Development of the functional social network index for adolescent and young adult cancer survivors Journal Article


Authors: Huang, I. C.; Jones, C. M.; Brinkman, T. M.; Hudson, M. M.; Srivastava, D. K.; Li, Y.; Robison, L. L.; Krull, K. R.
Article Title: Development of the functional social network index for adolescent and young adult cancer survivors
Abstract: BACKGROUND: To the authors' knowledge, social network status in adolescent and young adult (AYA) cancer survivors has not been adequately studied to date. The authors developed and validated a functional social network index (FSNI) for AYA survivors, and compared its performance with that of 2 traditional indices (density and betweenness centrality). METHODS: A total of 102 AYA survivors and 102 noncancer controls who were matched for age, sex, and race were recruited from an Internet panel. Each participant reported relationships with up to 25 close friends and/or relatives. The authors developed a FSNI with reported marital status, contact frequency with friends/relatives, available resources for emotional and tangible support, and available resources for physical activity and weight management advice. Linear regression was used to analyze associations between the FSNI and cancer diagnoses, treatments, and coping skills. RESULTS: Based on the FSNI, survivors were found to have more available resources for emotional support (beta [b] = 3.02; P =.003), tangible support (b = 4.17; P<.001), physical activity advice (b = 3.94; P<.001), and weight management advice (b = 4.10; P<.001) compared with noncancer controls. Survivors of lymphoma had the largest FSNI, whereas survivors of central nervous system malignancies had the smallest (b = 2.77; P =.02). A higher FSNI was associated with better coping skills: less denial (b = 0.10; P =.01), using emotional support (b = 0.08; P =.04), using instrumental support (b = 0.12; P<.001), less behavioral disengagement (b = 0.08; P =.04), venting of emotions (b = 0.10; P =.004), positive reframing (b = 0.12; P =.003), planning for the future (b = 0.08; P =.03), and religious engagement (b = 0.16; P<.001). Density and betweenness centrality indices demonstrated neither significant differences in social networks between cancer survivors and controls (all P values >.05) nor significant associations with coping skills (all P values >.05). CONCLUSIONS: The FSNI appears to provide a better social network assessment for AYA cancer survivors than traditional indices. Cancer 2018;124:2220-7. © 2018 American Cancer Society. © 2018 American Cancer Society
Keywords: childhood cancer; survivorship; adolescents and young adults; coping skills; functional social network
Journal Title: Cancer
Volume: 124
Issue: 10
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2018-05-15
Start Page: 2220
End Page: 2227
Language: English
DOI: 10.1002/cncr.31278
PROVIDER: scopus
PMCID: PMC5935560
PUBMED: 29517807
DOI/URL:
Notes: Article -- Export Date: 1 June 2018 -- Source: Scopus
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  1. Yuelin Li
    136 Li