Inner resources (sense of coherence, hope, and spiritual perspective) as predictors of psychological well-being in African American breast cancer survivors
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Lynette M. Richardson Gibson, PhD, MS, RN, Distinguished Professor Emerita - University of South Carolina
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- Mu Rho
- Gamma Omicron
- Gamma Mu
- Alpha Xi
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No studies have been found on the psychological effects of applying sense of coherence, hope, and spiritual perspective by African American (AA) breast cancer survivors. These variables have each been positively associated with psychological well-being. Although AA women are exposed to major life stressors such as breast cancer, many continue to have high levels of psychological well-being. The reasons for this are unknown.
This descriptive study tested which variables in the Gibson Model of Inner Resources© were significant predictors of levels of psychological well-being in AA breast cancer survivors. One hundred and sixty-two AA breast cancer survivors completed the Abbreviated Herth Hope Index, Spiritual Perspective Scale, Sense of Coherence Scale (13-item), Quality of Life/Breast Cancer (Psychological Well-Being Subscale), and a Demographic Questionnaire. Statistical analyses included correlation, multiple regression, and path analysis.
Data from the study supported the hypotheses. There was a significantly positive relationship between sense of coherence and hope, r s = .535 (p < .01), a significantly positive relationship between hope and spiritual perspective, r s = .414 (p < .01), and a significantly positive relationship between sense of coherence and spiritual perspective, rs = .159 (p = .05). Sense of coherence was significantly positively related to psychological well-being, rs = .594 (p < .01) and hope was significantly positively related to psychological well-being, rs = .484 (p < .01). There was a positive relationship between spiritual perspective and psychological well-being that was not significant, rs = .096 (p = .224).
Study findings supported the model. Sense of coherence significantly accounted for 37.5% and hope for 5.3% of the explained variance in psychological well-being. Spiritual perspective did not significantly account for any of the explained variance. There were direct paths between sense of coherence and hope, sense of coherence and psychological well-being, hope and psychological well-being, and spiritual perspective and hope. Spiritual perspective predicted psychological well-being indirectly through hope.
Further analysis of spirituality in AA breast cancer survivors is necessary. Further study is needed to test the model and interventions that reinforce survivors' inner resources as they psychologically cope with breast cancer.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9969493; ProQuest document ID: 304618021. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | African American Women; Sprituality; Mental Health; Breast Cancer Survivors |
Grantor | University of South Carolina |
Advisor | Hendricks, Constance S.; Herman, JoAnne; Weinrich, Sally; Logan, Barbara |
Level | PhD |
Year | 2000 |
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