This study was conducted to assess whether optimism was associated wit
h less delay and anxiety in seeking care for breast cancer symptoms, e
xpectations about such care seeking, and the likelihood of having brea
st cancer. The influence of optimism on delay and anxiety through expe
ctations about care seeking or likelihood of breast cancer was also ex
amined. Participants (N = 135) with breast cancer symptoms and no hist
ory of cancer were interviewed at a surgery clinic. Optimism was assoc
iated with less delay and anxiety in care seeking and with expectation
s of desirable outcomes of care seeking. After controlling for expecta
tions about care seeking, the relationship of optimism and anxiety bec
ame nonsignificant. Adjusting for differences in occupational status,
the relationship of optimism and delay was nonsignificant. Thus, optim
ism may influence anxiety in care seeking for breast cancer symptoms t
hrough situation-specific expectations. The influence of optimism on d
elay may be confounded with socioeconomic factors.