Rivera-Rivera Jessica N, Badour Christal L, Burris Jessica L
Department of Psychology, University of Kentucky, Kastle Hall, Lexington, KY, 40506-0044, USA.
Markey Cancer Center, University of Kentucky, Combs Cancer Research Building, Lexington, KY, 40536, USA.
J Behav Med. 2021 Jun;44(3):355-367. doi: 10.1007/s10865-021-00200-6. Epub 2021 Jan 28.
This study evaluated one positive and one negative aspect of social functioning (social support and social constraint, respectively) to increase understanding of its relation to psychological functioning (distress and wellbeing) after cancer diagnosis. Participants in this longitudinal study were recently diagnosed, predominately late stage, first primary cancer survivors (n = 48). Data collection involved a 30-day period of daily assessment. Data were analyzed using multilevel linear models. As in prior studies, none of the variables changed significantly over time (ps = .07 to .99). Based on the intraclass correlation coefficient, 51 to 75% of the variance in the daily assessment data are attributable to between-person differences. There was a positive relationship between social constraint and both general and cancer-specific distress (ps < .05) and between social support and cancer-specific wellbeing (ps < .001). In prospective models, higher than average general distress predicted higher social support the next day (p = .004) and higher than average cancer-specific wellbeing predicted more social constraint the next day (p = .01). The findings lend some support to the interdependence of social functioning and psychological functioning after cancer diagnosis.
本研究评估了社会功能的一个积极方面和一个消极方面（分别为社会支持和社会约束），以增进对癌症诊断后其与心理功能（痛苦和幸福感）之间关系的理解。这项纵向研究的参与者是最近被诊断出患有癌症的患者，主要为晚期，且均为首次患原发性癌症的幸存者（n = 48）。数据收集包括为期30天的每日评估。使用多层线性模型对数据进行分析。与先前的研究一样，所有变量在一段时间内均无显著变化（p值范围为0.07至0.99）。根据组内相关系数，每日评估数据中51%至75%的方差可归因于个体间差异。社会约束与总体痛苦和癌症特异性痛苦之间均存在正相关关系（p值均<0.05），社会支持与癌症特异性幸福感之间也存在正相关关系（p值均<0.001）。在前瞻性模型中，高于平均水平的总体痛苦预示着次日更高的社会支持（p = 0.004），高于平均水平的癌症特异性幸福感预示着次日更多的社会约束（p = 0.01）。这些发现为癌症诊断后社会功能与心理功能的相互依存关系提供了一定支持。
