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dc.contributor.authorWong, CCY
dc.contributor.authorWarmoth, KM
dc.contributor.authorIvy, S
dc.contributor.authorLu, Q
dc.contributor.authorCheung, B
dc.date.accessioned2017-12-01T11:21:03Z
dc.date.issued2017-12-12
dc.description.abstractPurpose: The present study examines the association between social constraints and depressive symptoms among Chinese American breast cancer survivors, and the mechanism underling this association. A multi-processes model is tested to examine the mediating roles of ambivalence over emotional expression (AEE), avoidance, intrusive thoughts, and social support in the association between social constraints and depressive symptoms among Chinese American breast cancer survivors. Methods: Ninety-six Chinese American breast cancer survivors were recruited from Chinese community organizations. They were asked to complete a questionnaire package that assessed social constraints, AEE, avoidance, intrusive thoughts, social support, depressive symptoms, and demographic information. Path analysis was conducted to test the hypothesized model. Results: The overall and specific indirect effects of social constraints on depressive symptoms through AEE, avoidance, intrusive thoughts, and social support are significant. When the mediators are controlled for, the direct effect of social constraints on depressive symptoms is no longer significant. Conclusions: A multi-processes model of social constraints and depressive symptoms is tested in a sample of Chinese American breast cancer survivors. The findings suggest that the existence of multiple pathways, through which social constraints may associate with depressive symptoms among Chinese American breast cancer survivors.en_GB
dc.description.sponsorshipThis study was supported by the American Cancer Society MRSGT-10-011-01-CPPB (PI: Qian Lu).en_GB
dc.identifier.citationPublished online 12 December 2017en_GB
dc.identifier.doi10.1002/pon.4604
dc.identifier.urihttp://hdl.handle.net/10871/30537
dc.language.isoenen_GB
dc.publisherWileyen_GB
dc.rights.embargoreasonPublisher policyen_GB
dc.rights© 2017 Wiley
dc.subjectsocial constraintsen_GB
dc.subjectambivalence over emotional expressionen_GB
dc.subjectavoidanceen_GB
dc.subjectintrusive thoughten_GB
dc.subjectsocial supporten_GB
dc.subjectdepressionen_GB
dc.subjectAsian Americanen_GB
dc.subjectcancer survivorshipen_GB
dc.subjectcanceren_GB
dc.subjectoncologyen_GB
dc.titleRelation of social constraints on disclosure to adjustment among Chinese American cancer survivors: A multi-processes approachen_GB
dc.typeArticleen_GB
dc.identifier.issn1057-9249
dc.descriptionThis is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.en_GB
dc.identifier.journalPsycho-Oncologyen_GB


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