東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Cultural differences in medical deci...

Loma Linda University.

Linked to FindBook

Google Book

Amazon

博客來

Cultural differences in medical decision-making in women with stage I, II and III breast cancer.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Cultural differences in medical decision-making in women with stage I, II and III breast cancer./
Author:	Gordon, Nalda Zipporah.
Description:	217 p.
Notes:	Chair: Susanne Montgomery.
Contained By:	Dissertation Abstracts International64-06B.
Subject:	Health Sciences, Oncology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3094848
ISBN:	9780496424771

Cultural differences in medical decision-making in women with stage I, II and III breast cancer.
Gordon, Nalda Zipporah.

Cultural differences in medical decision-making in women with stage I, II and III breast cancer. - 217 p.

Chair: Susanne Montgomery.

Thesis (Dr.P.H.)--Loma Linda University, 2002.

The purpose of this cross-sectional study was to investigate the amount of involvement in care, desired by women of color, and the effect post-treatment on quality of life outcomes. These outcomes include functional, social, physical and emotional well-being, as well as other concerns specific to breast cancer. In addition we assessed the effects of acculturation, health locus of control, congruence in care and religious decision making on desire for involvement in care. Many researchers indicate that in general, patients want more involvement in their care. This seems to result in an increased sense of control believed to lead to increased survival rates, better treatment outcomes and better psychological adjustment. A sample of 70 Black and Hispanic breast cancer patients were recruited from breast cancer clinics and support groups in the Inland Empire area of Southern California. Univariate and Multivariate/Correlational analyses revealed that the majority of women of color in this sample desired collaborative or joint decision making in treatment rather than passive or sole decision making. It appears that those who had congruence between desired and actual involvement had better quality of life scores. Further, women who were highly acculturated had greater desire for involvement in care. For African American women, high acculturation was also correlated with internal health locus of control. When we investigated the effect of religious problem solving style we found that highly acculturated individuals scored lower on the Collaborative and Deferring subscales and higher on Self Directing scales. The Collaborative Religious Problem Solving style is one in which individuals solve problems jointly with God. The Deferring style is one in which individuals leave the problem solving to God solely and become passive in the process. Additionally, those who had high scores on Self Direction, that is a style of problem solving that excludes God and in which the individual dominates the process, had lower quality of life scores. Interestingly, there were several differences between Blacks and Latinas when analyzed independently. Implications for Preventive Care and Clinical Psychology are discussed.

ISBN: 9780496424771Subjects--Topical Terms:

1018566
Health Sciences, Oncology.

Cultural differences in medical decision-making in women with stage I, II and III breast cancer.
LDR:03183nmm 2200301 a 45 001 865201
005 20100728
008 100728s2002 ||||||||||||||||| ||eng d
020 $a 9780496424771
035 $a (UMI)AAI3094848
035 $a AAI3094848
040 $a UMI $c UMI
100 1 $a Gordon, Nalda Zipporah. $3 1033618
245 1 0 $a Cultural differences in medical decision-making in women with stage I, II and III breast cancer.
300 $a 217 p.
500 $a Chair: Susanne Montgomery.
500 $a Source: Dissertation Abstracts International, Volume: 64-06, Section: B, page: 2622.
502 $a Thesis (Dr.P.H.)--Loma Linda University, 2002.
520 $a The purpose of this cross-sectional study was to investigate the amount of involvement in care, desired by women of color, and the effect post-treatment on quality of life outcomes. These outcomes include functional, social, physical and emotional well-being, as well as other concerns specific to breast cancer. In addition we assessed the effects of acculturation, health locus of control, congruence in care and religious decision making on desire for involvement in care. Many researchers indicate that in general, patients want more involvement in their care. This seems to result in an increased sense of control believed to lead to increased survival rates, better treatment outcomes and better psychological adjustment. A sample of 70 Black and Hispanic breast cancer patients were recruited from breast cancer clinics and support groups in the Inland Empire area of Southern California. Univariate and Multivariate/Correlational analyses revealed that the majority of women of color in this sample desired collaborative or joint decision making in treatment rather than passive or sole decision making. It appears that those who had congruence between desired and actual involvement had better quality of life scores. Further, women who were highly acculturated had greater desire for involvement in care. For African American women, high acculturation was also correlated with internal health locus of control. When we investigated the effect of religious problem solving style we found that highly acculturated individuals scored lower on the Collaborative and Deferring subscales and higher on Self Directing scales. The Collaborative Religious Problem Solving style is one in which individuals solve problems jointly with God. The Deferring style is one in which individuals leave the problem solving to God solely and become passive in the process. Additionally, those who had high scores on Self Direction, that is a style of problem solving that excludes God and in which the individual dominates the process, had lower quality of life scores. Interestingly, there were several differences between Blacks and Latinas when analyzed independently. Implications for Preventive Care and Clinical Psychology are discussed.
590 $a School code: 0106.
650 4 $a Health Sciences, Oncology. $3 1018566
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Religion, General. $3 1017453
690 $a 0318
690 $a 0573
690 $a 0622
690 $a 0992
710 2 $a Loma Linda University. $3 1020166
773 0 $t Dissertation Abstracts International $g 64-06B.
790 $a 0106
790 1 0 $a Montgomery, Susanne, $e advisor
791 $a Dr.P.H.
792 $a 2002
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3094848