Self-disclosure in Adult Patients With Cancer: Structural Equation Modeling.
Hyungran Lee, Younhee Jeong
PMID 37991473WHAT IT FOUND
In adults with cancer, more disclosure of cancer information and feelings was associated with greater perceived support and better well-being.
Negative cancer beliefs were associated with less disclosure and lower support.
Key findings
01Level of self-disclosure was directly associated with social support and indirectly related to well-being through social support.
02Negative perceptions of cancer were associated with lower level of self-disclosure and lower social support.
03The range of self-disclosure was not associated with social support or well-being.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional and measured everything at a single time point, so it cannot show that disclosure causes support or well-being. Participants were recruited online through cancer associations, self-help groups, and educational institutions, so they may not represent all adults with cancer. The survey was completed during the pandemic, which may have affected who could participate and how people reported support and well-being. The sample was Korean-speaking adults, and the questionnaires were modified for this study, so the findings may not transfer directly to other settings or measures.
The easy way to misread this
Do not read this as proof that increasing disclosure improves well-being. The study was cross-sectional and measured associations at a single time point, not the effect of an intervention.