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Familism, family cohesion, and health-related quality of life in Hispanic prostate cancer survivors.

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Title: Familism, family cohesion, and health-related quality of life in Hispanic prostate cancer survivors.
Authors: Pedreira, Patricia B., Fleszar-Pavlović, Sara E., Walsh, Emily A., Noriega Esquives, Blanca, Moreno, Patricia I., Perdomo, Dolores, Heller, Aaron S., Antoni, Michael H., Penedo, Frank J.
Source: Journal of Behavioral Medicine. Aug2024, Vol. 47 Issue 4, p595-608. 14p.
Subjects: Health status indicators, Research funding, Stress management, Hispanic Americans, Statistical sampling, Questionnaires, Prostate tumors, Family relations, Randomized controlled trials, Quality of life, Cancer patient psychology, Family support, Regression analysis, Well-being
Abstract: Background: Familism, the cultural value that emphasizes feelings of loyalty and dedication to one's family, has been related to both positive and negative outcomes in Hispanic cancer survivors. One potential source of observed inconsistencies may be limited attention to the family environment, as familism may be protective in a cohesive family whereas it can exacerbate distress in a conflictive family. Purpose: The current study explored the associations of familism with general and disease-specific health-related quality of life (HRQoL) in Hispanic men who completed prostate cancer (PC) treatment, and whether family cohesion may help explain these relationships. Methods: Hispanic men treated for localized PC (e.g., radiation, surgery) were enrolled in a randomized controlled stress management trial and assessed prior to randomization. Familism (familial obligation) was assessed using Sabogal's Familism Scale and family cohesion was measured using the Family Environment Scale (ranging from high to low). The sexual, urinary incontinence, and urinary obstructive/irritative domains of the Expanded Prostate Cancer Index Composite – Short Form measured disease-specific HRQoL. The physical, emotional, and functional well-being subscales of the Functional Assessment of Cancer Therapy – General captured general HRQoL. Hierarchical linear regression and the SPSS PROCESS macro were used to conduct moderation analyses, while controlling for relevant covariates. Results: Participants were 202 older men on average 65.7 years of age (SD = 8.0) who had been diagnosed with PC an average of 22 months prior to enrollment. Familism was not directly associated with general and disease-specific HRQoL. Moderation analyses revealed that greater familism was related to poorer urinary functioning in the incontinence (p =.03) and irritative/obstructive domains (p =.01), and lower emotional well-being (p =.02), particularly when family cohesion was low. Conclusions: These findings underscore the importance of considering contextual factors, such as family cohesion, in understanding the influence of familism on general and disease-specific HRQoL among Hispanic PC patients. The combined influence of familism and family cohesion predicts clinically meaningful differences in urinary functioning and emotional well-being during the posttreatment phase. Culturally sensitive psychosocial interventions to boost family cohesion and leverage the positive impact of familistic attitudes are needed to enhance HRQoL outcomes in this population. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Familism, family cohesion, and health-related quality of life in Hispanic prostate cancer survivors.
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  Data: <searchLink fieldCode="AR" term="%22Pedreira%2C+Patricia+B%2E%22">Pedreira, Patricia B.</searchLink><br /><searchLink fieldCode="AR" term="%22Fleszar-Pavlović%2C+Sara+E%2E%22">Fleszar-Pavlović, Sara E.</searchLink><br /><searchLink fieldCode="AR" term="%22Walsh%2C+Emily+A%2E%22">Walsh, Emily A.</searchLink><br /><searchLink fieldCode="AR" term="%22Noriega+Esquives%2C+Blanca%22">Noriega Esquives, Blanca</searchLink><br /><searchLink fieldCode="AR" term="%22Moreno%2C+Patricia+I%2E%22">Moreno, Patricia I.</searchLink><br /><searchLink fieldCode="AR" term="%22Perdomo%2C+Dolores%22">Perdomo, Dolores</searchLink><br /><searchLink fieldCode="AR" term="%22Heller%2C+Aaron+S%2E%22">Heller, Aaron S.</searchLink><br /><searchLink fieldCode="AR" term="%22Antoni%2C+Michael+H%2E%22">Antoni, Michael H.</searchLink><br /><searchLink fieldCode="AR" term="%22Penedo%2C+Frank+J%2E%22">Penedo, Frank J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Aug2024, Vol. 47 Issue 4, p595-608. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+management%22">Stress management</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+tumors%22">Prostate tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Family+support%22">Family support</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Familism, the cultural value that emphasizes feelings of loyalty and dedication to one's family, has been related to both positive and negative outcomes in Hispanic cancer survivors. One potential source of observed inconsistencies may be limited attention to the family environment, as familism may be protective in a cohesive family whereas it can exacerbate distress in a conflictive family. Purpose: The current study explored the associations of familism with general and disease-specific health-related quality of life (HRQoL) in Hispanic men who completed prostate cancer (PC) treatment, and whether family cohesion may help explain these relationships. Methods: Hispanic men treated for localized PC (e.g., radiation, surgery) were enrolled in a randomized controlled stress management trial and assessed prior to randomization. Familism (familial obligation) was assessed using Sabogal's Familism Scale and family cohesion was measured using the Family Environment Scale (ranging from high to low). The sexual, urinary incontinence, and urinary obstructive/irritative domains of the Expanded Prostate Cancer Index Composite – Short Form measured disease-specific HRQoL. The physical, emotional, and functional well-being subscales of the Functional Assessment of Cancer Therapy – General captured general HRQoL. Hierarchical linear regression and the SPSS PROCESS macro were used to conduct moderation analyses, while controlling for relevant covariates. Results: Participants were 202 older men on average 65.7 years of age (SD = 8.0) who had been diagnosed with PC an average of 22 months prior to enrollment. Familism was not directly associated with general and disease-specific HRQoL. Moderation analyses revealed that greater familism was related to poorer urinary functioning in the incontinence (p =.03) and irritative/obstructive domains (p =.01), and lower emotional well-being (p =.02), particularly when family cohesion was low. Conclusions: These findings underscore the importance of considering contextual factors, such as family cohesion, in understanding the influence of familism on general and disease-specific HRQoL among Hispanic PC patients. The combined influence of familism and family cohesion predicts clinically meaningful differences in urinary functioning and emotional well-being during the posttreatment phase. Culturally sensitive psychosocial interventions to boost family cohesion and leverage the positive impact of familistic attitudes are needed to enhance HRQoL outcomes in this population. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10865-024-00479-1
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        Text: English
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              Text: Aug2024
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