Social Support, Intrusive Thoughts, and Quality of Life in Breast Cancer Survivors
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
This study explores the moderating effect of social support on the relationship between cancer-related intrusive thoughts and quality of life. Sixty-four breast cancer survivors completed self-report measures of appraisal social support (the disclosure of thoughts and feelings to significant others), cancer-related intrusive thoughts, and quality of life. Controlling for demographic and treatment variables, the negative impact of cancer-related intrusive thoughts on both physical and mental quality of life measures was moderated by appraisal social support. For women with high levels of appraisal support, cancer-related intrusive thoughts had no significant relationship with quality of life. However, for women with low levels of appraisal support, the relationship between cancer-related intrusive thoughts and quality of life was significant and negative. These results suggest that appraisal social support can mitigate the impact of traumatic life events.
- Aiken, L. S., and West, S. G. (1991). Multiple Regression: Testing and Interpreting Interactions, Sage, Newbury Park, CA.
- American Cancer Society (1999/2000). Cancer Facts and Figures-1999/2000, American Cancer Society, New York.
- Baider, L. A., and Kaplan de-Nour, A. (1988). Breast cancer-A family affair. In Cooper, C. L. (Ed.), Stress and Breast Cancer, JohnWiley & Sons, New York, pp. 155-170.
- Beder, J. (1995). Perceived social support and adjustment to mastectomy in socioeconomically disadvantaged black women. Soc. Work Health Care 22(2): 55-71.
- Bloom, J. R., and Spiegel, D. (1984). The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer. Soc. Sci. Med. 19(8): 831-837.
- Cella, D. F., and Tross, S. (1986). Psychological adjustment to survival from Hodgkin's Disease. J. Consult. Clin. Psychol. 54: 616-622.
- Cohen, S., Mermelstein, R., Kamarck, T., and Hoberman, H. M. (1985). Measuring the functional components of social support. In Sarason, I. B., and Sarason, B. R. (Eds.), Social Support: Theory, Research, and Applications, pp. 73-94.
- Cordova, M. J., Andrykowski, M. A., Redd, W. H., Kenady, D. E., McGrath, P. C., and Sloan, D. A. (1995). Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. J. Consult. Clin. Psychol. 63: 981-986.
- Creamer, M., Burgess, P., and Pattison, P. (1992). Reaction to trauma: A cognitive processing model. J. Abnorm. Psychol. 191: 452-459.
- Dunkel-Schetter, C. (1984). Social support and cancer: Results based on patient interviews and implications. J. Soc. Issues 49(4): 77-98.
- Feather, B. L., and Wainstock, J. M. (1989). Perception of postmastectomy patients. Part 1. The relationships between social support and network providers. Cancer Nurs. 2: 293-300.
- Finch, J. F., Okun, M. A., Pool, G. J., and Ruehlman, L. S. (1999). A comparison of the influence of conflictual and supportive social interactions on psychological distress. J. Personality 67(4): 581-621.
- Harber, K. D., and Pennebaker, J. (1992). Overcoming traumatic memories. In Christianson, S. A. (Ed.), The Handbook of Emotion and Memory, Erlbaum, Hillsdale, NJ, pp. 359-387.
- Horowitz, M. K. (1986). Stress Response Syndromes, 2nd ed., Jason Aronson, New York.
- Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of event scale:Ameasure of subjective stress. Psychosom. Med. 41: 209-218.
- Hoskins, C. N., Baker, S., Sherman, D., Bohlander, J., Bookbinder, M., Budin,W., Ekstrom, D., Knauer, C., and Maislin, G. (1996). Social support and patterns of adjustment to breast cancer. Sch. Inq. Nurs. Pract.: An Int. J. 10(2): 99-123.
- Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Soc. Cognit. 7: 113-136.
- Lasry, J. C., Margolese, R., Poisson, R., Shibata, H., Fleischer, D., Lafleur, D., Legault, S., and Taillefer, S. (1987). Depression and body image following mastectomy and lumpectomy. J. Chronic Dis. 40: 529-534.
- Lepore, S. J. (1997). Expressive writing moderates the relation between intrusive thoughts and depressive symptoms. J. Personality Soc. Psychol. 73(5): 1030-1037.
- Lepore, S. J., and Helgeson, V. S. (1998). Social constraints, intrusive thoughts, and mental health after prostate cancer. J. Soc. Clin. Psychol. 17(1): 89-106.
- Lepore, S. J., Silver, R. C., Wortman, C. B., and Wayment, H. A. (1996). Social constraints, intrusive thoughts, and depressive symptoms among bereaved mothers. J. Personality Soc. Psychol. 70(2): 271-282.
- Litwin, M. S., Hays, R. D., Fink, A., Ganz, P. A., Leake, B., Leach, G. E., and Brook, R. H. (1995). Quality of life outcomes in men treated for localized prostate cancer. KAMA, 273: 129-135.
- Pennebaker, J. W. (1989). Confession, inhibition, and disease. In Berkowitz, L. (Ed.), Advances in Experimental Social Psychology, Vol. 22, Academic Press, Orlando, FL, pp. 211-244.
- Perry, S., Difede, J., Musngi, G., Frances, A. J., and Jacobsberg, L. (1992). Predictors of posttraumatic stress disorder after burn injury. Am. J. Psychiatry, 149(7): 931-935.
- Pistrang, N., and Barker, C. (1995). The partner relationship in psychological response to breast cancer. Soc. Sci. Med. 40(6): 789-797.
- Royak-Shaler,R. (1992). Psychological processes in breast cancer:Areview of selected research. J. Psychosoc. Oncol. 9(4): 71-89.
- Smith, M. Y., Redd, W., DuHamel, K., Vickberg, S. J., and Ricketts, P. (1999). Validation of the PTSD checklist-civilian version in survivors of bone marrow transplantion. J. Trauma. Stress 12(3): 485-499.
- Ware, J. E., Kosinski, M., and Keller, S. D. (1994). SF-36 Physical and Mental Health Summary Scales: A User's Manual, Health Assessment Lab, Boston, MA.
- Ware, J. E., and Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). Med. Care 30(6): 473-483.
- Social Support, Intrusive Thoughts, and Quality of Life in Breast Cancer Survivors
Journal of Behavioral Medicine
Volume 24, Issue 3 , pp 231-245
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- social support
- intrusive thoughts
- breast cancer
- quality of life