The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer.

Of interest to the field is the mechanism through which social support acts as a resistance resource for individuals undergoing stressful life circumstances. Women with advanced breast cancer (N = 86) were interviewed to determine how their outlook on life and social functioning were affected by the social support they received. Emotional support provided by the family was predicted to affect the woman's sense of well-being whereas the opportunities for social exchange provided by one's social activities were expected to effect the woman's social functioning. Consistent with the predictions, the data indicate that social support is multidimensional. Emotional support was strongly related to one's outlook. However, one's opportunities for social exchange affect not only one's social functioning, but also one's outlook on life, suggesting an interactive process whereby family support improves outlook, both outlook and opportunities for social exchange are related to one's sense of social functioning. These data explain the erosion of social support during life-threatening illness such as cancer as a result of the limitations imposed by the illness on one's opportunities for social exchange.

[1]  L. Berkman,et al.  Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. , 1979, American journal of epidemiology.

[2]  E. Heimler.  Survival in society , 1975 .

[3]  Eliot Freidson,et al.  Client Control and Medical Practice , 1960, American Journal of Sociology.

[4]  Allen L. Edwards,et al.  Techniques Of Attitude Scale Construction , 1958 .

[5]  J. Mckinlay.  Social Networks, Lay Consultation and Help-Seeking Behavior , 1973 .

[6]  C. Holahan,et al.  Social support and adjustment: Predictive benefits of social climate indices , 1982, American journal of community psychology.

[7]  R. Turner.  Social support as a contingency in psychological well-being. , 1981 .

[8]  C. Mettlin,et al.  The role of support in relation to recovery from breast surgery. , 1982, Social science & medicine.

[9]  J. House,et al.  The association of social relationships and activities with mortality: prospective evidence from the Tecumseh Community Health Study. , 1982, American journal of epidemiology.

[10]  D. Spiegel,et al.  Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study , 1981 .

[11]  J. Hinton.  The Influence of Previous Personality on Reactions to Having Terminal Cancer , 1975 .

[12]  J. Bloom.  Social support, accommodation to stress and adjustment to breast cancer. , 1982, Social science & medicine.

[13]  P. Thoits.  Multiple identities and psychological well-being: a reformulation and test of the social isolation hypothesis. , 1983, American sociological review.

[14]  D. Spiegel,et al.  Group therapy and hypnosis reduce metastatic breast carcinoma pain , 1983 .

[15]  M. Krant,et al.  An integrated family orientated cancer care program: the report of a pilot project in the socio-emotional management of chronic disease. , 1970, Journal of chronic diseases.

[16]  D. Spiegel,et al.  Pain in metastatic breast cancer , 1983, Cancer.

[17]  T. Craig,et al.  The quality of survival in breast cancer: A case‐control comparison , 1974, Cancer.

[18]  S Gore,et al.  The effect of social support in moderating the health consequences of unemployment. , 1978, Journal of health and social behavior.

[19]  A. Antonovsky.  Health, stress, and coping , 1979 .

[20]  D. Calloway,et al.  Activity pattern changes with decreases in food energy intake. , 1983, Human biology.

[21]  D. Spiegel,et al.  Family Environment as a Predictor of Adjustment to Metastatic Breast Carcinoma , 1983 .

[22]  K. Wallston,et al.  Development and validation of the health locus of control (HLC) scale. , 1976, Journal of consulting and clinical psychology.

[23]  A. Finlayson.  Social networks as coping resources: Lay help and consultation patterns used by women in husbands' post-infarction career☆ , 1976 .

[24]  B. Raphael.  Preventive intervention with the recently bereaved. , 1977, Archives of general psychiatry.

[25]  J. Cassel,et al.  Psychosocial assets, life crisis and the prognosis of pregnancy. , 1972, American journal of epidemiology.

[26]  Slater Sb,et al.  Participation in household activities as a prognostic factor for rehabilitation. , 1970 .

[27]  J. Bloom,et al.  Social Functioning of Women with Breast Cancer , 1984 .

[28]  Supportive exchange: an exploration of the relationship between social contacts and perceived health status in the elderly. , 1983, Archives of gerontology and geriatrics.

[29]  J. Bloom,et al.  The effect of social support on patient adjustment after breast surgery. , 1978, Patient counselling and health education.