ArticlePsycho-oncology2020
The impact of social constraints on insomnia among African-American breast cancer survivors: The mediating role of fear of recurrence.
Article in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- 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
- The relationship between depression, anxiety and health literacy with the severity of diabetes: the mediating role of fear of disease progression.Journal of diabetes and metabolic disorders · 2025Article
- Sleep Disturbance as a Mediator of Lung Cancer Stigma on Psychological Distress and Physical Symptom Burden.Psychosomatic medicine · 2024Article
- Assessment of the Relationship between Fear of Cancer Recurrence, Spiritual Well-Being, and Mental Health among Cancer Patients: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2024Article
- Profiles of social constraints and associated factors among breast cancer patients: a latent profile analysis.BMC psychiatry · 2022Article
- "I Beat Cancer to Feel Sick:" Qualitative Experiences of Sleep Disturbance in Black Breast Cancer Survivors and Recommendations for Culturally Targeted Sleep Interventions.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- African-centered coping, resilience, and psychological distress in Black prostate cancer patients.Psycho-oncology · 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
- Interpersonal emotion regulation and mental health among cancer survivors: A systematic review.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
9 authors.
Funding
Abstract
objectiveInsomnia is a significant concern among African-American breast cancer survivors (BCS). Social constraints (SC)-receiving unsupportive or critical responses when expressing trauma-related emotions-and fear of recurrence (FOR) have been associated with insomnia. We examined FOR as a mediator in the relationship between SC and insomnia in African-American BCS. We hypothesized a direct effect of SC on insomnia, and an indirect effect of SC on insomnia through FOR.
methodsSixty-four African-American BCS completed a questionnaire assessing demographics, clinical characteristics, SC, FOR, and insomnia. Participants were an average of M = 8.41 (SD = 5.8) year survivors. The mediation was tested using PROCESS for SPSS.
resultsThe direct effect of SC on insomnia was significant (direct effect = .17, SE = .08, P = .04). Moreover, the indirect effect of SC on insomnia through FOR was significant (indirect effect = .19, SE = .10, 95% CI = .05, .41).
conclusionsExperiencing SC from family and friends could produce cognitions that impact sleep for BCS, and FOR could be one of those cognitions. Family-based models of care that emphasize the emotional needs of survivors and families could be a relevant strategy to address the SC that impacts sleep.
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