Do coping strategies mediate the effects of emotional support on emotional well-being among Spanish-speaking Latina XXXX survivors?

@entity1 @entity3329 @entity5 @entity0
OBJECTIVE: This study aimed to assess the relationship between emotional social support and emotional well-being among Latina immigrants with @entity0 and test whether two culturally relevant coping strategies, @entity3329 and acceptance, mediate this relationship. METHODS: One hundred fifty Spanish-speaking Latinas within 1  year of @entity0 diagnosis participating in a randomized trial of a stress management intervention were assessed in @entity1 at baseline and via telephone 6  months later. Survey measures included baseline emotional support, @entity3329 , and acceptance and emotional well-being 6  months later. Generalized linear models estimated direct effects of emotional support on emotional well-being and indirect effects through @entity3329 and acceptance. RESULTS: Mean age was 50.1 (SD   =   10.9) years; most @entity1 had low education and acculturation levels. Emotional support was negatively associated with @entity3329 (r   =   -0.24, p   <   0.01) and positively associated with acceptance (r   =   0.30, p   <   0.001). Emotional support (r   =   0.23, p   =   0.005) and acceptance (r   =   0.28, p   =   0.001) were positively associated with emotional well-being, whereas @entity3329 (r   =   -0.36, p   <   0.0001) was negatively associated with emotional well-being. In multivariable models, emotional support was associated with emotional well-being (b   =   0.88, 95% CI: 0.24, 1.52). This direct effect remained significant when additionally controlling for @entity3329 (b   =   0.66, 95% CI: 0.03, 1.30) and acceptance (b   =   0.73, 95% CI: 0.09, 1.37) in separate models. There was a significant indirect effect of emotional support on emotional well-being through @entity3329 (b   =   0.21, 95% CI: 0.04, 0.51) as well as a marginally significant effect through acceptance (b   =   0.15, 95% CI: 0.001, 0.43). CONCLUSIONS: Emotional support may increase well-being among Spanish-speaking Latina @entity5 survivors by reducing @entity5 @entity3329 . Copyright    2015 John Wiley _ Sons, Ltd.
