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Article: Social adjustment among Chinese women following breast cancer surgery

TitleSocial adjustment among Chinese women following breast cancer surgery
Authors
Issue Date2009
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2009, v. 18 n. 11, p. 1189-1198 How to Cite?
AbstractBackground: How breast cancer surgery affects social adjustment among Chinese women is unknown, as are factors predicting such adjustment. Methods: 405 Chinese women receiving surgery for localized breast cancer completed Social Adjustment Scales (Ch-SAS) at 1-, 4- and 8-months post-operatively. Subscale scores were regressed on baseline (days 3-12 post-operatively) measures of treatment decision-making difficulty (TDMD), self-efficacy (GSeS), consultation satisfaction (C-MISS-R), psychological (CHQ-12) and physical distress (PD), and 1-month follow-up optimism (C-LOT-R), and disappointment (E-OI), fully adjusted for demographic and clinical factors. Results: All Ch-SAS subscales except appearance & sexuality changed significantly over 8-months follow-up: Enjoyment of social activities (F=27.38, df 2, p<0.001) and self-image (F=3.63, df 2, p=0.027) improved slightly. Family interaction (F=26.63, df 2, p<0.001) and interaction with friends (F=3.37, df 2, p=0.035) declined slightly. Family and friends interaction subscales were predominantly predicted by high self-efficacy and optimism, whereas self-image and appearance & sexuality subscales were predominantly predicted by low treatment outcome disappointment, TDM difficulties, baseline psychological morbidity and high self-efficacy. Enjoyment of social activities was predicted by low baseline psychological distress and concurrent physical symptom distress. Conclusion: High self-efficacy and optimism predicted women who have better social relationships with friends and family. Higher self-efficacy, low TDM difficulties, less disappointment with treatment outcome and low psychological and physical distress predicted better adjustment to self-image and body image. Copyright © 2009 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/86971
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Government Health Services213022
Funding Information:

This work was supported by Hong Kong Government Health Services, Research Fund grant 213022.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorWai, KHen_HK
dc.contributor.authorOr, Aen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-09-06T09:23:35Z-
dc.date.available2010-09-06T09:23:35Z-
dc.date.issued2009en_HK
dc.identifier.citationPsycho-Oncology, 2009, v. 18 n. 11, p. 1189-1198en_HK
dc.identifier.issn1057-9249en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86971-
dc.description.abstractBackground: How breast cancer surgery affects social adjustment among Chinese women is unknown, as are factors predicting such adjustment. Methods: 405 Chinese women receiving surgery for localized breast cancer completed Social Adjustment Scales (Ch-SAS) at 1-, 4- and 8-months post-operatively. Subscale scores were regressed on baseline (days 3-12 post-operatively) measures of treatment decision-making difficulty (TDMD), self-efficacy (GSeS), consultation satisfaction (C-MISS-R), psychological (CHQ-12) and physical distress (PD), and 1-month follow-up optimism (C-LOT-R), and disappointment (E-OI), fully adjusted for demographic and clinical factors. Results: All Ch-SAS subscales except appearance & sexuality changed significantly over 8-months follow-up: Enjoyment of social activities (F=27.38, df 2, p<0.001) and self-image (F=3.63, df 2, p=0.027) improved slightly. Family interaction (F=26.63, df 2, p<0.001) and interaction with friends (F=3.37, df 2, p=0.035) declined slightly. Family and friends interaction subscales were predominantly predicted by high self-efficacy and optimism, whereas self-image and appearance & sexuality subscales were predominantly predicted by low treatment outcome disappointment, TDM difficulties, baseline psychological morbidity and high self-efficacy. Enjoyment of social activities was predicted by low baseline psychological distress and concurrent physical symptom distress. Conclusion: High self-efficacy and optimism predicted women who have better social relationships with friends and family. Higher self-efficacy, low TDM difficulties, less disappointment with treatment outcome and low psychological and physical distress predicted better adjustment to self-image and body image. Copyright © 2009 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_HK
dc.relation.ispartofPsycho-Oncologyen_HK
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.en_HK
dc.subject.meshBreast Neoplasms - psychology - surgeryen_HK
dc.subject.meshFamily Relationsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInterpersonal Relationsen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPsychological Testsen_HK
dc.subject.meshSelf Concepten_HK
dc.subject.meshSexualityen_HK
dc.subject.meshSocial Adjustmenten_HK
dc.titleSocial adjustment among Chinese women following breast cancer surgeryen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1057-9249&volume=18&issue=11&spage=1189&epage=1198&date=2009&atitle=Social+adjustment+among+Chinese+women+following+breast+cancer+surgeryen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/pon.1403en_HK
dc.identifier.pmid19140123-
dc.identifier.scopuseid_2-s2.0-70449647051en_HK
dc.identifier.hkuros167973en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70449647051&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1189en_HK
dc.identifier.epage1198en_HK
dc.identifier.isiWOS:000271799700007-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectOptimising treatment decision making and adjustment to breast cancer in Chinese women-
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridWai, KH=35491835200en_HK
dc.identifier.scopusauthoridOr, A=8562756500en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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