Abstract:
:Women with larger personal social networks have better breast cancer survival and a lower risk of mortality. However, little work has examined the mechanisms through which social networks influence breast cancer outcomes and cancer outcomes more generally, potentially limiting the development of feasible, clinically effective interventions. In fact, much of the emphasis in cancer research regarding the influence of social relationships on cancer outcomes has focused on the benefits of the provision of social support to patients, especially through peer support groups, and only more recently through patient navigation. Though critically important, there are other ways through which social relationships might influence outcomes, around which interventions might be developed. In addition to social support, these include social resources, social norms, social contagion, social roles, and social burdens and obligations. This narrative review addresses how social networks may influence cancer outcomes and discusses potential strategies for improving outcomes given these relationships. The paper (a) describes background and limitations of previous research, (b) outlines terms and provides a conceptual model that describes interrelationships between social networks and relevant variables and their hypothesized influence on cancer outcomes, (c) clarifies social and psychosocial mechanisms through which social networks affect downstream factors, (d) describes downstream behavioral, treatment, and physiological factors through which these subsequently influence recurrence and mortality, and (e) describes needed research and potential opportunities to enhance translation. Though most literature in this area pertains to breast cancer, this review has substantial relevance for cancer outcomes generally. Further clarification and research regarding potential mechanisms are needed to translate epidemiological findings on social networks into clinical and community strategies to improve cancer outcomes.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Kroenke CHdoi
10.1093/tbm/ibx061subject
Has Abstractpub_date
2018-07-17 00:00:00pages
629-642issue
4eissn
1869-6716issn
1613-9860pii
5055091journal_volume
8pub_type
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journal_title:Translational behavioral medicine
pub_type: 临床试验,杂志文章
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibx085
更新日期:2018-05-23 00:00:00
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-017-0473-5
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journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
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journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
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journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
doi:10.1007/s13142-014-0272-1
更新日期:2015-03-01 00:00:00
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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pub_type: 杂志文章
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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