Predicting negative mood state and personal growth in African American and White long-term breast cancer survivors.
ABSTRACT Relatively little research has examined cognitive processes that may impact psychological adaptation in older long-term breast cancer survivors (BCS).
This study investigated the strength of a conceptual model based on the literature and Uncertainty in Illness Theories which proposes that negative mood state and personal growth in older long-term White and African American BCS would be predicted by the combined influences of demographic and disease variables, social support, religious participation, and cognitive processes (uncertainty, catastrophizing, troublesome thoughts, and cognitive reframing).
Baseline data were gathered from 524 BCS (369 Whites and 155 African Americans, 5-9 years postdiagnosis) prior to their participating in an uncertainty management intervention program. The conceptual model was tested using structural equation modeling.
The multigroup model showed good fit to the data and explained substantial variance in negative mood state and personal growth. Cognitive processes showed both direct and indirect effects on outcomes in the expected directions. Several ethnic differences were found: African Americans were more negatively affected by comorbidities and Whites by symptom distress, whereas cognitive reframing was a stronger predictor of personal growth for African Americans than Whites.
This is one of the first studies to explore predictors of both negative mood and personal growth in a multiethnic sample of BCS. These findings suggest that cognitive processes play an important role in psychological adaptation to breast cancer survivorship. These processes are amenable to change, suggesting a logical target for intervention with this population.
SourceAvailable from: Stefania Balzarotti[Show abstract] [Hide abstract]
ABSTRACT: Although research has extensively examined the link between cognitive emotion regulation and psychopathological symptoms, scant attention has been given to the relationship between dispositional use of cognitive emotion regulation strategies and individuals’ positive functioning. In a cross-sectional study on 470 adults, we examined whether individual differences in the use of nine cognitive strategies were associated with subjective and psychological well-being. Results show that positive reappraisal and refocus on planning are positively related to both subjective and psychological well-being. Rumination, catastrophizing and self-blame are linked to poorer well-being, while positive refocusing, putting into perspective, and acceptance show few significant associations. These results suggest that cognitive emotion regulation strategies may be differently effective in promoting individual’s well-being.Journal of Happiness Studies 10/2014; DOI:10.1007/s10902-014-9587-3 · 1.88 Impact Factor
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ABSTRACT: Abstract Our study examined the relationships of biological and psychosocial predictors as contributing factors to the psychological functioning among breast cancer survivors. A sample of (N = 155) African American breast cancer survivors were recruited from California. A general linear model was utilized to examine the relationships. Biological and psychosocial risk factors were significant predictors for anxiety and depression. These predictors can be viewed as contributing factors to the psychological well-being of this cohort. Anxiety and depression are often under-recognized and subsequently under-treated in survivors. Understanding the predictors of depression and anxiety is necessary for incorporating a multidisciplinary approach to address this problem.Journal of Psychosocial Oncology 07/2014; DOI:10.1080/07347332.2014.936650 · 1.04 Impact Factor