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Journal of Immigrant and Minority Health

, Volume 18, Issue 5, pp 1159–1167 | Cite as

Understanding the Stress Process of Chinese- and Korean-American Breast Cancer Survivors

  • Min-So PaekEmail author
  • Jung-won Lim
Original Paper

Abstract

Guided by the stress process model (SPM), this study investigated the direct and indirect pathways of primary (negative self-image and life stress), secondary stressors (family communication strain) and family coping (external and internal) on mental health outcomes among Chinese- and Korean-American breast cancer survivors (BCS). A total of 156 Chinese- and Korean-American BCS were surveyed. Results showed primary and secondary stressors had a negative effect on better mental health outcomes. External coping was associated with better mental health. Family communication strain mediated the relationship between life stress and mental health outcomes. External coping mediated the relationship between family communication strain and mental health outcomes. Multi-group analysis revealed the stress process did not differ across ethnic groups. Findings suggest the SPM may be applicable to understand the stress process of Chinese- and Korean-American BCS and provide valuable insight into the role of family communication and external coping on mental health outcomes.

Keywords

Breast cancer survivor Asian-American Stress process Quality of life Family coping 

Notes

Acknowledgments

This study was funded by NIH/NCI, 1R03CA139941 (PI: Jung-won Lim, PhD). Min-So Paek is supported by the Comprehensive Cancer Center of Wake Forest University Cancer Control Traineeship, NCI/NIH grant #R25CA122061 (PI: Nancy E. Avis).

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Public Health Sciences, Department of Social Sciences and Health PolicyWake Forest School of MedicineWinston-SalemUSA
  2. 2.College of Social WelfareKangnam UniversityYongin-siKorea

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