Details

Autor(en) / Beteiligte

• Martin, Chloé M.
• Greene, Danyella
• Harrell, Jules P.
• Mwendwa, Denée Thomas
• Williams, Carla D.
• Horton, Sara
• Cradle, Melanie
• Hudson, Briana D.
• Taylor, Teletia R.

Titel

The impact of social constraints on insomnia among African‐American breast cancer survivors: The mediating role of fear of recurrence

Ist Teil von

• Psycho-oncology (Chichester, England), 2020-08, Vol.29 (8), p.1296-1302

Ort / Verlag

Chichester, UK: John Wiley & Sons, Ltd

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Objective Insomnia is a significant concern among African‐American breast cancer survivors (BCS). Social constraints (SC)—receiving unsupportive or critical responses when expressing trauma‐related emotions—and fear of recurrence (FOR) have been associated with insomnia. We examined FOR as a mediator in the relationship between SC and insomnia in African‐American BCS. We hypothesized a direct effect of SC on insomnia, and an indirect effect of SC on insomnia through FOR. Methods Sixty‐four African‐American BCS completed a questionnaire assessing demographics, clinical characteristics, SC, FOR, and insomnia. Participants were an average of M = 8.41 (SD = 5.8) year survivors. The mediation was tested using PROCESS for SPSS. Results The direct effect of SC on insomnia was significant (direct effect = .17, SE = .08, P = .04). Moreover, the indirect effect of SC on insomnia through FOR was significant (indirect effect = .19, SE = .10, 95% CI = .05, .41). Conclusions Experiencing SC from family and friends could produce cognitions that impact sleep for BCS, and FOR could be one of those cognitions. Family‐based models of care that emphasize the emotional needs of survivors and families could be a relevant strategy to address the SC that impacts sleep.