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Lee M , Song Y , Zhu L , Ma GX
Coping Strategies and Benefit-finding in the Relationship between Non-disclosure and Depressive Symptoms among Breast Cancer Survivors in China
Am J Health Behav. 2017 Jul 1;41(4) :368-377
PMID: 28601096 PMCID: PMC5598082
AbstractOBJECTIVE: Open communication about cancer diagnosis and relevant stress is frequently avoided among breast cancer survivors in China. Non-disclosure behavior may lead to negative psychological consequences. We aimed to examine the relationship between non-disclosure and depressive symptoms, and the role of coping strategies and benefit-finding in that relationship among Chinese breast cancer survivors. METHODS: Using convenience sampling, we recruited 148 women in an early survivorship phase (up to 6 years post-treatment) in Nanjing, China. Participants were asked to complete a set of questionnaires in Chinese language, regarding sociodemographic characteristics, depressive symptoms, disclosure views, coping strategies, and benefit-finding. RESULTS: A higher level of non-disclosure was associated with more depressive symptoms. This relationship was mediated by self-blame and moderated by benefit-finding. Specifically, non-disclosure was associated with depressive symptoms through self-blame. The impact of non-disclosure was minimized among the women with a higher level of benefit-finding. CONCLUSION: Unexpressed cancer-related concern may increase self-blame, which leads to emotional distress among Chinese breast cancer survivors. Practicing benefit-finding may reduce the negative impact of non-disclosure. As a culturally appropriate way of disclosure, written expression may be beneficial to Chinese breast cancer patients.
Notes1945-7359 Lee, Minsun Song, Yuan Zhu, Lin Ma, Grace X R03 TW009406/TW/FIC NIH HHS/United States U54 CA153513/CA/NCI NIH HHS/United States Journal Article United States Am J Health Behav. 2017 Jul 1;41(4):368-377. doi: 10.5993/AJHB.41.4.1.