Purpose/Objectives: To assess social support and psychological and physical states among Japanese patients with breast cancer and their spouses prior to surgery.
Design: Descriptive, comparative, and correlational.
Setting: A general hospital in northern Japan.
Sample: 38 Japanese patients with breast cancer and their spouses (N = 76).
Methods: The Japanese versions of three questionnaires were used to collect data before surgery: the Interpersonal Relationship Inventory, the General Health Questionnaire, and the Physical States Interview Form.
Main Research Variables: Social support (support, conflict, and reciprocity), social network, and psychological and physical states.
Findings: Significant differences were found in support and reciprocity between patients and their spouses. However, no significant differences were found in social network, conflict, or psychological states between patients and their spouses. Moreover, some significant correlations were found in the variables of conflict, social network, and psychological and physical states.
Conclusions: Japanese patients with breast cancer perceived more support and reciprocity than their spouses before their breast surgery. Conflict was significantly correlated with psychological states among Japanese women with breast cancer and their spouses.
Implications for Nursing: Healthcare professionals need to consider social support as an important factor to help Japanese patients with breast cancer and their spouses cope with the disease.
Baron, R.H., Fey, J.V., Borgen, P.I., & Van Zee, K.J. (2004). Eighteen sensations after breast cancer surgery: A two-year comparison of sentinel lymph node biopsy and axillary lymph node dissection. Oncology Nursing Forum, 31, 691-698.
Bloom, J.R., Stewart, S.L., Johnston, M., Banks, P., & Fobair, P. (2001). Sources of support and the physical and mental well-being of young women with breast cancer. Social Science and Medicine, 53, 1513-1524.
Bourjolly, J.N., & Hirschman, K.B. (2001). Similarities in coping strategies but differences in sources of support among African American and white women coping with breast cancer. Journal of Psychosocial Oncology, 19, 17-38.
Carson, L.E., Ottenbreit, N., St. Pierre, M., & Bultz, B.D. (2001). Partner understanding of the breast and prostate cancer experience. Cancer Nursing, 24, 231-239.
Dakof, G.A., & Taylor, S.E. (1990). Victims' perceptions of social support: What is helpful from whom? Journal of Personality and Social Psychology, 58, 80-89.
Edgar, L., Remmer, J., Rosberger, Z., & Fournier, M.A. (2000). Resource use in women completing treatment for breast cancer. Psycho-Oncology, 9, 428-438.
Goldberg, D., & Williams, P. (1988). A user's guide to the General Health Questionnaire: GHQ. Windsor, United Kingdom: nefrNelson.
Hamilton, J.B., & Sandelowski, M. (2004). Types of social support in African Americans with cancer. Oncology Nursing Forum, 31, 792-800.
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Lloyd, S.M., Watson, M., Oaker, G., Sacks, N., Rovere, U.Q., & Gui, G. (2000). Understanding the experience of prophylactic bilateral mastectomy: A qualitative study of ten women. Psycho-Oncology, 9, 473-485.
Lock, M. (1982). Popular conceptions of mental health in Japan. In A.J. Marsella & G.M. White (Eds.), Cultural conceptions of mental health and therapy (pp. 215-233). Boston: Reidel.
Makabe, R. (1998a). The Interpersonal Relationship Inventory: Translation process from English into Japanese. Japanese Journal of Nursing Research, 31, 423-432.
Makabe, R. (1998b). The relationship of social support, psychological, and physical states among Japanese women with breast cancer. Journal of Japanese Society of Cancer Nursing, 12(1), 11-27.
Makabe, R., & Hull, M.M. (2000). Components of social support among Japanese women with breast cancer. Oncology Nursing Forum, 27, 1381-1390.
Maly, R.C., Leake, B., & Silliman, R.A. (2004). Breast cancer treatment in older women: Impact of the patient-physician interaction. Journal of the American Geriatrics Society, 52, 1138-1145.
Nakagawa, T., & Daibou, I. (1985). Nihonban GHQ: Seishin kenkou chyosa tebiki [The Japanese version of the General Health Questionnaire manual]. Tokyo, Japan: Nihon Bunka Kagakusha.
Northouse, L.L., Laten, D., & Reddy, P. (1995). Adjustment of women and their husbands to recurrent breast cancer. Research in Nursing and Health, 18, 515-524.
Northouse, L.L., Mood, D., Kershaw, T., Schafenacker, A., Mellon, S., Walker, J., et al. (2002). Quality of life of women with recurrent breast cancer and their family members. Journal of Clinical Oncology, 20, 4050-4064.
Nunnally, J.C., & Bernstein, I.H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
Ohshima, A., Kuroishi, T., & Tajima, K. (2004). Cancer statistics 2004: Incidence, mortality, prognosis. Tokyo, Japan: Shinoharashinsha.
Tilden, V.P., Hirsch, A.M., & Nelson, C.A. (1994). The Interpersonal Relationship Inventory: Continued psychometric evaluation. Journal of Nursing Measurement, 2, 63-78.
Tilden, V.P., Nelson, C.A., & May, B.A. (1990a). The IPR Inventory: Development and psychometric characteristics. Nursing Research, 39, 337-343.
Tilden, V.P., Nelson, C.A., & May, B.A. (1990b). Use of qualitative methods to enhance content validity. Nursing Research, 39, 172-175.
Woloski-Wruble, A., & Kadmon, I. (2002). Breast cancer: Reactions of Israeli men to their wives' diagnosis. European Journal of Oncology Nursing, 6, 93-99.