PMID- 19140123 OWN - NLM STAT- MEDLINE DCOM- 20100115 LR - 20091102 IS - 1099-1611 (Electronic) IS - 1057-9249 (Linking) VI - 18 IP - 11 DP - 2009 Nov TI - Social adjustment among Chinese women following breast cancer surgery. PG - 1189-98 LID - 10.1002/pon.1403 [doi] AB - BACKGROUND: How breast cancer surgery affects social adjustment among Chinese women is unknown, as are factors predicting such adjustment. METHODS: 405 Chinese women receiving surgery for localized breast cancer completed Social Adjustment Scales (Ch-SAS) at 1-, 4- and 8-months post-operatively. Subscale scores were regressed on baseline (days 3-12 post-operatively) measures of treatment decision-making difficulty (TDMD), self-efficacy (GSeS), consultation satisfaction (C-MISS-R), psychological (CHQ-12) and physical distress (PD), and 1-month follow-up optimism (C-LOT-R), and disappointment (E-OI), fully adjusted for demographic and clinical factors. RESULTS: All Ch-SAS subscales except appearance & sexuality changed significantly over 8-months follow-up: Enjoyment of social activities (F=27.38, df 2, p<0.001) and self-image (F=3.63, df 2, p=0.027) improved slightly. Family interaction (F=26.63, df 2, p<0.001) and interaction with friends (F=3.37, df 2, p=0.035) declined slightly. Family and friends interaction subscales were predominantly predicted by high self-efficacy and optimism, whereas self-image and appearance & sexuality subscales were predominantly predicted by low treatment outcome disappointment, TDM difficulties, baseline psychological morbidity and high self-efficacy. Enjoyment of social activities was predicted by low baseline psychological distress and concurrent physical symptom distress. CONCLUSION: High self-efficacy and optimism predicted women who have better social relationships with friends and family. Higher self-efficacy, low TDM difficulties, less disappointment with treatment outcome and low psychological and physical distress predicted better adjustment to self-image and body image. FAU - Lam, Wendy W T AU - Lam WW AD - Department of Community Medicine and Unit for Behavioural Sciences, Centre for Psycho-Oncology Research and Training, The University of Hong Kong, Pokfulam, Hong Kong. FAU - Chan, Miranda AU - Chan M FAU - Hung, Wai Ka AU - Hung WK FAU - Or, Amy AU - Or A FAU - Fielding, Richard AU - Fielding R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Psychooncology JT - Psycho-oncology JID - 9214524 SB - IM MH - Breast Neoplasms/*psychology/surgery MH - Family Relations MH - Female MH - Hong Kong MH - Humans MH - Interpersonal Relations MH - Middle Aged MH - Psychological Tests MH - Self Concept MH - Sexuality MH - *Social Adjustment EDAT- 2009/01/14 09:00 MHDA- 2010/01/16 06:00 CRDT- 2009/01/14 09:00 PHST- 2009/01/14 09:00 [entrez] PHST- 2009/01/14 09:00 [pubmed] PHST- 2010/01/16 06:00 [medline] AID - 10.1002/pon.1403 [doi] PST - ppublish SO - Psychooncology. 2009 Nov;18(11):1189-98. doi: 10.1002/pon.1403.