Document Detail

Relationships among optimism, well-being, self-transcendence, coping, and social support in women during treatment for breast cancer.
MedLine Citation:
PMID:  19034884     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The impact of diagnosis and treatment for breast cancer, stressors that affect emotional well-being, is influenced by several psychosocial factors and the relationships among them. The purpose of this study was to investigate the relationship between optimism and emotional well-being (EWB) and the individual and combined mediation of this relationship by perceived social support (SS), problem focused coping (PFC), and self-transcendence in women with breast cancer during radiation therapy.
METHODS: Ninety-three women receiving radiation treatment for breast cancer completed questionnaires that measured EWB, optimism, SS, PFC, and self-transcendence.
RESULTS: Correlational and multiple regression analysis revealed that optimism was positively related to EWB. Of the three mediators, self-transcendence alone was found to partially mediate the relationship between optimism and EWB. The relationship between optimism and PFC was not significant. Optimism was related to SS, but its indirect effect on EWB through SS did not reach significance.
CONCLUSIONS AND IMPLICATIONS: During breast cancer treatment, the positive effects of optimism on EWB are partially mediated by a woman's level of self-transcendence. Brief screening of women's optimism may help identify women at risk for psychological distress. Early detection and interventions to promote psychological adjustment throughout the cancer trajectory (e.g. enhancing self-transcendence) should receive attention in future research.
Ellyn E Matthews; Paul F Cook
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psycho-oncology     Volume:  18     ISSN:  1099-1611     ISO Abbreviation:  Psychooncology     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-06     Completed Date:  2009-09-28     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  9214524     Medline TA:  Psychooncology     Country:  England    
Other Details:
Languages:  eng     Pagination:  716-26     Citation Subset:  IM    
Copyright Information:
(c) 2008 John Wiley & Sons, Ltd.
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MeSH Terms
Adaptation, Psychological*
Antineoplastic Combined Chemotherapy Protocols / adverse effects,  therapeutic use
Breast Neoplasms / drug therapy,  pathology,  psychology*,  radiotherapy*
Combined Modality Therapy / psychology
Follow-Up Studies
Internal-External Control
Mastectomy / psychology
Middle Aged
Neoplasm Staging
Personality Inventory
Problem Solving
Quality of Life / psychology*
Radiodermatitis / psychology
Radiotherapy / adverse effects,  psychology
Self Efficacy*
Social Support
Grant Support
K23 NR010587/NR/NINR NIH HHS; K23 NR010587-02/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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