Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model.

Purpose/Objectives: To explore ethnic differences in psychological distress and social withdrawal after receiving an abnormal mammogram result and to assess if coping strategies mediate ethnic differences.Design: Descriptive correlational.Setting: Two urban mobile mammography units and a rural commu...

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Publicado en:Oncology Nursing Forum Vol. 41; no. 5; pp. 523 - 533
Autores principales: Molina, Yamile, Beresford, Shirley A. A., Espinoza, Noah, Thompson, Beti
Formato: research tables/charts Journal Article
Publicado: Oncology Nursing Society Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2014
      vid: 41
      iid: 5
      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        10.1188/14.ONF.523-532
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        atl: Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model.
      aug:
        au:
          Molina, Yamile
          Beresford, Shirley A. A.
          Espinoza, Noah
          Thompson, Beti
        affil: Division of Public Health Sciences, University of Washington, Seattle, WA
      sug:
        subj:
          Stress, Psychological
          Coping
          Social Behavior
          Ethnic Groups
          Mammography
          Models, Psychological
          Human
          Descriptive Research
          Correlational Studies
          Washington
          Female
          Hispanic Americans
          Scales
          Questionnaires
          Breast Neoplasms
          Quality of Life
          Cultural Competence
          Middle Age
          Pearson's Correlation Coefficient
          Analysis of Variance
          Chi Square Test
          Multivariate Analysis of Covariance
          Confidence Intervals
          Sample Size
          Exploratory Research
          Funding Source
          Middle Aged: 45-64 years
          Female
      ab: Purpose/Objectives: To explore ethnic differences in psychological distress and social withdrawal after receiving an abnormal mammogram result and to assess if coping strategies mediate ethnic differences.Design: Descriptive correlational.Setting: Two urban mobile mammography units and a rural community hospital in the state of Washington.Sample: 41 Latina and 41 non-Latina Caucasian (NLC) women who had received an abnormal mammogram result.Methods: Women completed standard sociodemographic questions, Impact of Event Scale-Revised, the social dimension of the Psychological Consequences Questionnaire, and the Brief COPE.Main Research Variables: Ethnicity, psychological distress, social withdrawal, and coping.Findings: Latinas experienced greater psychological distress and social withdrawal compared to NLC counterparts. Denial as a coping strategy mediated ethnic differences in psychological distress. Religious coping mediated ethnic differences in social withdrawal.Conclusions: Larger population-based studies are necessary to understand how ethnic differences in coping strategies can influence psychological outcomes. This is an important finding that warrants additional study among women who are and are not diagnosed with breast cancer following an abnormal mammogram.Implications for Nursing: Nurses may be able to work with Latina patients to diminish denial coping and consequent distress. Nurses may be particularly effective, given cultural values concerning strong interpersonal relationships and respect for authority figures.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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