Holding back sharing concerns, dispositional emotional expressivity, perceived unsupportive responses and distress among women newly diagnosed with gynecological cancers Journal Article

   

Authors:	Manne, S.; Myers, S.; Ozga, M.; Kissane, D.; Kashy, D.; Rubin, S.; Heckman, C.; Rosenblum, N.
Article Title:	Holding back sharing concerns, dispositional emotional expressivity, perceived unsupportive responses and distress among women newly diagnosed with gynecological cancers
Abstract:	Objective: Little attention has been paid to the role of holding back sharing concerns in the psychological adaptation of women newly diagnosed with gynecological cancers. The goal of the present study was to evaluate the role of holding back concerns in psychosocial adjustment and quality of life, as well as a possible moderating role for emotional expressivity and perceived unsupportive responses from family and friends. Method: Two hundred forty-four women diagnosed with gynecological cancer in the past 8 months completed measures of holding back, dispositional emotional expressivity, perceived unsupportive responses from family and friends, cancer-specific distress, depressive symptoms and quality of life. Results: Emotional expressivity moderated the association between holding back and cancer-specific distress and quality of life, but not depressive symptoms. Greater holding back was more strongly associated with higher levels of cancer-related distress among women who were more emotionally expressive than among women who were less expressive. Perceived unsupportive responses did not moderate the associations between holding back and psychosocial outcomes. Conclusion: Holding back sharing concerns was more common in this patient population than other cancer populations. Dispositional expressivity played a role in how harmful holding back concerns was for women, while unsupportive responses from family and friends did not. © 2014 Elsevier Inc.
Keywords:	coping; depressive symptoms; gynecological cancer; trajectories of change
Journal Title:	General Hospital Psychiatry
Volume:	36
Issue:	1
ISSN:	0163-8343
Publisher:	Elsevier Science, Inc.
Date Published:	2014-01-01
Start Page:	81
End Page:	87
Language:	English
DOI:	10.1016/j.genhosppsych.2013.10.001
PROVIDER:	scopus
PMCID:	PMC3930348
PUBMED:	24211156
DOI/URL:	http://www.scopus.com/inward/record.url?eid=2-s2.0-84891273405&partnerID=40&md5=598abf4ac3bf84d05448c96bafb94912
Notes:	Export Date: 3 February 2014 -- CODEN: GHPSD -- Source: Scopus

https://synapse.mskcc.org/synapse/works/has_related_data_chk/49245