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THE EFFECTS OF PHYSICAL FUNCTIONING AND PUBLIC STIGMA ON
PSYCHOLOGICAL DISTRESS AS MEDIATED BY COGNITIVE AND SOCIAL
FACTORS AMONG KOREAN SURVIVORS OF CHILDHOOD CANCER
by
Min Ah Kim
______________________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
August 2012
Copyright 2012 Min Ah Kim
Object Description
| Title | The effects of physical functioning and public stigma on psychological distress as mediated by cognitive and social factors among Korean survivors of childhood cancer |
| Author | Kim, Min Ah |
| Author email | minahkim@usc.edu;minahkim.korea@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2012-04-09 |
| Date submitted | 2012-07-10 |
| Date approved | 2012-07-10 |
| Restricted until | 2012-07-10 |
| Date published | 2012-07-10 |
| Advisor (committee chair) | Yamada, Ann Marie |
| Advisor (committee member) |
Brekke, John S. Chou, Chih-Ping |
| Abstract | The overall purpose of this dissertation is to examine cognitive and social mediators of psychological distress in Korean childhood cancer survivors. The four specific research aims are (1) to examine the overall prevalence of psychological distress and to compare the profile of cancer survivors with and without significant levels of psychological distress, (2) to examine perceived physical functioning and perceived public stigma as potential risk factors for psychological distress, taking into account possible sociodemographic and cancer-related correlates, (3) to test a model of the effects of perceived physical functioning and perceived public stigma on psychological distress as mediated through three cognitive and social factors, and (4) to examine gender differences within the mediated effects of perceived physical functioning and perceived public stigma on psychological distress. ❧ Participants consisted of 223 cancer survivors diagnosed before the age of 19 years and currently residing in the community in Korea. Participants were recruited through Korean advocacy foundations and support groups for adolescent and young adult survivors of childhood cancer. Structured questionnaires were collected from June 2010 to November 2010 either by mail or email. The overall goodness of the structural model was tested and then total and specific indirect effects were tested by using bootstrap procedures in Mplus 6.12. ❧ The primary results showed an overall prevalence rate of approximately 20% for psychological distress. Perceived poorer physical functioning and higher levels of perceived public stigma were strong risk factors for psychological distress, while controlling for age, economic status, cancer type, and time since diagnosis. There was a significant mediated effect of perceived physical functioning on psychological distress through social support availability. There was also a significant mediated effect of perceived public stigma on psychological distress through internalized shame or social support availability, or through a chain of two mediators- self-disclosure and internalized shame. The mediated effect of perceived public stigma on psychological distress differed by gender. ❧ A greater understanding of the factors influencing the levels of psychological well-being could potentially help social workers and other professionals identify childhood cancer survivors in greater needs of psychosocial services and provide them with appropriate resources and interventions. |
| Keyword | adolescent and young adult; cancer survivors; childhood cancer; psychological distress |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m |
| Contributing entity | University of Southern California |
| Rights | Kim, Min Ah |
| Physical access | The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright. The original signature page accompanying the original submission of the work to the USC Libraries is retained by the USC Libraries and a copy of it may be obtained by authorized requesters contacting the repository e-mail address given. |
| Repository name | University of Southern California Digital Library |
| Repository address | USC Digital Library, University of Southern California, University Park Campus MC 7002, 106 University Village, Los Angeles, California 90089-7002, USA |
| Repository email | cisadmin@dots.usc.edu |
| Archival file | uscthesesreloadpub_Volume4/etd-KimMinAh-936.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@dots.usc.edu |
| Full text | THE EFFECTS OF PHYSICAL FUNCTIONING AND PUBLIC STIGMA ON PSYCHOLOGICAL DISTRESS AS MEDIATED BY COGNITIVE AND SOCIAL FACTORS AMONG KOREAN SURVIVORS OF CHILDHOOD CANCER by Min Ah Kim ______________________________________________________________________________ A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) August 2012 Copyright 2012 Min Ah Kim |
