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

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

doi:10.1002/pon.5435

Cited by 11 publications

(17 citation statements)

References 33 publications

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“…Additionally, there is evidence that sleep deficit can increase the activity of inflammatory pathways and oxidative stress, indicating that sleep disturbance may play multiple roles in the development of symptoms clusters [ 33 ]. There is also evidence suggesting that social factors, perhaps influenced by treatment modality, also influence sleep disturbance [ 34 , 35 ]. Further research regarding the interaction of biological and social factors influencing symptom burden needs to be undertaken in a treatment-specific fashion to uncover these relationships and allow for targeted intervention strategies.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer

Grayson

Sereika

Harpel

et al. 2021

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Purpose The purpose of this study was to examine factors associated with sleep disturbance in women receiving adjuvant therapy for breast cancer. Methods This study employed a cross-sectional design using data collected at 3 months post-surgery from an ongoing longitudinal parent study. Participant data were divided into adjuvant treatment groups (chemotherapy, radiation, and aromatase inhibitors) and no adjuvant treatment groups. Symptoms were measured using patient self-report measures. Analysis of variance was used to assess between adjuvant treatment group differences in sleep disturbance. Regression analysis was performed to assess the relationship between sleep disturbance and other symptoms within adjuvant treatment groups. Results The sample included 156 women diagnosed with early-stage breast cancer. There were significant differences in levels of reported sleep disturbance between treatment groups (p = 0.049), with significantly higher levels of sleep disturbances in those receiving radiation compared to those receiving no adjuvant treatment (p = 0.038) and in those receiving chemotherapy and those receiving no adjuvant treatment (p = 0.027). Increased sleep disturbance was found to be a significant predictor for increased pain severity, nausea severity, anxiety, depressive symptoms, fatigue, decreased physical function, and decreased ability to participate in social roles and activities. Co-occurring symptoms with sleep disturbance differed between adjuvant treatment groups. Sleep disturbance was also associated with younger age (p = 0.008). Conclusions Patients undergoing chemotherapy or radiation for breast cancer report higher levels of sleep disturbance than those not receiving adjuvant therapy. Sleep disturbance is associated with other symptoms experienced by patients with cancer and thus requires continual assessment and future research into effective interventions.

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Section: Discussionmentioning

confidence: 99%

Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer

Grayson

Sereika

Harpel

et al. 2021

Support Care Cancer

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“…There are various types of social support (instrumental, emotional, functional) provided by key individuals in one's social network (spouses, family, friends). For example, in a previous study, experiencing social constraints on emotional expression from family and friends was related to greater fear of recurrence in Black breast cancer survivors 38 . Future researchers should consider how these social‐environmental variables impact coping and psychological distress.…”

Section: Discussionmentioning

confidence: 92%

“…For example, in a previous study, experiencing social constraints on emotional expression from family and friends was related to greater fear of recurrence in Black breast cancer survivors. 38 Future researchers should consider how these social-environmental variables impact coping and psychological distress.…”

Section: Discussionmentioning

confidence: 99%

African‐centered coping, resilience, and psychological distress in Black prostate cancer patients

et al. 2021

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Objective Blacks have the highest incidence and mortality rates for prostate cancer (PCa) in the U.S. Black PCa patients (PCaP) also report high psychological distress. Identifying culturally specific coping strategies that lower distress among Black PCaP could help improve psychological interventions for this group. African‐centered coping (strategies unique to the structure of Black personality and the African‐centered worldview) have been identified. We hypothesized that these coping strategies and resilience would be associated with lower psychological distress (anxiety and depression) in Black PCaP. Methods Black PCaP (N = 95) completed a survey assessing African‐centered coping strategies, resilience, anxiety, and depression. Multiple regression was employed to examine African‐centered coping strategies and resilience as predictors of psychological distress. Results Participants were aged M = 67 ± 9 years and 52% had late‐stage PCa. Twenty percent met criteria for clinically significant anxiety, and 17% for depression. African‐centered coping strategies were not associated with lower anxiety or depression, while resilience was associated with decreased anxiety (r = −0.45, p < 0.001) and depression (r = −0.54, p < 0.001). Mediation analyses did not support an indirect association among African‐centered coping strategies, resilience, and anxiety and depression. Conclusions Contrary to hypotheses, African‐centered coping strategies were not associated with psychological distress. However, as predicted, greater resilience was associated with lower anxiety and depression. These findings support the relevancy of resilience in Blacks' psychological adjustment to PCa. It might be worthwhile to explore African‐centered coping strategies that help Black PCaP cope with distress.

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“…Higher levels of fear of cancer recurrence have been associated with younger age, elevated anxiety, lower HRQoL, presence and severity of physical symptoms (81), higher health costs and lower surveillance rates, potentially compromising BCS health outcomes (85). Fear of cancer recurrence, mainly in the form of intrusive thoughts, has also been identified as a significant predictor of sleep disturbance in BCS (86,87).…”

Section: Psychosocial Problems Affecting Breast Cancer Survivorsmentioning

confidence: 99%

Developing Internet Interventions to Improve Psychosocial Outcomes in Breast Cancer Survivors : Attitudes and practices in Portuguese cancer settings

Mendes-Santos

2021

Linköping Studies in Arts and Sciences

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

Cited by 11 publications

References 33 publications

Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer

Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer

African‐centered coping, resilience, and psychological distress in Black prostate cancer patients

Developing Internet Interventions to Improve Psychosocial Outcomes in Breast Cancer Survivors : Attitudes and practices in Portuguese cancer settings

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