Hye Young Kim; Hyang Sook So

doi:10.4040/jkan.2012.42.1.105

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Original Article
A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer: Hye Young Kim, Hyang Sook So; Journal of Korean Academy of Nursing 2012;42(1):105-115.
DOI: https://doi.org/10.4040/jkan.2012.42.1.105
Published online: February 29, 2012

¹Assistant Professor, Department of Nursing, Gwangju Women's University, Gwangju, Korea.

²Professor, College of Nursing, Chonnam National University, Gwangju, Korea.

Address reprint requests to: So, Hyang Sook. College of Nursing, Chonnam National University, 5, Hak-1dong, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-220-4361, +82-62-530-4930, FAX: +82-62-227-4009, hsso@chonnam.ac.kr

• Received: March 30, 2011 • Accepted: February 5, 2012

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to propose a structural model to explain and predict psychosocial adjustment in patients with early breast cancer and to test the model. The model was based on the Stress-Coping Model of Lazarus and Folkman (1984).
Methods
Data were collected from February 18 to March 18, 2009. For data analysis, 198 data sets were analyzed using SPSS/WIN12 and AMOS 7.0 version.
Results
Social support, uncertainty, symptom experience, and coping had statistically significant direct, indirect and total effects on psychosocial adjustment, and optimism had significant indirect and total effects on psychosocial adjustment. These variables explained 57% of total variance of the psychosocial adjustment in patients with early breast cancer.
Conclusion
The results of the study indicate a need to enhance psychosocial adjustment of patients with early breast cancer by providing detailed structured information and various symptom alleviation programs to reduce perceived stresses such as uncertainty and symptom experience. They also suggest the need to establish support systems through participation of medical personnel and families in such programs, and to apply interventions strengthening coping methods to give the patients positive and optimistic beliefs.
Keywords: Breast cancer; Adjustment; Structural model; Social support; Uncertainty

This article is based on a part of the first author's doctoral thesis from Chonnam National University.

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Figure 1

Path diagram for hypothetical model.

x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability;

y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Figure 2

Path diagram for the final model.

x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability;

y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Table 1

Descriptive Statistics of Variables (N=198)

VIF=Variation inflation factor.

Table 2

Correlation among the Research Variables (N=198)

x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability;

y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Figure & Data

REFERENCES

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A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer

J Korean Acad Nurs. 2012;42(1):105-115. Published online February 29, 2012

DOI: https://doi.org/10.4040/jkan.2012.42.1.105

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A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer

Figure 1 Path diagram for hypothetical model. x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability; y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Figure 2 Path diagram for the final model. x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability; y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Figure 1

Figure 2

A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer

Table 1

Descriptive Statistics of Variables (N=198)

VIF=Variation inflation factor.

Table 2

Correlation among the Research Variables (N=198)

x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability;

y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.

Table 1 Descriptive Statistics of Variables (N=198)

VIF=Variation inflation factor.

Table 2 Correlation among the Research Variables (N=198)

x1=Symptom experience; x2=Ambiguity; x3=Complexity; x4=Unpredictability;

y1=Family support; y2=Medical staff support; y3=Optimism; y4=Problem focused coping; y5=Emotional focused coping; y6=Psychosocial adjustment.