Background: Breast cancer diagnosis and treatment are traumatic experiences that leave an enduring sense of fear and worry about recurrence for most survivors. African-American breast cancer survivors experience moderate levels of fear of recurrence- a cancer-related maladaptive psychological outcome that involves worrying about cancer returning. Based on the social-cognitive processing theory, breast cancer survivors experience psychological distress when they have attempted to process the trauma of cancer within an environment that is not supportive. A previous study has found that breast cancer survivors with poor social environments (low social support and high social constraints) experience greater psychological distress and that emotional intelligence serves as a moderator in that relationship. No study to date has examined the impact of social environment on fear of recurrence and the usefulness of emotional intelligence as a moderator in African-American breast cancer survivors.
Purpose: This study sought to examine the relationships between social environment (social support and social constraints) and fear of recurrence and to examine emotional intelligence as a moderator in the relationships between the social environment and fear of recurrence in African-American breast cancer survivors.
Method: A community sample of 64 African-American breast cancer survivors completed a questionnaire assessing demographic and clinical variables, social support, social constraints, emotional intelligence, and fear of recurrence. The relationships between the social environmental variables (social support and social constraints) and fear of recurrence were examined using Pearson's r Partial Correlations. Using the PROCESS Macro for SPSS, moderation analyses were conducted to test emotional intelligence as a moderator in the relationships between the social environmental variables and fear of recurrence dimensions.
Results: Fear of recurrence was experienced by 60.9% of the sample. Contrary to expectations, increased social support was positively associated with increased fears of recurrence in the form of Role Worries, Health Worries, Womanhood Worries, and Death Worries (p<.05) indicating that participants with more social support tended to experience more fears of recurrence. As expected, increased social constraint was positively associated with increased fear of recurrence on all five dimensions ( p<.05) indicating that participants with more social constraints experienced more fears of recurrence. Also, emotional intelligence moderated the relationship between social support and death-related fears of recurrence, indicating that the positive relationship between social support and death related fears of recurrence no longer occurred at high levels of emotional intelligence.
Conclusion: The present study generated results that highlight the need to further explore the relationship between social environment, fear of recurrence, and emotional intelligence in African-American breast cancer survivors.
|Advisor:||Taylor, Teletia R., Harrell, Jules P.|
|Commitee:||Horton, Sara, Mwendwa, Denee, Williams, Carla D.|
|School Location:||United States -- District of Columbia|
|Source:||DAI-B 80/03(E), Dissertation Abstracts International|
|Subjects:||African American Studies, Black studies, Social psychology, Womens studies, Personality psychology, Cognitive psychology|
|Keywords:||African-american, Breast cancer, Breast cancer survivors, Fear of recurrence, Oncology|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be