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A Threshold Model of Social Support, Adjustment, and Distress after Breast Cancer Treatment

Identifieur interne : 003664 ( Pmc/Corpus ); précédent : 003663; suivant : 003665

A Threshold Model of Social Support, Adjustment, and Distress after Breast Cancer Treatment

Auteurs : Brent Mallinckrodt ; Jane M. Armer ; P. Paul Heppner

Source :

RBID : PMC:3354567

Abstract

This study examined a threshold model which proposes that social support exhibits a curvilinear association with adjustment and distress, such that support in excess of a critical threshold level has decreasing incremental benefits. Women diagnosed with a first occurrence of breast cancer (N = 154) completed survey measures of perceived support (Social Provisions Scale), quality of life (Functional Living Index-Cancer), adjustment (Psychological Adjustment to Illness Scale) and psychological distress (Brief Symptom Inventory) approximately three weeks after surgical treatment and 8–16 months later. Consistent with a threshold model, multiple regression analyses suggested a significant curvilinear relationship between social support and distress at Time 1 and Time 2; and between social support and adjustment at Time 2. Consistent with this model, the significant bivariate correlations between social support and outcomes were accounted for almost entirely by women in the lowest quartile of support. Social support among women in the highest three quartiles was unrelated or only marginally related to adjustment and distress.


Url:
DOI: 10.1037/a0026549
PubMed: 22229798
PubMed Central: 3354567

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PMC:3354567

Le document en format XML

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= 154) completed survey measures of perceived support (Social Provisions Scale), quality of life (Functional Living Index-Cancer), adjustment (Psychological Adjustment to Illness Scale) and psychological distress (Brief Symptom Inventory) approximately three weeks after surgical treatment and 8–16 months later. Consistent with a threshold model, multiple regression analyses suggested a significant curvilinear relationship between social support and distress at Time 1 and Time 2; and between social support and adjustment at Time 2. Consistent with this model, the significant bivariate correlations between social support and outcomes were accounted for almost entirely by women in the lowest quartile of support. Social support among women in the highest three quartiles was unrelated or only marginally related to adjustment and distress.</p>
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<surname>Mallinckrodt</surname>
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<aff id="A1">Department of Psychology, University of Tennessee</aff>
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<surname>Armer</surname>
<given-names>Jane M.</given-names>
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<aff id="A2">Sinclair School of Nursing, University of Missouri</aff>
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<corresp id="cor1">Correspondence should be addressed to Brent Mallinckrodt, 1404 Circle Drive, Austin Peay Bldg. Rm. 312, Knoxville, TN 37996.
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<abstract>
<p id="P1">This study examined a threshold model which proposes that social support exhibits a curvilinear association with adjustment and distress, such that support in excess of a critical threshold level has decreasing incremental benefits. Women diagnosed with a first occurrence of breast cancer (
<italic>N</italic>
= 154) completed survey measures of perceived support (Social Provisions Scale), quality of life (Functional Living Index-Cancer), adjustment (Psychological Adjustment to Illness Scale) and psychological distress (Brief Symptom Inventory) approximately three weeks after surgical treatment and 8–16 months later. Consistent with a threshold model, multiple regression analyses suggested a significant curvilinear relationship between social support and distress at Time 1 and Time 2; and between social support and adjustment at Time 2. Consistent with this model, the significant bivariate correlations between social support and outcomes were accounted for almost entirely by women in the lowest quartile of support. Social support among women in the highest three quartiles was unrelated or only marginally related to adjustment and distress.</p>
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