Fear of cancer recurrence (FCR) is commonly experienced among Caucasian and Chinese American breast cancer survivors (BCS). Emerging studies have suggested that Caucasian BCS' communication with family members contributes to their FCR. However, whether such findings apply to Chinese American BCS has yet to be explored. This study examined the association between social constraints (i.e., perceived barriers from significant others inhibiting cancer-related disclosure) and FCR among 136 Chinese American BCS, plus proposed that self-stigma (i.e., internalized feelings of shame about having cancer), bodily pain, and ambivalence over emotional expression (AEE; conflict between the desire to express emotions and the fear of its consequences) would mediate the association.

中文翻译：

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美籍华裔乳腺癌幸存者的社会约束和对复发的恐惧：心理社会中介因素的探索

对癌症复发（FCR）的恐惧在白种人和华裔美国乳腺癌幸存者（BCS）中普遍存在。新兴研究表明，白种人 BCS 与家庭成员的交流有助于他们的 FCR。然而，这些发现是否适用于华裔美国人的 BCS 尚待探索。本研究调查了 136 名华裔 BCS 中的社会约束（即来自重要他人抑制癌症相关披露的感知障碍）与 FCR 之间的关联，并提出了自我污名（即对患有癌症的内化羞耻感）、身体疼痛，以及对情绪表达的矛盾心理（AEE；表达情绪的愿望与对其后果的恐惧之间的冲突）将调解这种关联。