Communication, coping, and quality of life of breast cancer survivors and family/friend dyads: a pilot study of Chinese-Americans and Korean-Americans

Psychooncology. 2014 Nov;23(11):1243-51. doi: 10.1002/pon.3532. Epub 2014 Apr 2.

Abstract

Objective: This study aimed to understand the dyadic relationships between family communication and quality of life (QOL) and between coping and QOL in Chinese-American and Korean-American breast cancer survivor (BCS)-family member dyads.

Methods: A cross-sectional survey design was used. A total of 32 Chinese-American and Korean-American BCS-family member dyads were recruited from the California Cancer Surveillance Program and area hospitals in Los Angeles County, California, USA. The dyadic data were analyzed using a pooled regression actor-partner interdependence model.

Results: The study findings demonstrated that the survivors' general communication and use of reframing coping positively predicted their own QOL. The survivors' and family members' general communication was also a strong predictor of the family members' physical-related QOL score specifically. Meanwhile, each person's use of mobilizing coping negatively predicted his or her partner's QOL.

Conclusions: The study findings add important information to the scarce literature on the QOL of Asian-American survivors of breast cancer. The findings suggest that Chinese-American and Korean-American BCS and their family members may benefit from interventions that enhance communication and coping within the family unit.

Keywords: Asian-Americans; breast cancer survivors; dyadic relationship; family communication; family coping; quality of life.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Asian / psychology*
  • Breast Neoplasms / psychology*
  • China / ethnology
  • Communication
  • Cross-Sectional Studies
  • Family / psychology*
  • Female
  • Friends / psychology
  • Humans
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Republic of Korea / ethnology
  • Survivors / psychology*