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

被引：10
|
作者：
Paek, Min-So [1 ]
Lim, Jung-Won [2 ]
机构：
[1] Wake Forest Sch Med, Dept Social Sci & Hlth Policy, Div Publ Hlth Sci, Med Ctr Blvd, Winston Salem, NC 27157 USA
[2] Kangnam Univ, Coll Social Welf, 111 Gugal Dong, Yongin, Gyeonggi Do, South Korea
来源：
JOURNAL OF IMMIGRANT AND MINORITY HEALTH | 2016年 / 18卷 / 05期
关键词：
Breast cancer survivor; Asian-American; Stress process; Quality of life; Family coping; QUALITY-OF-LIFE; PSYCHOLOGICAL DISTRESS; SOCIAL SUPPORT; CONCEPTUAL-FRAMEWORK; THE-LITERATURE; UNITED-STATES; HEALTH; WOMEN; FAMILY; COMMUNICATION;
D O I：
10.1007/s10903-015-0255-4
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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.
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页码：1159 / 1167
页数：9
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