ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017
Depressive symptoms and positive affect in Chinese and United States breast cancer survivors: a cross-cultural comparison.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 20 citations in OpenAlex.
- The experience of musculoskeletal symptoms among patients with breast cancer during aromatase inhibitor therapy: A qualitative study.Asia-Pacific journal of oncology nursing · 2025Article
- Effectiveness of OH card-based group mental health education in improving mood and behavior in breast cancer patients.Frontiers in public health · 2025Article
- Adjuvant vs. neoadjuvant chemotherapy: quality of life and psychosocial variables in women with breast cancer.Health psychology report · 2023Article
- Religiosity, Emotions and Health: The Role of Trust/Mistrust in God in People Affected by Cancer.Healthcare (Basel, Switzerland) · 2022Article
- Impact of Gut Microbiota on the Association between Diet and Depressive Symptoms in Breast Cancer.Nutrients · 2022Article
- Article
- The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support.Health and quality of life outcomes · 2021Article
- Article
- The Development of a Mobile Health App for Breast Cancer Self-Management Support in Taiwan: Design Thinking Approach.JMIR mHealth and uHealth · 2020Article
- Changes in Symptom Clusters Among Asian American Breast Cancer Survivors in Technology-Based Coaching Intervention.Cancer nursingArticle
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Authors and funding
17 authors at 5 institutions in 3 countries.
Funding
Abstract
purposeResearch in the area of cultural response pattern on questionnaires in the oncological setting and direct cross-cultural comparisons are lacking. This study examined response pattern in the reporting of depressive symptoms in Chinese and US women with breast cancer. We hypothesized that Chinese women are less likely to endorse positive affect items compared to their US counterparts. Additionally, we explored cultural differences in the association between positive affect and QOL.
methodsSecondary analyses of baseline assessments of two mind-body intervention studies for women with breast cancer undergoing radiotherapy in the USA (N = 62) and China (N = 97) are presented. All participants completed measures of depressive symptoms (CES-D) and cancer-specific QOL (FACT-B). We examined cultural differences on positive and negative affect items on the CES-D.
resultsControlling for demographic factors, ANCOVA revealed a significant cultural difference in positive (F = 7.99, p = 0.005) but not negative affect (p = 0.82) with Chinese women reporting lower positive affect compared to US women (Chinese = 6.97 vs. US = 8.31). There was also a significant cultural difference (F = 3.94, p = 0.03) in the association between positive affect and QOL so that lower positive affect was more strongly associated with worse emotional well-being in Chinese (beta = 0.57, p < 0.0001) than US women (beta = 0.35, p < 0.01).
conclusionsChinese women reported lower positive affect compared to US women and lower levels of positive affect were more strongly associated with worse QOL. Special attention is needed when examining mental health in different cultures to ascertain effective delivery of clinical services to those in need.
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