The associations of self-stigma, social constraints, and sleep among Chinese American breast cancer survivors

Purpose The aim of the current study was to examine the incidence of poor sleep quality, medication use, and dysfunction and the association of self-stigma and perceived social constraints (i.e., ambivalence over emotional expression; AEE) on sleep among a sample of Chinese American breast cancer su...

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Bibliographic Details
Published in:Supportive care in cancer 2020-08, Vol.28 (8), p.3935-3944
Main Authors: Wu, Ivan H. C., Tsai, William, McNeill, Lorna H., Lu, Qian
Format: Article
Language:English
Subjects:
Affect
Analysis
Asian Americans - psychology
Breast cancer
Breast Neoplasms - ethnology
Breast Neoplasms - physiopathology
Breast Neoplasms - psychology
Cancer
Cancer survivors
Cancer Survivors - psychology
Chinese Americans
Dyssomnias - ethnology
Dyssomnias - psychology
Emotions
Female
Humans
Medicine
Medicine & Public Health
Middle Aged
Nursing
Nursing Research
Oncology
Oncology, Experimental
Original Article
Pain Medicine
Quality
Quality of Life - psychology
Rehabilitation Medicine
Self Concept
Sleep
Sleep - physiology
Social Behavior
Social Stigma
Stigma
Surveys and Questionnaires
Survivor
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Summary:Purpose The aim of the current study was to examine the incidence of poor sleep quality, medication use, and dysfunction and the association of self-stigma and perceived social constraints (i.e., ambivalence over emotional expression; AEE) on sleep among a sample of Chinese American breast cancer survivors. Methods The data were based on self-report baseline data ( n  = 136) from an expressive writing intervention study for Chinese American breast cancer survivors ( M Time since diagnosis  = 27.17 months; SD  = 19.31). Participants completed self-report questionnaires related to psychological and physical health and health behaviors. Using linear regression and path modeling, our hypotheses were tested using models where (1) self-stigma predicted sleep characteristics (i.e., quality, medication use, and dysfunction) with (2) AEE mediating the relationship between self-stigma and sleep. Results Participants frequently reported poor sleep quality (44.9%), use of sleep aids (37.5%), and difficulty staying awake during the day (37.5%). Greater self-stigma was related to greater AEE ( b  = .48, SE  = .09, p  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-019-05233-x