The role of social support, family identification, and family constraints in predicting posttraumatic stress after cancer
Objective We compared social support with other potential psychosocial predictors of posttraumatic stress after cancer. These included family identification, or a sense of belonging to and commonality with family members, and family constraints, or the extent to which family members are closed, judg...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2017-09, Vol.26 (9), p.1330-1335 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Swartzman, Samantha Sani, Fabio Munro, Alastair J. |
| description | Objective
We compared social support with other potential psychosocial predictors of posttraumatic stress after cancer. These included family identification, or a sense of belonging to and commonality with family members, and family constraints, or the extent to which family members are closed, judgmental, or unreceptive in conversations about cancer. We also tested the hypothesis that family constraints mediate the relationship between family identification and cancer‐related posttraumatic stress.
Methods
We used a cross‐sectional design. Surveys were collected from 205 colorectal cancer survivors in Tayside, Scotland.
Results
Both family identification and family constraints were stronger independent predictors of posttraumatic stress than social support. In multivariate analyses, social support was not a significant independent predictor of posttraumatic stress. In addition, there was a significant indirect effect of family identification on posttraumatic stress through family constraints.
Conclusions
Numerous studies demonstrate a link between social support and posttraumatic stress. However, experiences within the family may be more important in predicting posttraumatic stress after cancer. Furthermore, a sense of belonging to and commonality with the family may reduce the extent to which cancer survivors experience constraints on conversations about cancer; this may, in turn, reduce posttraumatic stress. |
| doi_str_mv | 10.1002/pon.4304 |
| format | Article |
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We compared social support with other potential psychosocial predictors of posttraumatic stress after cancer. These included family identification, or a sense of belonging to and commonality with family members, and family constraints, or the extent to which family members are closed, judgmental, or unreceptive in conversations about cancer. We also tested the hypothesis that family constraints mediate the relationship between family identification and cancer‐related posttraumatic stress.
Methods
We used a cross‐sectional design. Surveys were collected from 205 colorectal cancer survivors in Tayside, Scotland.
Results
Both family identification and family constraints were stronger independent predictors of posttraumatic stress than social support. In multivariate analyses, social support was not a significant independent predictor of posttraumatic stress. In addition, there was a significant indirect effect of family identification on posttraumatic stress through family constraints.
Conclusions
Numerous studies demonstrate a link between social support and posttraumatic stress. However, experiences within the family may be more important in predicting posttraumatic stress after cancer. Furthermore, a sense of belonging to and commonality with the family may reduce the extent to which cancer survivors experience constraints on conversations about cancer; this may, in turn, reduce posttraumatic stress.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.4304</identifier><identifier>PMID: 27862598</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Belonging ; Cancer ; Cancer Survivors - psychology ; Colorectal cancer ; Colorectal Neoplasms - psychology ; Colorectal Neoplasms - therapy ; Constraints ; Cross-Sectional Studies ; Family ; Female ; Humans ; Identification ; Male ; Middle Aged ; oncology ; Post traumatic stress disorder ; posttraumatic stress ; Psychosocial factors ; Relatives ; Scotland ; social constraints ; social identification ; Social Support ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - prevention & control ; Stress Disorders, Post-Traumatic - psychology ; Survivor</subject><ispartof>Psycho-oncology (Chichester, England), 2017-09, Vol.26 (9), p.1330-1335</ispartof><rights>Copyright © 2016 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3834-2b87a975cce939929b0cad099d8ba179b3d2cc5a611c34549b0d5e7e863010853</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.4304$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.4304$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27862598$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swartzman, Samantha</creatorcontrib><creatorcontrib>Sani, Fabio</creatorcontrib><creatorcontrib>Munro, Alastair J.</creatorcontrib><title>The role of social support, family identification, and family constraints in predicting posttraumatic stress after cancer</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objective
We compared social support with other potential psychosocial predictors of posttraumatic stress after cancer. These included family identification, or a sense of belonging to and commonality with family members, and family constraints, or the extent to which family members are closed, judgmental, or unreceptive in conversations about cancer. We also tested the hypothesis that family constraints mediate the relationship between family identification and cancer‐related posttraumatic stress.
Methods
We used a cross‐sectional design. Surveys were collected from 205 colorectal cancer survivors in Tayside, Scotland.
Results
Both family identification and family constraints were stronger independent predictors of posttraumatic stress than social support. In multivariate analyses, social support was not a significant independent predictor of posttraumatic stress. In addition, there was a significant indirect effect of family identification on posttraumatic stress through family constraints.
Conclusions
Numerous studies demonstrate a link between social support and posttraumatic stress. However, experiences within the family may be more important in predicting posttraumatic stress after cancer. Furthermore, a sense of belonging to and commonality with the family may reduce the extent to which cancer survivors experience constraints on conversations about cancer; this may, in turn, reduce posttraumatic stress.</description><subject>Adult</subject><subject>Aged</subject><subject>Belonging</subject><subject>Cancer</subject><subject>Cancer Survivors - psychology</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - psychology</subject><subject>Colorectal Neoplasms - therapy</subject><subject>Constraints</subject><subject>Cross-Sectional Studies</subject><subject>Family</subject><subject>Female</subject><subject>Humans</subject><subject>Identification</subject><subject>Male</subject><subject>Middle Aged</subject><subject>oncology</subject><subject>Post traumatic stress disorder</subject><subject>posttraumatic stress</subject><subject>Psychosocial factors</subject><subject>Relatives</subject><subject>Scotland</subject><subject>social constraints</subject><subject>social identification</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress Disorders, Post-Traumatic - prevention & control</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Survivor</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpdkV9LwzAUxYMobk7BTyABX3xYZ9I0bfMow38wnA_zOaRpqhltUpMU6bc3Y5sPPt0L53cv99wDwDVGC4xQet9bs8gIyk7AFCPGEpxjfLrraZGwNGMTcOH9FqEIs_wcTNKizFPKyikYN18KOtsqaBvordSihX7oe-vCHDai0-0Ida1M0I2WImhr5lCY-ihJa3xwQpvgoTawd6rWMmjzCXvrQ1SGLg5JGCHlPRRNUA5KYaRyl-CsEa1XV4c6Ax9Pj5vlS7JaP78uH1aJJCXJkrQqC8EKKqVihLGUVUiKOpqsy0rgglWkTqWkIjqWJKNZ1GuqClXmJNotKZmBu_3e3tnvQfnAO-2lalthlB08x2UW1zBMi4je_kO3dnAmXscxIzRlpMhJpG4O1FB1qua9051wIz8-NQLJHvjRrRr_dIz4Liwew-K7sPj7-m1XyS_1cIdI</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Swartzman, Samantha</creator><creator>Sani, Fabio</creator><creator>Munro, Alastair J.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>The role of social support, family identification, and family constraints in predicting posttraumatic stress after cancer</title><author>Swartzman, Samantha ; Sani, Fabio ; Munro, Alastair J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3834-2b87a975cce939929b0cad099d8ba179b3d2cc5a611c34549b0d5e7e863010853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Belonging</topic><topic>Cancer</topic><topic>Cancer Survivors - psychology</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - psychology</topic><topic>Colorectal Neoplasms - therapy</topic><topic>Constraints</topic><topic>Cross-Sectional Studies</topic><topic>Family</topic><topic>Female</topic><topic>Humans</topic><topic>Identification</topic><topic>Male</topic><topic>Middle Aged</topic><topic>oncology</topic><topic>Post traumatic stress disorder</topic><topic>posttraumatic stress</topic><topic>Psychosocial factors</topic><topic>Relatives</topic><topic>Scotland</topic><topic>social constraints</topic><topic>social identification</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Stress Disorders, Post-Traumatic - prevention & control</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Survivor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Swartzman, Samantha</creatorcontrib><creatorcontrib>Sani, Fabio</creatorcontrib><creatorcontrib>Munro, Alastair J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swartzman, Samantha</au><au>Sani, Fabio</au><au>Munro, Alastair J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of social support, family identification, and family constraints in predicting posttraumatic stress after cancer</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2017-09</date><risdate>2017</risdate><volume>26</volume><issue>9</issue><spage>1330</spage><epage>1335</epage><pages>1330-1335</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objective
We compared social support with other potential psychosocial predictors of posttraumatic stress after cancer. These included family identification, or a sense of belonging to and commonality with family members, and family constraints, or the extent to which family members are closed, judgmental, or unreceptive in conversations about cancer. We also tested the hypothesis that family constraints mediate the relationship between family identification and cancer‐related posttraumatic stress.
Methods
We used a cross‐sectional design. Surveys were collected from 205 colorectal cancer survivors in Tayside, Scotland.
Results
Both family identification and family constraints were stronger independent predictors of posttraumatic stress than social support. In multivariate analyses, social support was not a significant independent predictor of posttraumatic stress. In addition, there was a significant indirect effect of family identification on posttraumatic stress through family constraints.
Conclusions
Numerous studies demonstrate a link between social support and posttraumatic stress. However, experiences within the family may be more important in predicting posttraumatic stress after cancer. Furthermore, a sense of belonging to and commonality with the family may reduce the extent to which cancer survivors experience constraints on conversations about cancer; this may, in turn, reduce posttraumatic stress.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27862598</pmid><doi>10.1002/pon.4304</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals |
| subjects | Adult Aged Belonging Cancer Cancer Survivors - psychology Colorectal cancer Colorectal Neoplasms - psychology Colorectal Neoplasms - therapy Constraints Cross-Sectional Studies Family Female Humans Identification Male Middle Aged oncology Post traumatic stress disorder posttraumatic stress Psychosocial factors Relatives Scotland social constraints social identification Social Support Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - prevention & control Stress Disorders, Post-Traumatic - psychology Survivor |
| title | The role of social support, family identification, and family constraints in predicting posttraumatic stress after cancer |
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