive thoughts and posttraumatic growth

Wong, Clifford; Pan-Weisz, Bradley; Pan-Weisz, Tonya M; Yeung, Nelson C. Y.; Mak, Winnie W. S.; Lü, Qian

doi:10.1007/s11136-019-02213-w

Cited by 22 publications

(27 citation statements)

References 45 publications

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“…The current study confirmed the negative association between self‐stigma and QOL found in the limited empirical studies on Chinese American breast cancer survivors 10,11 . Moreover, our findings suggest that self‐stigma may activate maladaptive cognitive (e.g., concerns about breast cancer and diminished self‐efficacy) and affective processes (e.g., depressive symptoms), which threaten QOL.…”

Section: Discussionsupporting

confidence: 87%

“…At the same time, this result should be interpreted with caution, as the nonsignificant direct effect does not preclude the possibility of additional mediators 35 . In particular, the few studies on Chinese American breast cancer survivors have reported the mediating effects of intrusive thoughts, posttraumatic growth, and perceived burden on the association between self‐stigma and QOL 10,11 . Thus, future research is warranted to elucidate the relationships among these psychological constructs and to further our understanding about the mechanisms underlying the association between self‐stigma and QOL for this population.…”

Section: Discussionmentioning

confidence: 83%

“…Research has revealed that such cancer stigma is widely endorsed and internalized by Chinese American breast cancer survivors, who perceive themselves as undesirable people who bring shame and burden to their families 8,9 . Research has found that self‐stigma related to breast cancer results in poor QOL among Chinese American breast cancer survivors 10,11 ; however, the underlying psychological mechanisms are understudied.…”

Section: Introductionmentioning

confidence: 99%

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Self‐stigma and quality of life among Chinese American breast cancer survivors: A serial multiple mediation model

et al. 2020

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Objective Despite the increasing scholarly attention toward self‐stigma among Asian breast cancer survivors, research is limited about the underlying psychological mechanisms by which self‐stigma may influence quality of life for this population. The present study investigated how self‐stigma is associated with quality of life among Chinese American breast cancer survivors by examining the serial mediating effects of concerns about breast cancer, self‐efficacy for coping with cancer, and depressive symptoms. Methods Chinese American breast cancer survivors (n = 112) completed a questionnaire packet assessing self‐stigma related to breast cancer, concerns about breast cancer, self‐efficacy for coping with cancer, depressive symptoms, and quality of life. Path analysis was conducted to test the hypothesized serial multiple mediation model. Results The hypothesized model was supported: self‐stigma was negatively associated with quality of life through concerns about breast cancer, self‐efficacy, and depressive symptoms. After the mediators were controlled for, the direct effect of self‐stigma on quality of life was no longer significant. Conclusions Our findings suggest that concerns about breast cancer, self‐efficacy for coping, and depressive symptoms are important pathways through which self‐stigma may influence quality of life among Chinese American breast cancer survivors. Healthcare practitioners should be aware of survivors' self‐stigma and make efforts to alleviate survivors' excessive cancer concerns, facilitate their self‐efficacy, and offer emotional support to improve quality of life for this population.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Self‐stigma and quality of life among Chinese American breast cancer survivors: A serial multiple mediation model

et al. 2020

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“…Each item was scored on a five-point scale from 0 (not at all) to 4 (extremely). According to a previous study [ 14 , 35 ], the FACT-B total score = PWB + SWB + EWB + FWB + BCS. A higher score reflects better HRQOL.…”

Section: Methodsmentioning

confidence: 99%

Health-related quality of life and social constraints among Chinese breast cancer patients: a cross-sectional study

Cui

Wang

2021

Health Qual Life Outcomes

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Background Most research studying social constraints has been performed among Caucasian or Asian American breast cancer (BC) patients, but few studies have evaluated social constraint levels and explored the effect of social constraints on the integrative health-related quality of life (HRQOL) of Chinese BC patients. Therefore, our study aimed to examine the association of social constraints with HRQOL among Chinese women with BC. Methods This was a cross-sectional study of 136 Chinese women diagnosed with BC in Liaoning Province, China, from December 2020 to May 2021. Questionnaire information contained HRQOL, social constraints, social support, social stigma, and sociodemographic and clinical characteristics. Multiple linear regression was used to analyse the association of psychological factors with HRQOL. Results The mean score of FACT-B was 96.05 (SD = 18.70). After controlling for potential confounders, social constraints (Beta = − 0.301, P < 0.001) and social stigma (Beta = − 0.241, P = 0.001) were negatively associated with HRQOL and social support (Beta = 0.330, P < 0.001) was positively associated with HRQOL, which explained 44.3% of the variance in HRQOL. Conclusions The findings of the current study suggest that Chinese BC patients’ HRQOL needs to be enhanced after treatment. Social constraints have a strong association with HRQOL. Intervention strategies focusing on less personal disclosure should be considered to avoid social constraints and improve HRQOL among Chinese patients with BC.

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“…Vários estudos já exploraram aspectos da vida das mulheres com câncer de mama usando questionários padronizados, com foco em suporte social, imagem corporal, qualidade de vida (QV) e reações psicológicas [3][4][5] . Contudo, falta a associação de um estudo qualitativo para confrontar os achados obtidos por meio de questionários e uma investigação sobre a percepção da QV e da esperança e a forma como o medo da progressão da doença integra a vida das pacientes com câncer de mama.…”

Section: Introductionunclassified

Esperança, Medo e Qualidade de vida Relacionada à Saúde na Percepção de Mulheres com Câncer de Mama

Ribeiro

Araújo

Mendonça

2021

Rev. Bras. Cancerol.

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Introdução: O período de diagnóstico e tratamento do câncer de mama é difícil, permeado de incertezas e associado a uma alta taxa de morbimortalidade. Objetivo: Conhecer o significado que as mulheres com câncer de mama em tratamento em um hospital universitário atribuíram à sua experiência de medo mascarado pelo sentimento de esperança, bem como investigar a percepção da qualidade de vida no enfrentamento da doença. Método: Estudo quanti-qualitativo com 78 mulheres. Para a avaliação quantitativa, avaliaram-se os escores do Medical Outcomes Study 36 – Item Short – Form Health Survey (SF-36) e da Escala de Esperança de Herth. Para a análise qualitativa, conduziram-se narrativas com dez dessas mulheres que foram analisadas por meio de métodos fenomenológicos de investigação. Resultados: Foram detectados escores reduzidos nos domínios capacidade funcional e saúde mental do SF-36 que implicam em impacto negativo na qualidade de vida e alto índice nos escores de esperança, o que é um fator positivo. Três classes centrais emergiram de 243 segmentos das narrativas por meio de declarações significativas e unidades de significado correspondentes. Conclusão: A experiência do período de diagnóstico e tratamento inclui enfrentamento, conhecimento da doença, assistência clínica (médicos, equipes), exaltação ao desespero e o paradoxo entre o medo e a esperança. Foi discutida a essência da experiência vivenciada e compartilhada pelas participantes à luz da teoria da doença, como uma ruptura da narrativa biográfica. O estudo destaca implicações para a equipe de médicos, coordenadores do Sistema Unificado de Saúde e outros profissionais da saúde.

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Self-stigma predicts lower quality of life in Chinese American breast cancer survivors: exploring the mediating role of intrusive thoughts and posttraumatic growth

Cited by 22 publications

References 45 publications

Self‐stigma and quality of life among Chinese American breast cancer survivors: A serial multiple mediation model

Self‐stigma and quality of life among Chinese American breast cancer survivors: A serial multiple mediation model

Health-related quality of life and social constraints among Chinese breast cancer patients: a cross-sectional study

Esperança, Medo e Qualidade de vida Relacionada à Saúde na Percepção de Mulheres com Câncer de Mama

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