The process and effect of supportive message expression and reception in online breast cancer support groups.
The process and effect of supportive message expression and reception in online breast cancer support groups.
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DOI：
10.1002/pon.1942
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发表时间：
2012-05
期刊：
影响因子：
3.6
通讯作者：
Gustafson, David H.
中科院分区：
文献类型：
--
作者：
Kim, Eunkyung;Han, Jeong Yeob;Moon, Tae Joon;Shaw, Bret;Shah, Dhavan V.;McTavish, Fiona M.;Gustafson, David H.
关键词：
为了更好地了解乳腺癌患者在计算机介导的社会支持（CMSS）团体中社会支持交换的过程和效果，本研究考察了1）情感支持给予和接受之间的动态相互作用以及2）情感支持给予和接受对患者心理社会健康结果的相对影响。在为期4个月的干预期间，收集了177名参加综合健康促进支持系统（CHESS）内在线癌症支持小组的患者的数据。数据包括1）人口统计学，疾病相关和心理社会因素的前测和/或后测调查得分，2）自动收集的CHESS使用数据，以及3）社会支持消息帖子的计算机辅助内容分析。分层回归分析显示，那些从他人那里获得更高水平支持的人对乳腺癌的担忧较少（β=-0.15，p<.05），而那些给予他人更高水平支持的人则以积极的眼光重新审视自己的问题，并采取更积极的应对策略（β= 0.16，p<.05）。偏相关分析表明，这两种支持行为除了具有正效应外，还具有交互作用。我们的结论是，接受和给予的支持性交流在预测心理社会健康结果方面发挥着积极但不同的作用。此外，情感支持的给予和接受往往会相互加强。我们的研究结果有助于从业人员，卫生保健提供者和卫生系统设计人员了解参与CMSS组的癌症患者之间的各种社会支持过程。
To better understand the process and effect of social support exchanges within computer-mediated social support (CMSS) groups for breast cancer patients, this study examines 1) the dynamic interplay between emotional support giving and receiving and 2) the relative effects of emotional support giving and receiving on patients’ psychosocial health outcomes. Data was collected from 177 patients who participated in online cancer support groups within the Comprehensive Health Enhancement Support System (CHESS) during the 4-month intervention. Data included 1) pretest and/or posttest survey scores of demographic, disease-related, and psychosocial factors, 2) automatically collected CHESS usage data, and 3) computer-aided content analysis of social support messages posts. Hierarchical regression analyses revealed that those who receive higher levels of support from others have fewer breast cancer-related concerns (β= −.15, p<.05), while those who give higher levels of support to others reframe their own problems in a positive light and adopt more positive strategies for coping (β= .16, p<.05). In addition to these positive effects, partial correlation analysis indicated that these two supportive behaviors are reciprocal. We concluded that supportive exchanges of receiving and giving play positive, but different, roles in predicting psychosocial health outcomes. Moreover, emotional support giving and receiving tend to reinforce each other. Our findings help practitioners, health care providers, and health system designers make sense of diverse social support processes among cancer patients participating within CMSS groups.
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影响因子：
3.3
作者：
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通讯作者：
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