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Related Experiment Videos

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
PubMed
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.

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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.

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  • 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.