title: I Keep my Problems to Myself: Negative Social Network Orientation, Social Resources, and Health-Related Quality of Life in Cancer Survivors.
abstract: Cancer survivors treated with hematopoietic stem cell transplant rely on their social network for successful recovery. However, some survivors have negative attitudes about using social resources (negative social network orientation) that are critical for their recovery.
  
  
  
  We examined the association between survivors' social network orientation and health-related quality of life (HRQoL) and whether it was mediated by social resources (network size, perceived support, and negative and positive support-related social exchanges).
  
  
  
  In a longitudinal study, 255 survivors completed validated measures of social network orientation, HRQoL, and social resources. Hypotheses were tested using path analysis.
  
  
  
  More negative social network orientation predicted worse HRQoL (p < .001). This association was partially mediated by lower perceived support and more negative social exchanges.
  
  
  
  Survivors with negative social network orientation may have poorer HRQoL in part due to deficits in several key social resources. Findings highlight a subgroup at risk for poor transplant outcomes and can guide intervention development.
authors.affiliation: Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina at Chapel Hill, Campus box 7440, 319C Rosenau Hall, Chapel Hill, NC, 27599-7440, USA. christine.rini@unc.edu.|UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA. christine.rini@unc.edu.
authors.forename: Christine
authors.initials: C
authors.lastname: Rini
authors.affiliation: Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina at Chapel Hill, Campus box 7440, 319C Rosenau Hall, Chapel Hill, NC, 27599-7440, USA.|UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
authors.forename: Yael
authors.initials: Y
authors.lastname: Symes
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Campo
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.|Robert H. Lurie Comprehensive Cancer Center, Chicago, IL, USA.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Wu
authors.affiliation: Department of Psychology, William Paterson University, Wayne, NJ, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Austin
mesh_terms: D000328:Adult; D000368:Aged; D000073116:Cancer Survivors / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic / Q000523:psychology*; D012944:Social Support; D055815:Young Adult
keywords: Cancer survivors; Health-related quality of life; Hematopoietic stem cell transplantation; Network orientation; Social support