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Social constraints, cognitive processing, and adjustment to breast cancer
M J Cordova1, L L Cunningham, C R Carlson
1Department of Psychology, University of Kentucky, USA. matthew.cordova@med.va.gov
Journal of Consulting and Clinical Psychology
|September 12, 2001
Summary
Social constraints hinder cognitive processing of cancer experiences, leading to increased depression and reduced well-being in survivors. Talking about cancer is crucial for better adjustment and well-being.
Area of Science:
- Psychology
- Oncology
- Social Science
Background:
- Social constraints can impact psychological adjustment after cancer.
- Cognitive processing of traumatic experiences is key to well-being.
- The social-cognitive processing (SCP) model offers a framework for understanding these relationships.
Purpose of the Study:
- To examine the relationships between social constraints, cognitive processing, depression, and well-being in breast cancer survivors.
- To test the predictions of the social-cognitive processing (SCP) model.
- To investigate the role of behavioral indicators of cognitive processing in psychosocial outcomes.
Main Methods:
- Cross-sectional study of 70 breast cancer survivors.
- Assessed social constraints, cognitive processing (behavioral and self-report), depression, and well-being.
- Analyzed cancer narratives for linguistic uncertainty, intrusions, and avoidance.
Main Results:
- Social constraints correlated with increased intrusions, avoidance, and linguistic uncertainty in cancer narratives.
- Higher uncertainty, intrusions, and avoidance were linked to greater depression and lower well-being.
- Intrusions and talking about cancer partially mediated the relationships between constraints, depression, and well-being.
Conclusions:
- Findings support the social-cognitive processing (SCP) model in the context of cancer survivorship.
- Behavioral indicators of cognitive processing are important predictors of psychosocial outcomes.
- Addressing social constraints and promoting open communication about cancer are vital for survivor well-being.