Abstract
Although African Americans are at increased risk of cancer morbidity and mortality, very little is known about their psychological adjustment. African American males may be at especially high psychological risk, considering their disproportionately higher cancer mortality. Subjects were 42 African American and 56 White adults similar in age, cancer stage, marital status, and socioeconomic status. Analyses revealed no significant race or gender effects on global indices of psychological adjustment, depression, or anxiety. However, African Americans were more likely than Whites (a) to use avoidant coping strategies in dealing with the exigencies of their illness, (b) to report more cancer-related disruption in family relations, and (c) to identify fewer individuals in their social support network. No significant race differences were found on a measure of health care satisfaction. These findings highlight the need to provide a more comprehensive examination of individual, family, and socioecological variables and their relationship to psychological adaptation among minorities with cancer.
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REFERENCES
Anderson, B. L. (1992). Psychological interventions for cancer patients to enhance the quality of life. Journal of Consulting and Clinical Psychology, 60, 552–568.
Baquet, C. R., Horm, J. W., Gibbs, T., & Greenwald, P. (1991). Socioeconomic factors and cancer incidence among blacks and whites. Journal of the National Cancer Institute, 83, 551–557.
Blanchard, C. G., Ruckdeschel, J. C., Labrecque, M. S., Frisch, S., & Blanchard, E. B. (1987). The impact of a designated cancer unit on house staff behaviors toward patients. Cancer, 60, 2348–2354.
Boring, C. C., Squires, T. S., & Health, C. W., Jr. (1992). Cancer statistics for African Americans. CA, 42, 7–17.
Broadhead, W. E., & Kaplan, B. H. (1991). Social support and the cancer patient. Cancer, 67, 794–799.
Burish, T. G. (1991). Behavioral and psychosocial cancer research: Building on the past, preparing for the future. Cancer, 67, 865–867.
Derogatis, L. R. (1975). Psychosocial adjustment to illness scale. Baltimore, MD: Clinical Psychometric Press.
Derogatis, L. R. (1983). SCL-90-R: Administration, scoring, and procedures manual: 2. Baltimore, MD: Clinical Psychometric Research.
Derogatis, L. R., & Lopez, M. C. (1983). The psychosocial adjustment to illness scale (PAIS & PAIS-SR): Administration, scoring and procedures manual-I. Baltimore, MD: Johns Hopkins University School of Medicine.
Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychology, 11, 79–87.
Feifel, H., Strack, S., & Nagy, V. T. (1987a). Coping strategies and associated features of medically ill patients. Psychosomatic Medicine, 49, 616–625.
Feifel, H., Strack, S., & Nagy, V. T. (1987b). Degree of life-threat and differential use of coping modes. Journal of Psychosomatic Research, 31, 91–99.
Felton, B. J., Revenson, T. A., & Hinrichsen, G. A. (1984). Coping and adjustment in chronically ill adults. Social Science Medicine, 18, 889–898.
Freeman, H. P. (1989). Cancer in the socioeconomically disadvantaged. CA, 39, 266–288.
Hanson, C. L., Henggeler, S. W., Harris, M. A., Mitchell, K. A., Carle, D. L., & Burghen, G. A. (1988). Associations between family members' perceptions of the health care system and the health of youths with insulin-dependent diabetes mellitus. Journal of Pediatric Psychology, 13, 543–554.
Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Yale University, Department of Sociology.
Rodrigue, J. R., Boggs, S. R., Weiner, R. S., & Behen, J. (1993). Mood, coping style, and personality functioning among adult bone marrow transplant candidates. Psychosomatics, 34, 159–165.
Rodrigue, J. R., Behen, J. M., & Tumlin, T. (1994). Multidimensional determinants of psychological adjustment to cancer. Psycho-Oncology, 3, 205–214.
Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127–139.
Zyzanski, S. J., Hulka, B. S., & Cassel, J. C. (1974). Scale for the measurement of satisfaction with medical care: Modification in content, format, and scoring. Medical Care, 12, 611–620.
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Rodrigue, J.R. An Examination of Race Differences in Patients' Psychological Adjustment to Cancer. Journal of Clinical Psychology in Medical Settings 4, 271–280 (1997). https://doi.org/10.1023/A:1026271431384
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DOI: https://doi.org/10.1023/A:1026271431384