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Published in: Supportive Care in Cancer 3/2014

01-03-2014 | Original Article

Sources of social support and adjustment among Chinese cancer survivors: gender and age differences

Authors: Jin You, Qian Lu

Published in: Supportive Care in Cancer | Issue 3/2014

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Abstract

Introduction

Social support has shown to improve adjustment among cancer survivors. However, it is unclear how health benefits of social support depend on the source of support, age, and gender. Chinese culture emphasizes relationship harmony and interdependence, providing a unique opportunity to address these questions. This study investigated how support from different sources was associated with adjustment to cancer and how the association was moderated by gender and age.

Methods

Chinese cancer survivors (N = 238) from Beijing completed a questionnaire packet assessing support from different sources (e.g., family, friends, special others, society, and cancer organization) and adjustment (e.g., quality of life and positive and negative affect).

Results

Perceived support from family was greater than support from other sources among Chinese cancer survivors. After controlling for support from other sources, greater support from family and society was associated with higher quality of life, more positive affect, and less negative affect. Support from family showed a stronger negative correlation with negative affect among males, and support from special others showed a stronger negative correlation with negative affect among females. Support from society had a stronger positive association with quality of life, and support from friends had a stronger negative association with quality of life among younger survivors than among older survivors.

Conclusions

Findings highlight that health benefits of social support depend on the source of support, gender, and age among Chinese cancer survivors. The study has implications for delivering individualized healthcare services tailored to the preferences of cancer survivors based on their cultural backgrounds and demographic characteristics.
Literature
4.
go back to reference Dagan M, Sanderman R, Schokker MC, Wiggers T, Baas PC, van Haastert M, Hageddorn M (2011) Spousal support and changes in distress over time in couples coping with cancer: the role of personal control. J Fam Psychol 25(2):310–318. doi:10.1037/a0022887 PubMedCrossRef Dagan M, Sanderman R, Schokker MC, Wiggers T, Baas PC, van Haastert M, Hageddorn M (2011) Spousal support and changes in distress over time in couples coping with cancer: the role of personal control. J Fam Psychol 25(2):310–318. doi:10.​1037/​a0022887 PubMedCrossRef
5.
go back to reference Maliski SL, Heilemann MV, McCorkle R (2001) Mastery of postprostatectomy incontinence and impotence: his work, her work, our work. Oncol Nurs Forum 28(6):985–992PubMed Maliski SL, Heilemann MV, McCorkle R (2001) Mastery of postprostatectomy incontinence and impotence: his work, her work, our work. Oncol Nurs Forum 28(6):985–992PubMed
6.
go back to reference Maly RC, Umezawa Y, Leake B, Silliman R (2005) Mental health outcomes in older women with breast cancer: impact of perceived family support and adjustment. Psychol-Oncol 14(7):535–545. doi:10.1002/pon.869 CrossRef Maly RC, Umezawa Y, Leake B, Silliman R (2005) Mental health outcomes in older women with breast cancer: impact of perceived family support and adjustment. Psychol-Oncol 14(7):535–545. doi:10.​1002/​pon.​869 CrossRef
7.
go back to reference Hasson-Ohayon I, Goldzweig G, Braun M, Galinsky D (2010) Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psychol-Oncol 19(11):1195–1204. doi:10.1002/pon.1678 CrossRef Hasson-Ohayon I, Goldzweig G, Braun M, Galinsky D (2010) Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psychol-Oncol 19(11):1195–1204. doi:10.​1002/​pon.​1678 CrossRef
8.
go back to reference Bronfenbrenner U (2000) Ecological systems theory. In: Kazdin AE (ed) Encyclopedia of Psychology. Oxford University, Washington, DC, pp 129–133 Bronfenbrenner U (2000) Ecological systems theory. In: Kazdin AE (ed) Encyclopedia of Psychology. Oxford University, Washington, DC, pp 129–133
11.
go back to reference Yang K-S (1993) Chinese social orientation: a social-interactive perspective. In: Yang K-S (ed) Chinese psychology and behavior: indigenous research. Guiguan, Taipei, pp 87–121 Yang K-S (1993) Chinese social orientation: a social-interactive perspective. In: Yang K-S (ed) Chinese psychology and behavior: indigenous research. Guiguan, Taipei, pp 87–121
12.
go back to reference Kagawa-Singer M, Wellisch D (2003) Breast cancer patients' perceptions of their husbands' support in a cross-cultural context. Psychol-Oncol 12(1):24–37. doi:10.1002/pon.619 CrossRef Kagawa-Singer M, Wellisch D (2003) Breast cancer patients' perceptions of their husbands' support in a cross-cultural context. Psychol-Oncol 12(1):24–37. doi:10.​1002/​pon.​619 CrossRef
14.
go back to reference Alferi SM, Carver CS, Antoni MH, Weiss S, Duran RE (2001) A exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychol 20(1):41–46. doi:10.1037//0278-6133.20.1.41 PubMedCrossRef Alferi SM, Carver CS, Antoni MH, Weiss S, Duran RE (2001) A exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychol 20(1):41–46. doi:10.​1037/​/​0278-6133.​20.​1.​41 PubMedCrossRef
19.
go back to reference Ashing-Giwa K, Padilla G, Tejero J, Kagawa-Singer M (2003) Understanding the breast cancer experience of Asian American women. Psychol-Oncol 12(1):38–58. doi:10.1002/pon.632 CrossRef Ashing-Giwa K, Padilla G, Tejero J, Kagawa-Singer M (2003) Understanding the breast cancer experience of Asian American women. Psychol-Oncol 12(1):38–58. doi:10.​1002/​pon.​632 CrossRef
23.
go back to reference Zeng Y, Wang Z (2003) Dynamics of family and elderly living arrangements in China: new lessons learned from the 2000 Census. Chin Rev 3(2):95–119 Zeng Y, Wang Z (2003) Dynamics of family and elderly living arrangements in China: new lessons learned from the 2000 Census. Chin Rev 3(2):95–119
24.
go back to reference Gold T, Doug G, Wank D (2002) Social connections in China: institutions, culture and the changing nature of Guanxi. Cambridge University, New YorkCrossRef Gold T, Doug G, Wank D (2002) Social connections in China: institutions, culture and the changing nature of Guanxi. Cambridge University, New YorkCrossRef
25.
go back to reference Stanton AL, Collins CA, Sworowski LA (2001) Adjustment to chronic illness: theory and research. In: Revenson TA, Singer JE, Baum A (eds) Handbook of health psychology. Erlbaum, New York Stanton AL, Collins CA, Sworowski LA (2001) Adjustment to chronic illness: theory and research. In: Revenson TA, Singer JE, Baum A (eds) Handbook of health psychology. Erlbaum, New York
29.
go back to reference Chen W-F, Zhang J-X (2004) Factorial and construct validity of the Chinese positive and negative affect scale for students. Chin Ment Health J 18(11):763–766 Chen W-F, Zhang J-X (2004) Factorial and construct validity of the Chinese positive and negative affect scale for students. Chin Ment Health J 18(11):763–766
30.
go back to reference Bradburn NM (ed) (1969) The structure of psychological well-being. Aldine, Chicago Bradburn NM (ed) (1969) The structure of psychological well-being. Aldine, Chicago
31.
go back to reference Zhang L, Deng X (2009) The mediating role of self-esteem in the relationships between personality traits, social support and subjective well-being. Appl Psychol 15:155–160 Zhang L, Deng X (2009) The mediating role of self-esteem in the relationships between personality traits, social support and subjective well-being. Appl Psychol 15:155–160
32.
go back to reference Zhou J, Wu Y (1994) Application of affect balance scale among 1242 older adults from Wanxian, Sichuan. Chin J Gerontol 14(6):325–327 Zhou J, Wu Y (1994) Application of affect balance scale among 1242 older adults from Wanxian, Sichuan. Chin J Gerontol 14(6):325–327
33.
go back to reference Ferrell BR, Hassey-Dow K, Grant M (1995) Measurement of the quality of life in cancer survivors. Qual Life Res 4(6):523–531PubMedCrossRef Ferrell BR, Hassey-Dow K, Grant M (1995) Measurement of the quality of life in cancer survivors. Qual Life Res 4(6):523–531PubMedCrossRef
34.
go back to reference Mu L-B, Jiang C, Liu Q-G, Wang R-Y, Xu P, Shen Y-G, Jiang L (2003) A study in reliability and validity for quality of life scale of breast cancer. Chin J Clin Psychol 11(2):142–143 Mu L-B, Jiang C, Liu Q-G, Wang R-Y, Xu P, Shen Y-G, Jiang L (2003) A study in reliability and validity for quality of life scale of breast cancer. Chin J Clin Psychol 11(2):142–143
35.
go back to reference Aiken LS, West SG (1991) Multiple regression: testing and interpreting interactions. Sage, Newbury Park Aiken LS, West SG (1991) Multiple regression: testing and interpreting interactions. Sage, Newbury Park
37.
go back to reference Chan W, Epstein I, Reese D, Chan C (2009) Family predictors of psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care: living and dying with the “support paradox”. Soc Work Health Care 48(5):519–532. doi:10.1080/00981380902765824 PubMedCrossRef Chan W, Epstein I, Reese D, Chan C (2009) Family predictors of psychosocial outcomes among Hong Kong Chinese cancer patients in palliative care: living and dying with the “support paradox”. Soc Work Health Care 48(5):519–532. doi:10.​1080/​0098138090276582​4 PubMedCrossRef
39.
go back to reference Yeung N, Dai J, Zheng D, Man J, Loh A, Young L, Lu Q (2010) Exploring cancer-related experience and difficulties among Chinese breast cancer survivors living in the US: using expressive writing approach. Psychol-Oncol 20(S1):92. doi:10.1111/J.1755-148×.2011.01915.× Yeung N, Dai J, Zheng D, Man J, Loh A, Young L, Lu Q (2010) Exploring cancer-related experience and difficulties among Chinese breast cancer survivors living in the US: using expressive writing approach. Psychol-Oncol 20(S1):92. doi:10.​1111/​J.​1755-148×.​2011.​01915.​×
40.
go back to reference Higgins L, Zheng M, Liu Y, Sun C (2002) Attitudes to marriage and sexual behaviors: a survey of gender and culture differences in China and United Kingdom. Sex Roles 46(3–4):75–89. doi:10.1023/a:1016565426011 CrossRef Higgins L, Zheng M, Liu Y, Sun C (2002) Attitudes to marriage and sexual behaviors: a survey of gender and culture differences in China and United Kingdom. Sex Roles 46(3–4):75–89. doi:10.​1023/​a:​1016565426011 CrossRef
Metadata
Title
Sources of social support and adjustment among Chinese cancer survivors: gender and age differences
Authors
Jin You
Qian Lu
Publication date
01-03-2014
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 3/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-013-2024-z

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