Uncertainty, spirituality, religiosity, and psychosocial outcomes among culturally diverse, younger women with breast cancer
Barroero, Linda Sue
The purpose of this descriptive-exploratory, secondary analysis of data
from the Self-Help Intervention Project (SHIP) was to explore the ability
of the factors, uncertainty, spirituality, and religiosity, among young
Hispanic and Anglo women with breast cancer, to differentiate between
those who demonstrated psychosocial maladjustment and those who did
not. The sample consisted of low income, younger (M=41. 75) Anglo
(n=93) and Hispanic (n=96) women recently diagnosed with breast cancer.
Discriminant analysis with stepwise selection procedures was used to
identify the predictor variables of psychosocial adjustment as measured
by the social and psychological self-report domains of the PAIS. This
study supported a positive relationship between uncertainty levels and
psychosocial adjustment, demonstrating high prediction accuracy of nonmaladjustment
(social=92.3%, psychological=85.2%) but with less
accuracy for maladjustment (29.3%, 43.1 %). Spirituality and religiosity
were entered with uncertainty yielding limited additional explanatory
power for the group as a whole or the Hispanic women. However, three
items entered for social adjustment among the Anglo women, improving
prediction of maladjustment to 58.30% and for non-maladjustment,
92.60%. The addition of spirituality and religiosity among the Anglo
women for psychological adjustment only improved prediction for the
non-maladjusted group. Implications and limitations are discussed.
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