Hebi Maimounah, Czamanski-Cohen Johanna, Azaiza Faisal, Weihs Karen L
The School of Creative Arts Therapies, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Emili Sagol Creative Arts Therapies Research Center, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Front Psychol. 2024 Jan 4;14:1297377. doi: 10.3389/fpsyg.2023.1297377. eCollection 2023.
Individuals from different cultures differ in their values, which encompass belief systems that individuals develop based on their culture, and play a pivotal role in shaping their perspectives. These values may affect emotion processing (EP): the recognition, interpretation, expression and response to bodily sensations, translated as emotions. These varying values may contribute to distinct emotional experiences, impacting physical and psychological symptoms in breast cancer (BC) survivors.
This cross-sectional study investigated how EP including acceptance, expression (avoidance and approach coping), and awareness, may mediate the relationship between conservation values and symptoms of pain, fatigue, and depression among Arab ( = 62) and Jewish ( = 179) women BC survivors in Israel. Conservation values include tradition, conformity, and security.
Depression and fatigue were negatively correlated with acceptance of emotions, and positively correlated with avoidance and conservation levels. Emotion processing mediated the relationship between conservation and fatigue and depression. Arab women reported higher levels of various values, emotional acceptance, pain, fatigue, and depression symptoms compared to Jewish women. Conservation was higher in Arab women and correlated with both approach and avoidance coping which was not the case in Jewish women. Avoidance coping had a positive relationship with fatigue in the Jewish, but not the Arab women. Similarly, approach coping was negatively related to depression in Jewish, but not in Arab women.
Cultural differences are important for understanding the experience of cancer in individuals from different cultures. Future interventions for more conservative BC survivors should take culture into account.
来自不同文化背景的个体在价值观上存在差异，这些价值观包含个体基于自身文化形成的信仰体系，在塑造他们的观点方面起着关键作用。这些价值观可能会影响情绪加工（EP）：即对身体感觉的识别、解释、表达和反应，这些感觉被转化为情绪。这些不同的价值观可能导致不同的情绪体验，影响乳腺癌（BC）幸存者的身体和心理症状。
这项横断面研究调查了包括接纳、表达（回避和积极应对）以及觉察在内的情绪加工如何在以色列阿拉伯（n = 62）和犹太（n = 179）乳腺癌女性幸存者中，介导保守价值观与疼痛、疲劳和抑郁症状之间的关系。保守价值观包括传统、从众和安全。
抑郁和疲劳与情绪接纳呈负相关，与回避和保守程度呈正相关。情绪加工介导了保守与疲劳和抑郁之间的关系。与犹太女性相比，阿拉伯女性报告的各种价值观、情绪接纳、疼痛、疲劳和抑郁症状水平更高。阿拉伯女性的保守程度更高，且与积极和消极应对均相关，而犹太女性并非如此。消极应对在犹太女性中与疲劳呈正相关，但在阿拉伯女性中并非如此。同样，积极应对在犹太女性中与抑郁呈负相关，但在阿拉伯女性中并非如此。
文化差异对于理解来自不同文化背景个体的癌症经历很重要。未来针对更为保守的乳腺癌幸存者的干预措施应考虑文化因素。
