Relationships among optimism, well-being, self-transcendence, coping, and social support in women during treatment for breast cancer
Article first published online: 25 NOV 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Volume 18, Issue 7, pages 716–726, July 2009
How to Cite
Matthews, E. E. and Cook, P. F. (2009), Relationships among optimism, well-being, self-transcendence, coping, and social support in women during treatment for breast cancer. Psycho-Oncology, 18: 716–726. doi: 10.1002/pon.1461
- Issue published online: 29 JUN 2009
- Article first published online: 25 NOV 2008
- Manuscript Accepted: 22 AUG 2008
- Manuscript Revised: 15 AUG 2008
- Manuscript Received: 29 APR 2008
- breast cancer;
- psychological distress;
- emotional well-being;
Objective: The impact of diagnosis and treatment for breast cancer, stressors that affect emotional well-being, is influenced by several psychosocial factors and the relationships among them. The purpose of this study was to investigate the relationship between optimism and emotional well-being (EWB) and the individual and combined mediation of this relationship by perceived social support (SS), problem focused coping (PFC), and self-transcendence in women with breast cancer during radiation therapy.
Methods: Ninety-three women receiving radiation treatment for breast cancer completed questionnaires that measured EWB, optimism, SS, PFC, and self-transcendence.
Results: Correlational and multiple regression analysis revealed that optimism was positively related to EWB. Of the three mediators, self-transcendence alone was found to partially mediate the relationship between optimism and EWB. The relationship between optimism and PFC was not significant. Optimism was related to SS, but its indirect effect on EWB through SS did not reach significance.
Conclusions and implications: During breast cancer treatment, the positive effects of optimism on EWB are partially mediated by a woman's level of self-transcendence. Brief screening of women's optimism may help identify women at risk for psychological distress. Early detection and interventions to promote psychological adjustment throughout the cancer trajectory (e.g. enhancing self-transcendence) should receive attention in future research. Copyright © 2008 John Wiley & Sons, Ltd.