ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
The associations of self-stigma, social constraints, and sleep among Chinese American breast cancer survivors.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.Sleep health · 2022Pooled it
- Correlates of stigma for patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Pooled it
- Effectiveness and Cost-Effectiveness of an App-Based Mindfulness Breast Care Program for Reducing Body Image Distress and Stigma Among Survivors of Breast Cancer: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Article
- Coping styles mediate the association between sense of coherence and symptom distress in patients with colorectal cancer undergoing chemotherapy: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2025Article
- The impact of social support and social constraints on sleep disturbances in patients with lung cancer undergoing chemotherapy: Serial mediators of sleep cognition and anxiety-depression.Asia-Pacific journal of oncology nursing · 2025Article
- Quality of life, insomnia, attitudes and beliefs in women undergoing chemotherapy for breast cancer: a cross-sectional study in Amol city Northern Iran.BMC women's health · 2025Article
- Comorbidity Network of Self-Stigma, Insomnia, and Mental Health in Chronic Disease Patients: A Network Analysis.Psychology research and behavior management · 2025Article
- Mediating effect of social constraints in the association between stigma and depressive symptoms in Chinese breast cancer patients.BMC psychiatry · 2024Article
- US Cancer Mortality Trends Among Asian and Pacific Islander Populations.JAMA network open · 2024Article
- Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep.Asian American journal of psychology · 2024Article
- Development and validation of the Convalescence Symptom Assessment Scale for EsophageCtomy patients.Nursing open · 2024Review
- Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients - A Latent Profile Analysis.Nature and science of sleep · 2024Article
- The stigma in patients with breast cancer: A concept analysis.Asia-Pacific journal of oncology nursing · 2023Review
- Profiles of social constraints and associated factors among breast cancer patients: a latent profile analysis.BMC psychiatry · 2022Article
- The association between comorbidities and stigma among breast cancer survivors.Scientific reports · 2022Article
- Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Body image dissatisfaction and lower self-esteem as major predictors of poor sleep quality in gynecological cancer patients after surgery: cross-sectional study.BMC women's health · 2021Article
- Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- The Mediating Role of Internalized Stigma and Shame on the Relationship between COVID-19 Related Discrimination and Mental Health Outcomes among Back-to-School Students in Wuhan.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe 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.
methodsThe data were based on self-report baseline data (n = 136) from an expressive writing intervention study for Chinese American breast cancer survivors (M
resultsParticipants 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 < .05), which was related to worse sleep quality (b = - .19, SE = .08, p < .05), greater use of sleep aids (b = .25, SE = .11, p < .05), and greater difficulty staying awake during the day (b = .30, SE = .09, p < .05). Further, the indirect effect of self-stigma on sleep quality (ab = - .09, 95% CI - .19, - .03), use of sleep aids (ab = .12, 95% CI .03, .25), and difficulty staying awake during the day (ab = .15, 95% CI .06, .18) through AEE was significant.
conclusionThe results of this study highlight significant sleep-related problems among Chinese American breast cancer survivors and the importance of considering cultural beliefs of cancer in counseling. IMPLICATION FOR CANCER SURVIVORS: Chinese American breast cancer survivors are at risk for sleep-related difficulties due, in part, to perceived self-stigma and emotional constraints. Greater education and community outreach to Chinese communities may help destigmatize breast cancer and encourage emotional expression around cancer-related topics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.