Well-Being in Hispanic and Non-Hispanic White Survivors of Breast Cancer
Purpose/Objectives: To test a well-being model on Hispanic and non-Hispanic white survivors of breast cancer by comparing responses about variables hypothesized to predict well-being.
Main Research Variables: Healthcare orientation, uncertainty, social support, resourcefulness, self-esteem, and well-being.
Design: Descriptive and comparative.
Sample: 50 Hispanic and 50 non-Hispanic white women who completed treatment for breast cancer and were disease-free.
Setting: Regional cancer center in southwestern United States.
Methods: Subjects completed the Psychosocial Adjustment to Illness Scale-Health Care Orientation Subscale, Mishel Uncertainty Illness Scale, Personal Resource Questionnaire, Self-Control Schedule, Self-Esteem Inventory, and Index of Well-Being.
Findings: Both groups of women reported high well-being. Sample characteristics were not related significantly to well-being in either group. No statistically significant differences were found between Hispanic and non-Hispanic white women on any variables.
Conclusions: Comparison of well-being models revealed similarities between the two groups, including variables entering each regression equation, and explained variance. Further research is needed to explore whether commonalities in women's responses to breast cancer exist independent of ethnicity.
Implications for Nursing: Nurses should continue encouraging both Hispanic and non-Hispanic white women to share concerns and seek information from healthcare providers while strengthening feelings of self-worth because these factors directly affect well-being.
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References
Allport, G.W. (1955). Becoming: Basic considerations for a psychology of personality. New Haven, CT: Yale University Press.
Bloom, J.R. (1982). Social support, accommodation to stress and adjustment to breast cancer. Social Science Medicine, 16, 1329-1338.
Braden, C.J., Mishel, M.H., & Longman, A.J. (1998). Self-help intervention project: Women receiving breast cancer treatment. Cancer Practice, 6, 87-98.
Campbell, A., Converse, P.E., & Rogers, W.L. (1976). The quality of American life: Perceptions, evaluations and satisfactions. New York: Russell Sage.
Cohen, J. (1990). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Coopersmith, S. (1967). The antecedents of self-esteem. San Francisco: Freeman.
Coward, D. (1998). Facilitation of self-transcendence in a breast cancer support group. Oncology Nursing Forum, 25, 75-84.
DiMatteo, M., & Hays, R. (1981). Social support and serious illness. In B.H. Gottlieb (Ed.), Social networks and social support in community mental health (pp. 117-148). Beverly Hills, CA: Sage.
Dirksen, S.R. (1989). Perceived well-being in malignant melanoma survivors. Oncology Nursing Forum, 16, 353-358.
Dirksen, S.R. (1990). Theoretical modeling to predict subjective well-being. Western Journal of Nursing Research, 12, 629-643.
Dirksen, S.R. (2000). Predicting well-being among breast cancer survivors. Journal of Advanced Nursing, 32, 937-943.
Dow, K.H., Ferrell, B.R., Leigh, S., Ly, J., & Gulasekaram, P. (1996). An evaluation of the quality of life among long-term survivors of breast cancer. Breast Cancer Research and Treatment, 39, 261-273.
Gilberts, R. (1981). Review of research on the SEI, 1970-1979. Unpublished manuscript.
Guillory, J. (1992). Relationships of selected physiological, psychological, and spiritual variables associated with survivorship in socioeconomically disadvantaged African American women with breast cancer. Dissertation Abstracts International. (UMI No. 9308158).
Hough, E.E., Lewis, F.M., & Woods, N.F. (1991). Family response to mother's chronic illness: Case studies of well- and poorly adjusted families. Western Journal of Nursing Research, 13, 568-596.
Jemal, A., Thomas, A., Murray, T., Thun, M. (2002). Cancer statistics-2002. CA: Cancer Journal for Clinicians, 52, 23-47.
King, C.R., Haberman, M., Berry, D.L., Bush, N., Butler, L., Dow, K.H., et al. (1997). Quality of life and the cancer experience: The state-of-the-knowledge. Oncology Nursing Forum, 24, 27-41.
Lewinsohn, P., & Alexander, C. (1990). Learned resourcefulness and depression. In M. Rosenbaum (Ed.), Learned resourcefulness: On coping skills, self-control and adaptive behavior (pp. 202-217). New York: Springer.
Lewis, F.M. (1982). Experienced personal control and quality of life in late-stage cancer patients. Nursing Research, 31, 113-119.
Marin, G., Sabogal, F., Marin, B., Otero-Sabogal, R., & Perez-Stable, E. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Science, 9, 183-205.
Mast, M.E. (1998). Survivors of breast cancer: Illness uncertainty, positive appraisal, and emotional distress. Oncology Nursing Forum, 25, 555-562.
Mishel, M.H. (1981). The measurement of uncertainty in illness. Nursing Research, 30, 258-263.
Mishel, M.H. & Braden, C.J. (1988). Finding meaning: Antecedents of uncertainty in illness. Nursing Research, 37, 98-103.
Morrow, G.R., Chiarello, R.J., & Derogatis, L.R. (1978). A new scale for assessing patients' psychosocial adjustment to medical illness. Psychological Medicine, 8, 605-610.
Naranjo, L.E., & Dirksen, S.R. (1998). The recruitment and participation of Hispanic women in nursing research: A learning process. Public Health Nursing, 15, 25-29.
Northouse, L.L., Caffey, M., Deichelbohrer, L., Schmidt, L., Guziatek-Trojniak, L., West, S., et al. (1999). The quality of life of African American women with breast cancer. Research in Nursing and Health, 22, 449-460.
Pelusi, J. (1997). The lived experience of surviving breast cancer. Oncology Nursing Forum, 24, 1343-1353.
Rachman, S. (1990). Learned resourcefulness in the performance of hazardous tasks. In M. Rosenbaum (Ed.), Learned resourcefulness: On coping skills, self-control and adaptive behavior (pp. 165-181). New York: Springer.
Rosenbaum, M. (1983). Learned resourcefulness as a behavioral repertoire for the self-regulation of internal events: Issues and speculation. In M. Rosenbaum, C. M. Franks, & Y. Jaffe (Eds.), Perspectives on behavior therapy in the eighties (pp. 54-73). New York: Springer.
Rosenbaum, M. (1990). The role of learned resourcefulness in the self-control of health behavior. In M. Rosenbaum (Ed.), Learned resourcefulness: On coping skills, self-control and adaptive behavior (pp. 3-30). New York: Springer.
Rustoen, T., Moum, T., Wiklund., I., & Hanestad, B.R. (1999). Quality of life in newly diagnosed cancer patients. Journal of Advanced Nursing, 29, 490-498.
Schmale, A.H., Morrow, G.R., Schmitt, M.H., Adler, L.M., Enelow, A., Murawski, B.J., et al. (1983). Well-being of cancer survivors. Psychosomatic Medicine, 45, 163-169.
Steginga, S., Occhipinti, S., Wilson, K., & Dunn, J. (1998). Domains of distress: The experience of breast cancer in Australia. Oncology Nursing Forum, 25, 1063-1070.
Vinokur, A.D., Threatt, B.A., Vinokur-Kaplan, D., & Satariano, W.A. (1990). The process of recovery from breast cancer for younger and older patients. Cancer, 65, 1242-1254.
Weinert, C. (1987). The social support measure: PRQ85. Nursing Research, 36, 273-277.
Weinert, C. & Tilden, V.P. (1990). Measures of social support: Assessment of validity. Nursing Research, 39, 212-216._____