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Zhang Y, Ding X, Liu Y, Han Y, Wang G, Cai M, Zhang Y, Hu DY. The Relationship Between Social Support and Suicide Resilience in Chinese Cancer Patients: A Serial Multiple Mediation Model Through Self-care Self-efficacy and Meaning in Life. Cancer Nurs 2024; 47:E236-E244. [PMID: 36728059 DOI: 10.1097/ncc.0000000000001202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND A growing body of literature has shown a higher risk of suicide in cancer patients compared with the general population. Early detection of factors related to suicide resilience in cancer patients could prevent loss of life. OBJECTIVE The study aimed to investigate the serial-multiple mediation of self-care self-efficacy and meaning in life in the relationship between social support and suicide resilience among Chinese cancer patients. METHODS A cross-sectional investigation of 287 cancer patients using a battery of self-reported questionnaires was performed. For preliminary analyses, descriptive, univariate, and Pearson correlation analyses were performed. Mediation analyses were tested using a serial-multiple mediation model (PROCESS model 6). RESULTS Mediation analysis indicated the indirect effects of social support on suicide resilience mediated solely by either self-care self-efficacy (point estimate = 0.20; 95% confidence interval [CI], 0.12-0.30), or by meaning in life (point estimate = 0.06; 95% CI, 0.01-0.12), or by the multiple mediation of self-care self-efficacy to meaning in life (point estimate = 0.03; 95% CI, 0.01-0.06). CONCLUSIONS The findings demonstrated the crucial direct or indirect effects of social support, self-care self-efficacy, and meaning in life on facilitating cancer patients' suicide resilience. IMPLICATIONS FOR PRACTICE Oncology nurses, as 24-hour care providers for cancer patients, may interact with and be important sources for the psychosocial care of cancer patients at risk of suicide. Prevention and intervention efforts must be directed at assisting cancer patients, improving self-care self-efficacy, and finding meaning in life after a cancer diagnosis.
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Affiliation(s)
- Yinying Zhang
- Author Affiliations: Department of Nursing, Union Hospital (Drs Yinying Zhang, Ding, Liu, Han, Cai, and Hu), and School of Nursing (Drs Zhang and Zhang), Tongji Medical College, Huazhong University of Science and Technology; and Wuhan Mental Health Center (Dr Wang), Wuhan, China
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You J, Luo F, Dong Y, Xu T, Jing J, Zuo J. Association of explicit and implicit social support with psychological adjustment in Chinese women with breast cancer: An interpersonal explanation. J Health Psychol 2024; 29:396-409. [PMID: 38102739 DOI: 10.1177/13591053231215994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2023] Open
Abstract
This study aimed to examine the linear and non-linear relationship between explicit and implicit social support and psychological adjustment as well as the underlying interpersonal mechanisms in a sample of Chinese women with breast cancer (n = 202). The results showed that explicit social support was associated with poorer psychological adjustment, while implicit social support exhibited the opposite trend. Moreover, the association between implicit social support and psychological adjustment was stronger at lower levels of implicit social support, but it weakened or disappeared at moderate or higher levels. Furthermore, we found that all the associations between social support and psychological adjustment could be explained by relationship concerns and perceived burdensomeness. These findings emphasize the importance of providing social support and supportive care to patients who have unmet supportive care needs, in line with cultural norms and expectations.
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Affiliation(s)
| | | | - Yue Dong
- Queensland University of Technology, Australia
| | | | - Jing Jing
- Department of breast surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, China
- Hubei Provincial Clinical Research Center for Breast Cancer, China
- Wuhan Clinical Research Center for Breast Cancer, China
| | - Jie Zuo
- Department of breast surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, China
- Hubei Provincial Clinical Research Center for Breast Cancer, China
- Wuhan Clinical Research Center for Breast Cancer, China
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Yang K, Ren Y, Peng W, Wang X, Du X, Wang J, Jiang J. Subjective well-being among Chinese breast cancer patients: The unique contributions of death anxiety, self-esteem, and social support. J Health Psychol 2024; 29:213-224. [PMID: 37688375 DOI: 10.1177/13591053231195391] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/10/2023] Open
Abstract
Previous studies have indicated that cancer patients may have a lower level of subjective well-being (SWB); nevertheless, the underlying factors for this phenomenon remain insufficiently investigated. Based on the characteristics of Chinese breast cancer patients and the unique culture, this study explored the independent contributions of death anxiety, self-esteem, and social support to SWB from the protective and risk perspectives. A cross-sectional survey recruited 514 females with breast cancer and collected participants' demographic and the above variables. The results found that death anxiety independently predicted SWB in a negative direction (β = -0.36, p < 0.001). In addition, self-esteem (β = 0.38, p < 0.001) and social support (β = 0.14, p < 0.001) also had the unique positive effects on SWB. These findings offer new insights into strengthening breast cancer patients' SWB, for instance, using relevant interventions to reduce death anxiety and improve self-esteem and social support.
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Affiliation(s)
| | - Yinpeng Ren
- Chinese Academy of Medical Sciences and Peking Union Medical College, China
| | | | - Xiangyu Wang
- Chinese Academy of Medical Sciences and Peking Union Medical College, China
| | | | - Jing Wang
- Chinese Academy of Medical Sciences and Peking Union Medical College, China
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Feng Y, Liu X, Zhang S, Lin T, Guo X, Chen J. Relationship among post-traumatic growth, spiritual well-being, and perceived social support in Chinese women with gynecological cancer. Sci Rep 2024; 14:4847. [PMID: 38418533 PMCID: PMC10902294 DOI: 10.1038/s41598-024-55605-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 02/26/2024] [Indexed: 03/01/2024] Open
Abstract
This study aimed to examine the correlation between post-traumatic growth (PTG), spiritual well-being (SWB), perceived social support (PSS), and demographic and clinical factors in Chinese gynecological cancer patients. Through convenience sampling, we conducted a cross-sectional study of 771 adult patients with gynecological cancer. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-Spiritual Well-being 32 (EORTC QLQ-SWB32), Post-traumatic Growth Inventory (PTGI), and Multidimensional Scale of Perceived Social Support (MSPSS) were used to measure SWB, PTG, and PSS. A Multiple Linear Regression Model was used to determine the possible factors contributing to PTG. The subscale with the highest centesimal score in the PTGI was the Appreciation of Life Scale, and the lowest was New Possibility. Gynecologic cancer patients with younger ages (B = - 0.313, P = 0.002), perceived more family support (B = 1.289, P < 0.001), had more existential (B = 0.865, P = 0.010), and had religious belief (B = 5.760, P = 0.034) may have more PTG. Spiritual well-being, perceived social support, younger age, and religious beliefs are associated with post-traumatic growth in gynecological cancer patients. Healthcare staff could provide more professional support to younger patients with religious beliefs. Promoting social support and spiritual well-being could potentially serve as effective interventions for boosting PTG among gynecological cancer.
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Affiliation(s)
- Yue Feng
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xingcan Liu
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Shixi Zhang
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Tangwei Lin
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xiujing Guo
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Jing Chen
- Department of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
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Goh ZZS, Ho MHR, Ng KYY, Chia JMX, Ishak NDB, Shwe TT, Chua ZY, Ngeow JYY, Griva K. Using the Actor-Partner Interdependence Model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers. Int J Behav Med 2024; 31:19-30. [PMID: 36788172 PMCID: PMC9928140 DOI: 10.1007/s12529-023-10154-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2023] [Indexed: 02/16/2023]
Abstract
BACKGROUND Delineating the compound psychological effect of the pandemic on cancer care, and the interdependency across cancer patient-caregiver dyads have yet to be explored. This study examines the levels of psychological impact of COVID-19 on patient-caregiver dyads anxiety, and the interdependent associations between their COVID-19 and cancer concerns, and risk perceptions. METHOD There were 352 patients and caregivers (patient-caregiver dyads, N = 176) included in this study (43.2% spousal dyads). Generalized Anxiety Disorder-7 and questionnaires regarding risk perception, perceived confidence in healthcare system, COVID-19, and cancer-related concerns were administered. Actor-Partner Interdependence Model (APIM) analyses were used to determine the interdependent effects. Indirect effects were tested using mediation pathway analyses. RESULTS Patients reported significantly higher levels of risk perceptions and anxiety than their caregivers (p < 0.01). Anxiety rates (GAD-7 ≥ 10) were also significantly higher (26.7% vs 18.2%, p < 0.01). Dyads' anxiety, "general COVID-19 concerns," "cancer-related concerns," and risk perceptions were correlated (ps < 0.01). APIM showed only actor effects of general COVID-19 concerns, cancer-related COVID-19 concerns, and risk perceptions on anxiety (βs = 0.19-0.53, ps < 0.01). No partner effects were observed. Similar results were found in the composite APIM. Indirect effects of the patient/caregiver's variables on their partner's anxiety were observed in the mediation analyses. CONCLUSION Concerns about COVID-19 and cancer care could be indirectly associated in patient-caregiver dyads and need to be proactively addressed. As pandemic evolves into endemicity, engagement with patients and caregivers should strive to be sensitive to their differential needs and messages should be tailored to the informational needs of each.
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Affiliation(s)
- Zack Zhong Sheng Goh
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, Singapore, 308232 Singapore
| | - Moon-ho R. Ho
- School of Social Sciences, Nanyang Technological University Singapore, Singapore, Singapore
| | - Kennedy Yao Yi Ng
- Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Jace Ming Xuan Chia
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, Singapore, 308232 Singapore
| | - Nur Diana Binte Ishak
- Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Than Than Shwe
- Division of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Zi Yang Chua
- Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Joanne Yuen Yie Ngeow
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, Singapore, 308232 Singapore
- Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Konstadina Griva
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, Singapore, 308232 Singapore
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A Blog Text Analysis to Explore Psychosocial Support in Adolescents and Young Adults With Cancer. Cancer Nurs 2023; 46:143-151. [PMID: 35349497 DOI: 10.1097/ncc.0000000000001087] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The achievement of developmental milestones of adolescents and young adults (AYAs) is significantly challenged by a cancer diagnosis and treatment. To help with challenges in AYAs with cancer, various types of psychosocial support have been studied to cope with cancer and seek optimal well-being. However, despite differences among AYAs' developmental stages, AYAs with cancer are often treated as a homogeneous group in research and hospital settings. OBJECTIVE The aim of this study was to identify and compare psychosocial support that facilitates the well-being of AYAs with cancer. METHODS Quantitative and qualitative analyses were conducted on AYAs' perceived psychosocial support as expressed on an online cancer community. Themes were identified using qualitative content analysis, and descriptive quantitative methods were used to compare themes by age and gender. RESULTS Seven themes emerged: coping skill building, self-transcendence, family support, support from friends, professional support, peer support including online and offline support groups, and accommodation. There were no significant differences in the frequency of posts between age and gender variables by theme. However, the details of the themes were qualitatively different by age and gender. CONCLUSIONS The psychosocial support AYAs perceived may differ by age and gender. This study suggests opportunities for nurses to contribute their support to AYAs' perceived psychosocial support throughout AYAs' cancer journeys. IMPLICATION FOR PRACTICE The sources of support that can help AYAs with cancer should be routinely available rather than in response to crisis.
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Shi W, Yuan GF, Hall BJ, Zhao L, Jia P. Chinese adolescents' depression, anxiety, and family mutuality before and after COVID-19 lockdowns: Longitudinal cross-lagged relations. FAMILY RELATIONS 2022; 72:FARE12761. [PMID: 36246205 PMCID: PMC9538438 DOI: 10.1111/fare.12761] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 07/11/2022] [Accepted: 07/24/2022] [Indexed: 05/30/2023]
Abstract
Objective This study aimed to investigate the longitudinal cross-lagged association between family mutuality, depression, and anxiety among Chinese adolescents before and after the COVID-19 lockdown in 2020. Background Limited attention has been paid to the longitudinal links between family mutuality, depression, and anxiety in the context of the COVID-19 pandemic. Method We used self-administered questionnaires to collect data from three high schools and two middle schools in Chengdu City at two time points: Time 1 (T1), December 23, 2019-January 13, 2020; Time 2 (T2), June 16-July 8, 2020. The sample consisted of 7,958 participants who completed two wave surveys before and after the COVID-19 lockdown. We analyzed the data using cross-lagged structural equation modeling. Results The longitudinal cross-lagged model showed family mutuality at T1 significantly predicted depression, anxiety, and family mutuality at T2. We observed a decreasing prevalence of depression and anxiety after the COVID-19 lockdown. Conclusion Family mutuality plays an important role in mitigating long-term mental health disorders, such as depression and anxiety. More family-centered psychological interventions could be developed to alleviate mental health disorders during lockdowns. Implications Improving family mutuality (e.g., mutual support, interaction, and caring among family members) could be beneficial for reducing mental health disorders among Chinese adolescents during the COVID-19 pandemic.
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Affiliation(s)
- Wei Shi
- Institute for Disaster Management and Reconstruction (IDMR)Sichuan UniversityChengduSichuanChina
| | - Guangzhe Frank Yuan
- South Carolina SmartState Center for Healthcare Quality, Department of Health Promotion, Education, and Behavior, Arnold School of Public HealthUniversity of South CarolinaColumbia, SC
| | | | - Li Zhao
- Department of Health Policy and Management, West China School of Public Health and West China Fourth HospitalSichuan UniversityChengduSichuanChina
| | - Peng Jia
- Institute for Disaster Management and Reconstruction (IDMR)Sichuan UniversityChengduSichuanChina
- School of Resource and Environmental SciencesWuhan UniversityWuhanChina
- International Institute of Spatial Lifecourse Health (ISLE)Wuhan UniversityWuhanChina
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Dou Y, Fan H, Yang X, Du Y, Wang Y, Wang M, Zhang Z, Qi X, Luo Y, Luo R, Ma X. Impact of the COVID-19 pandemic on psychological distress and biological rhythm in China’s general population: A path analysis model. PLoS One 2022; 17:e0271285. [PMID: 35802754 PMCID: PMC9269873 DOI: 10.1371/journal.pone.0271285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 06/27/2022] [Indexed: 11/18/2022] Open
Abstract
Objective When facing major emergency public accidents, men and women may react differently. Our research aimed to assess the influence of gender difference on social support, information preference, biological rhythm, psychological distress, and the possible interaction among these factors during the COVID-19 pandemic. Methods In this cross-sectional study, 3,237 respondents aged 12 years and older finished the online survey. Levels of social support, information preference, biological rhythm, and psychological distress were assessed using validated scales. A path analysis was conducted to explore possible associations among these variables. Results The path analysis indicated that women with high levels of social support had a lower possibility of biological rhythm disorders and lower levels of somatization symptoms of psychological distress during the COVID-19 pandemic. The influence of social support on somatization symptoms was exerted via biological rhythm. Women tended to believe both negative and positive information, while men preferred more extreme information. Conclusion Our results highlighted gender difference in study variables during the COVID-19 pandemic and the importance of social support in alleviating psychological distress and biological rhythm disorders. Moreover, we confirmed that information preference differed significantly by somatization symptoms of psychological distress, suggesting extra efforts to provide more individualized epidemic information. Longitudinal research is required to further explore casual inferences.
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Affiliation(s)
- Yikai Dou
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Huanhuan Fan
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Xiao Yang
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Yue Du
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Yu Wang
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Min Wang
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Zijian Zhang
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Xiongwei Qi
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Yuling Luo
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Ruiqing Luo
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
| | - Xiaohong Ma
- Psychiatric Laboratory and Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
- Psychiatric Laboratory and Mental Health Center, The State Key Laboratory of Biotherapy, West China Hospital of Sichuan University, Chengdu, Sichuan, China
- West China Brain Research Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China
- * E-mail:
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Spirituality as a Mediator Between Social Support and Benefit Finding Among Advanced Cancer Patients. Cancer Nurs 2022:00002820-990000000-00041. [DOI: 10.1097/ncc.0000000000001134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Park GR, Kim J. Gendered trajectories of depressive symptoms and social interactions among cancer patients. Eur J Oncol Nurs 2022; 56:102092. [PMID: 34999426 DOI: 10.1016/j.ejon.2021.102092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 10/08/2021] [Accepted: 12/29/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE This study examines whether and how depressive symptoms and social interactions change before and after cancer diagnosis, and whether this pattern varies by gender. METHODS This study used data about 722 middle- and older-aged adults from seven waves (3,963 person-observations) of the Korean Longitudinal Study of Ageing spanning 12 years between 2006 and 2018. Gender-stratified fixed effects regression models were used to investigate the effect of cancer diagnosis on changes in depressive symptoms and the frequency of social interactions (with friends, relatives, acquaintances, and neighbors) before and after cancer diagnosis. RESULTS For both men and women, an increase in depressive symptoms was found in the first and second year after cancer diagnosis, though the increase in the second year was significantly greater for men than women. Only men continued to suffer higher depressive symptoms after the third year and subsequent years. This study also found a decrease in the frequency of social interactions only among men in the second year and subsequent years after cancer diagnosis. CONCLUSION Trajectories of psychosocial adjustment to cancer are gendered. The psychosocial consequences of cancer are greater and last longer for men than women.
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Affiliation(s)
- Gum-Ryeong Park
- Department of Health, Aging & Society, McMaster University, Hamilton, Ontario, Canada; Korea Institute for Health and Social Affairs, Sejong, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.
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Lou Y, Yates P, Chan RJ, Ni X, Hu W, Zhuo S, Xu H. Unmet Supportive Care Needs and Associated Factors: a Cross-sectional Survey of Chinese Cancer Survivors. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2021; 36:1219-1229. [PMID: 32406045 DOI: 10.1007/s13187-020-01752-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
To assess cancer survivors' unmet supportive care needs and associated factors. Limited evidence is available about the supportive care needs of Chinese cancer survivors to inform future service planning. A cross-sectional survey was conducted (STROBE cross-sectional checklist used for report). Standardized questionnaires were administered to 364 cancer survivors. Using the Supportive Care Framework as conceptual framework, factors concerning individuals' cognitive appraisals of their situation and social resources were examined to explore their association with unmet supportive care needs. The most common unmet supportive care needs included concern about the cancer coming back (51.5%), the need for up-to-date information (49.3%), collaborative management with the medical team (48.8%), and financial support (48.8%). Factors associated with greater strength of unmet supportive care needs included being female, having higher personal support, and higher self-efficacy pertaining to social relationship. Having lower support from family and friends was a contributing factor associated with greater strength of unmet needs in comprehensive cancer care and relationship, as was lower self-efficacy pertaining to uncertainty management associated with greater strength of unmet needs in quality of life, and lower self-efficacy pertaining to health professional interaction associated with greater strength of unmet needs in information. Chinese cancer survivors experience a number of unmet supportive needs. Female and rural cancer survivors, and those with lower social support level and self-efficacy are susceptible to having higher levels of unmet supportive care needs. Consistent information provision and peer support system establishment are two potentially beneficial approaches to meet cancer patients' long-term supportive care needs. Females and rural cancer survivors, those with less support from family and friends, and those with lower self-efficacy in interactions with health professionals and in managing uncertainty are especially at risk for unmet supportive care needs.
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Affiliation(s)
- Yan Lou
- Hangzhou Normal University, No.2318,Yuhangtang Rd, Cangqian, Yuhang District, Hangzhou, 311121, Zhejiang Province, People's Republic of China.
| | - Patsy Yates
- Queensland University of Technology, Cnr Musk and Victoria Park Rd, Kelvin Grove, Brisbane, QLD, 4059, Australia
- Royal Brisbane and Women's Hospital, Bowen Bridge Road &, Butterfield St, Herston, Brisbane, QLD, 4029, Australia
| | - Raymond Javan Chan
- Queensland University of Technology, Cnr Musk and Victoria Park Rd, Kelvin Grove, Brisbane, QLD, 4059, Australia
- Princess Alexandra Hospital, Metro South Hospital and Health Service, 199 Ipswich Rd, Woolloongabba, Brisbane, QLD, 4102, Australia
| | - Xiaosha Ni
- Hangzhou Dajiangdong Hospital, 98 Yilong Road, YiPeng District, Xianshan, Hangzhou, Zhejiang Province, People's Republic of China
| | - Wenyi Hu
- China Jiliang University, No. 258,Xueyuan Street, Xiasha Higher Education Zone, Zhejiang, Hangzhou, China
| | - Shengjun Zhuo
- Cancer Rehabilitation Society of Zhejiang Anti-cancer Association (ZJACA) Zhejiang Province Science association building, Wulin Square, Hangzhou, Zhejiang Province, People's Republic of China
| | - Hong Xu
- Hangzhou Normal University, No.2318,Yuhangtang Rd, Cangqian, Yuhang District, Hangzhou, 311121, Zhejiang Province, People's Republic of China
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Peralta JR, Adriano Rengifo CE, Mariño Rugel AM. Desesperanza y su relación con el apoyo social percibido en pacientes peruanos con neoplasias hematológicas. PSICOONCOLOGIA 2021. [DOI: 10.5209/psic.75631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objetivo: El propósito del presente estudio fue determinar la relación significativa entre el apoyo social y la desesperanza en pacientes peruanos con neoplasias hematológicas que se encuentren en alguna de las fases del tratamiento. Método: El estudio fue de tipo descriptivo-correlacional. La muestra estuvo conformada por 110 pacientes hematooncológicos de ambos sexos, con edades entre 16 a 25 años. Los instrumentos utilizados fueron la Escala Multidimensional de Apoyo Social Percibido (MSPSS) y la Escala de Desesperanza de Beck (BHS). Resultados: Se reportan niveles altos de apoyo social percibido (81%) y niveles normales de desesperanza (82%) en los pacientes hematooncológicos. El apoyo social percibido se correlaciona inversa y significativamente con la desesperanza, aunque en magnitudes bajas a moderadas. Cabe destacar que la dimensión Expectativa de desgracia en el futuro, no se correlaciona significativamente con el apoyo social percibido y sus dimensiones. Igualmente, la dimensión Creencias que los acontecimientos negativos son durables, no se correlaciona con la dimensión Apoyo de familia. Por otro lado, se encontró diferencias significativas del apoyo social percibido con el sexo y la religión, asimismo, la desesperanza con la edad, tiempo de diagnóstico y fase de tratamiento. Conclusión: El apoyo social percibido se relaciona con la desesperanza en pacientes hematooncológicos peruanos. Por tanto, se corrobora que el apoyo social que recibe el paciente ante la desesperanza de una enfermedad hematooncológica, sirve como soporte y tolerancia de dicha enfermedad y sus efectos durante el tratamiento.
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Park GR, Kim J. Depressive symptoms among cancer patients: Variation by gender, cancer type, and social engagement. Res Nurs Health 2021; 44:811-821. [PMID: 34254692 DOI: 10.1002/nur.22168] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 06/21/2021] [Accepted: 06/27/2021] [Indexed: 01/11/2023]
Abstract
Prior literature has documented an association between cancer and depressive symptoms. There has been a limited understanding about whether the association between cancer and depressive symptoms varies by gender and whether social engagement moderates this association. Using seven waves of the Korean Longitudinal Study of Ageing (N = 10,055), we examine the association between cancer and depressive symptoms among middle- and older-aged adults in Korea. We conduct fixed-effects regression models to account for unobserved characteristics of individuals that may confound this association. We first investigate whether the association between cancer and depressive symptom differs by gender. We distinguish among cancer types to assess potentially distinctive mental health consequences of different types of cancer. Then, we explore whether social engagement moderates the cancer-depressive symptoms association. Naive OLS models yielded significant associations between cancer and depressive symptoms for both men and women. However, our preferred fixed effects estimates revealed that the association was statistically significant only for men, and not for women. This association was especially pronounced for lung cancer. We also found that one's level of social engagement including informal connections and formal social activities moderates the link between cancer and depressive symptoms. Cancer is not only a leading cause of death, but also a serious threat to one's mental health. This study sheds light on gender differences in psychological reactions to cancer among Korean adults. Findings of this study hold important implications for programs aiming to improve the mental health and quality of life of cancer patients.
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Affiliation(s)
- Gum-Ryeong Park
- Department of Health, Aging, and Society, McMaster University, Hamilton, Ontario, Canada.,Korea Institute for Health and Social Affairs, Sejong, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea.,Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea.,Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, Wisconsin, USA
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Kim J, Yoon H. Longitudinal Associations Between Expectations of Receiving Care in the Future and Life Satisfaction Among Older Adults in Korea. J Gerontol B Psychol Sci Soc Sci 2021; 77:604-614. [PMID: 34192320 DOI: 10.1093/geronb/gbab121] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Uncertainty about receiving care and assistance in the future has been increasing among older adults in Korea. This study examines whether expectations about receiving care from various sources (i.e., formal and/or filial caregivers) are related to life satisfaction among older adults in Korea. METHODS Using data from the Korean Longitudinal Study of Ageing (N = 3,607, aged 65 or older), this study estimated fixed effects regression models to investigate longitudinal within-person associations between future care expectations and life satisfaction. RESULTS The results of this study revealed that developing expectations of care from family caregivers is positively associated with life satisfaction. Beginning to expect care from non-family caregivers, however, is not associated with life satisfaction. When disaggregating different sources of care by family member type, expecting care from a spouse or daughter(s), but not son(s), is associated with higher life satisfaction. Gender-specific analyses showed that expecting care from daughter(s) is positively associated with life satisfaction among both men and women, whereas expectations of spousal care are associated with only men's life satisfaction. This study also found suggestive but not conclusive evidence that an association between care expectations from family caregivers and life satisfaction is stronger among older adults with lower education. DISCUSSION Reducing uncertainty about future care may improve older adults' subjective well-being. Policymakers may consider policies and programs that support family care of the aged, and more fundamentally, encourage family involvement in the lives of older people.
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Affiliation(s)
- Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea.,Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea.,Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA
| | - Heesoo Yoon
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea
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15
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16
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Aydın Sayılan A, Demir Doğan M. Illness perception, perceived social support and quality of life in patients with diagnosis of cancer. Eur J Cancer Care (Engl) 2020; 29:e13252. [PMID: 32495471 DOI: 10.1111/ecc.13252] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2019] [Revised: 02/03/2020] [Accepted: 04/16/2020] [Indexed: 12/31/2022]
Affiliation(s)
- Aylin Aydın Sayılan
- Surgical Nursing Department The Faculty of Health Sciences Kırklareli University Kırklareli Turkey
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17
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Zhou J, Wang C. Improving cancer survivors' e-health literacy via online health communities (OHCs): a social support perspective. J Cancer Surviv 2020; 14:244-252. [PMID: 31820215 DOI: 10.1007/s11764-019-00833-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 11/07/2019] [Indexed: 02/07/2023]
Abstract
PURPOSE Cancer survivors should have adequate e-health literacy to help them better use online health information. Online health communities (OHCs) can offer cancer survivors different types of social support that can represent another resource to improve health outcomes. However, there is little knowledge of how these OHC are directly related to a cancer survivors' e-health literacy. This study explores how different types of social support in OHCs are associated with cancer survivors' e-health literacy. METHODS A questionnaire was developed to collect data from two Chinese OHCs used by cancer survivors. The questionnaire is composed of two parts: six sociodemographic variables (i.e., gender, age, city, education, tenure, and prior Internet experience), two scales for informational support behaviors (i.e., health knowledge seeking and provision of health knowledge), a measure of emotional support within such a setting, and a measure of e-health literacy. Based on 162 complete samples, we determined the measurement properties of the scales used, provided descriptive statistics on major sociodemographic variables and conducted bivariate and multivariable hierarchical regression. RESULTS For cancer survivors, females demonstrate higher levels of e-health literacy. Higher education level was related to higher e-health literacy. Health knowledge seeking, contributing to health knowledge, and emotional support were all positively associated with e-health literacy. The interaction effect between health knowledge and emotional support is positively associated with e-health literacy. CONCLUSIONS Informational support and emotional support, as two major subtypes of social support within resources available in OHCs, are positively associated with e-health literacy among cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS Cancer survivors might benefit from an active strategy for improving personal e-health literacy that includes more active informational involvement and emotional support rather than a passive lurking through e-health information and seeking and reading postings in OHCs.
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Affiliation(s)
- Junjie Zhou
- Shantou University Business School, No. 243 Daxue Road, Shantou, 515063, Guangdong, China
| | - Changyu Wang
- Jiangnan University School of Business, No. 1800 Lihu Road, Wuxi, 214122, Jiangsu, China.
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18
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Warmoth K, Yeung NCY, Xie J, Feng H, Loh A, Young L, Lu Q. Benefits of a Psychosocial Intervention on Positive Affect and Posttraumatic Growth for Chinese American Breast Cancer Survivors: A Pilot Study. Behav Med 2020; 46:34-42. [PMID: 30657442 PMCID: PMC6639149 DOI: 10.1080/08964289.2018.1541862] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 06/26/2018] [Accepted: 10/25/2018] [Indexed: 10/27/2022]
Abstract
Breast cancer survivors report persistent psychological and physical symptoms, which affect their quality of life and may challenge the recovery process. Due to social, cultural, and linguistic barriers, culturally sensitive care is largely unavailable for Chinese Americans, and their psychological needs are not often addressed. We aimed to investigate whether the Joy Luck Academy (JLA), a psychosocial intervention providing both information and peer support, was associated with positive adjustment among Chinese American breast cancer survivors. Thirty-nine Chinese American breast cancer survivors participated in a pilot psychosocial intervention. The educational materials and lectures were delivered in the participants' native language of Chinese. All of the educators and mentors shared the same linguistic and cultural background with the participants. The program utilized a community-based participatory research (CBPR) approach to further enhance the cultural sensitivity of the intervention. Participants' post-traumatic growth and positive affect were assessed before and after the intervention. The JLA showed an improvement in positive affect, and they had a greater appreciation for life. The intervention was found to be feasible, well-accepted, and beneficial for this population. Chinese American breast cancer survivors reported improved psychological health after attending the intervention. These findings encourage the development and implementation of psychosocial interventions for Chinese breast cancer survivors. Similar programs could be integrated into other ethnic or cultural communities.
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Affiliation(s)
- Krystal Warmoth
- University of Exeter Medical School, University of Exeter, Exeter, UK ()
| | - Nelson C. Y. Yeung
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sino Building, Chung Chi Rd, Sha Tin, Hong Kong, China ()
| | - Jing Xie
- Culture & Health Research Center, University of Houston, Department of Psychology, Fred J. Heyne Building Rm 126, 3695 Cullen Boulevard, Houston, TX, USA 77204-5022 (; ; )
| | - Hannah Feng
- Culture & Health Research Center, University of Houston, Department of Psychology, Fred J. Heyne Building Rm 126, 3695 Cullen Boulevard, Houston, TX, USA 77204-5022 (; ; )
| | - Alice Loh
- Herald Cancer Association, Chinese Christian Herald Crusades, 715 E. Mission Road, San Gabriel, CA, USA 91776 (; )
| | - Lucy Young
- Herald Cancer Association, Chinese Christian Herald Crusades, 715 E. Mission Road, San Gabriel, CA, USA 91776 (; )
| | - Qian Lu
- Culture & Health Research Center, University of Houston, Department of Psychology, Fred J. Heyne Building Rm 126, 3695 Cullen Boulevard, Houston, TX, USA 77204-5022 (; ; )
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, Texas ()
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Zhang L, Lu Y, Qin Y, Xue J, Chen Y. Post-traumatic growth and related factors among 1221 Chinese cancer survivors. Psychooncology 2019; 29:413-422. [PMID: 31705578 DOI: 10.1002/pon.5279] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 10/21/2019] [Accepted: 10/28/2019] [Indexed: 12/24/2022]
Abstract
OBJECTIVE There is an increasing number of studies on the post-traumatic growth (PTG) of cancer survivors worldwide. However, few Chinese studies have reported about PTG in cancer survivors because of the underdevelopment of community health services. This study aimed to evaluate the level of PTG in China and explore related factors among a large sample of survivors of more than 12 cancer types. METHODS We recruited 1236 survivors from 14 sites of the Beijing Cancer Rehabilitation Association. Survivors completed standardized questionnaires assessing PTG, social support, coping styles, demographic characteristics, and clinical conditions. Multivariate linear regression was used to evaluate potential predictive factors of PTG. RESULTS A total of 1221 (98.7%) subjects completed the questionnaires. The average PTG score was 61.15 ± 20.26. Seven variables were included in the final regression model: social support, coping style, time after treatment, exercise, BMI, work status, and economic income (P < .05). Survivors who had low levels of social support, had negative coping strategies, had a time after treatment of less than 5 years, exercised irregularly, had an abnormal BMI, were unemployed, or had low economic income had lower PTG levels. CONCLUSIONS PTG levels among Chinese cancer survivors are associated with social support, coping style, time after treatment, exercise, BMI, work status, and economic income. Strategies tailored to Chinese survivors should be developed to promote their PTG and improve their physical and psychological well-being.
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Affiliation(s)
- Liyan Zhang
- The Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of GI Medical Oncology, Peking University Cancer Hospital & Institute, Beijing, China
| | - Yuhan Lu
- Nursing Department, Peking University Cancer Hospital & Institute, Beijing, China
| | - Yin Qin
- Beijing Cancer Rehabilitation Association, Beijing, China
| | - Jing Xue
- The Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of GI Medical Oncology, Peking University Cancer Hospital & Institute, Beijing, China
| | - Yang Chen
- The Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of GI Medical Oncology, Peking University Cancer Hospital & Institute, Beijing, China
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20
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Melissant HC, van Uden-Kraan CF, Lissenberg-Witte BI, Verdonck-de Leeuw IM. Body changes after cancer: female cancer patients' perceived social support and their perspective on care. Support Care Cancer 2019; 27:4299-4306. [PMID: 30877595 PMCID: PMC6803574 DOI: 10.1007/s00520-019-04729-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 03/05/2019] [Indexed: 12/15/2022]
Abstract
PURPOSE The aim of this study was to investigate among female cancer patients their perceived social support from health care professionals (HCPs), family and friends, and public media, and their perspective on care concerning body changes. METHODS A study-specific questionnaire was completed by 235 female cancer patients. Descriptive statistics were used to describe social support and perspective on care. Logistic regression analyses were used to investigate the associations between social support and sociodemographic and clinical factors, psychosocial impact, and importance of appearance. RESULTS More than half of the patients received sufficient support from HCPs (54%) and family and friends (55%), and a third from the media (32%). Higher educated patients and those who found appearance not important during illness perceived lower support from HCPs. Patients without a partner, and those with a surgical treatment only, perceived lower support from family and friends. Patients who were older, higher educated, without a partner, and those who found appearance not important during illness perceived lower support from the media. In total, 15-50% of the patients received sufficient care for different domains of body changes. Patients expressed the highest need for psychological support (28%) and nutrition (28%). CONCLUSIONS Half of the female cancer patients reported to receive sufficient social support concerning body changes after cancer. Perceived support depended on age, education, relationship status, and treatment modality. The need for more care was moderate.
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Affiliation(s)
- Heleen C Melissant
- Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, van der Boechorststraat 7, Amsterdam, Netherlands
- Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1118, Amsterdam, Netherlands
| | - Cornelia F van Uden-Kraan
- Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, van der Boechorststraat 7, Amsterdam, Netherlands
- Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1118, Amsterdam, Netherlands
| | - Birgit I Lissenberg-Witte
- Amsterdam UMC, Department of Epidemiology and Biostatistics, Vrije Universiteit Amsterdam, de Boelelaan 1089a, Amsterdam, Netherlands
| | - Irma M Verdonck-de Leeuw
- Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, van der Boechorststraat 7, Amsterdam, Netherlands.
- Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1118, Amsterdam, Netherlands.
- Amsterdam UMC, Department of Otolaryngology-Head and Neck Surgery, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, Vrije Universiteit Amsterdam, P.O. Box 7057, de Boelelaan 1117, Amsterdam, 1007 MB, Netherlands.
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Wu CS, Warmoth KM, Cheung B, Loh A, Young L, Lu Q. Successful Strategies for Engaging Chinese Breast Cancer Survivors in a Randomized Controlled Trial. TRANSLATIONAL ISSUES IN PSYCHOLOGICAL SCIENCE 2019; 5:51-61. [PMID: 30923730 DOI: 10.1037/tps0000171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Chinese immigrant breast cancer survivors face various challenges due to cultural and socioecological factors. Research efforts to develop culturally sensitive interventions have been limited by lack of knowledge regarding successful recruitment and implementation practices among Chinese immigrant populations. This paper documents strategies utilized during the development and implementation of a randomized controlled trial of a culturally sensitive psychosocial intervention for Chinese immigrant breast cancer survivors. In partnership with a community agency, we developed culturally and linguistically appropriate research materials, recruited participants from community channels, and conducted longitudinal data collection. Key strategies include building equitable research partnerships with community agencies to engage participants; being responsive to the needs of community agencies and participants; considering within-group diversity of the research population; utilizing recruitment as an opportunity for relationship-building with participants; and developing key strategies to promote retention. Successful participant engagement in cancer intervention research is the result of collaboration among breast cancer survivors, community leaders and agencies, and academic researchers. The engagement process for this study is novel because we have emphasized cultural factors in the process and taken a relational approach to recruitment and retention.
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Affiliation(s)
- Christine S Wu
- Department of Psychology, University of Houston; Houston, Texas
| | | | - Bernice Cheung
- Department of Psychology, University of Houston; Houston, Texas
| | - Alice Loh
- Herald Cancer Association; San Gabriel, California
| | - Lucy Young
- Herald Cancer Association; San Gabriel, California
| | - Qian Lu
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, Texas.,Department of Psychology, University of Houston; Houston, Texas
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22
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Sammy I, Paul J. The global challenge of ageing population – Part I: Definitions, epidemiology and physiological changes. CARIBBEAN MEDICAL JOURNAL 2018. [DOI: 10.48107/cmj.2018.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background & Objectives
Over the past 50 years, epidemiological data from the World Health Organisation has demonstrated a trend towards population ageing throughout the world. While this is widely recognised in the developed world, the phenomenon has been largely overlooked in the developing world, despite the fact that the rate of ageing in developing countries far outstrips that of developed countries. This global trend towards an increasingly older society has significant implications for healthcare. This article aims to review the definitions of ageing, its epidemiological characteristics and physiological changes associated with ageing.
Methods
A narrative review of the literature was undertaken using Medline, CINAHL and the Cochrane Database, supplemented by manual searches of the literature, and guided by the reference lists of relevant papers identified in the electronic search. No restriction was placed on the type of paper to be included in the study.
Results
The initial electronic search of the three databases included 239 papers, of which 60 were found to be relevant and included in this review. These articles discussed the epidemiology and definition of ageing, the physiology of ageing and its impact on health and illness, and the implications for health services. The overall findings of the studies implicate the clear differences in the physiology of older people, which do create specific challenges for health service provision.
Conclusion
Population ageing is a significant global phenomenon, affecting both developed and developing regions of the world. More work is needed, particularly in the developing world, to better understand the impact of ageing on our population.
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Affiliation(s)
- Ian Sammy
- Emergency Medicine, Scarborough General Hospital, Trinidad and Tobago
| | - Joanne Paul
- Emergency Medicine, The University of the West Indies, St. Augustine, Trinidad and Tobago
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Perceived Stress as a Mediator Between Social Support and Posttraumatic Growth Among Chinese American Breast Cancer Survivors. Cancer Nurs 2018; 41:53-61. [PMID: 27442209 DOI: 10.1097/ncc.0000000000000422] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Studies have shown that social support is positively associated with posttraumatic growth (PTG) among white cancer survivors. Whether the same relationship holds among Asian American cancer survivors and through what mechanism social support may influence PTG is unclear. OBJECTIVE This study examined the association between social support and PTG among Chinese American breast cancer survivors and proposed perceived stress as a mediator. METHODS Chinese American breast cancer survivors (n = 118) were recruited from Southern California. Participants' social support, perceived stress, and PTG were measured in a questionnaire package. RESULTS Social support was associated with lower perceived stress (r= -0.34, P<.001) and higher PTG (r=0.44, P<.001). Perceived stress was negatively associated with PTG (r=-0.36, P< .001). Results from structural equation modeling supported the mediation model, with satisfactory model fit indices (χ37= 65.55, comparative fit index= 0.98, Tucker-Lewis Index = 0.97, root-mean-square error of approximation = 0.08). Both the indirect effect from social support to PTG via perceived stress (β = .07, P< .05) and the direct effect from social support and PTG (β= .40, P< .001) were statistically significant, suggesting a partial mediation effect of perceived stress between social support and PTG. CONCLUSIONS The positive association between social support and Chinese American breast cancer survivors' PTG was supported. Our findings also suggested that social support may facilitate PTG through reduction of perceived stress. IMPLICATIONS FOR PRACTICE Interventions that help to enhance Chinese American breast cancer survivors' social support may also facilitate their PTG.
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Yli-Uotila T, Kaunonen M, Pylkkänen L, Suominen T. Adult cancer patients' perception of social support in non-profit electronic counselling services: a descriptive qualitative study. Contemp Nurse 2018; 54:304-318. [PMID: 30040050 DOI: 10.1080/10376178.2018.1502616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background: Cancer patients may need to seek support from electronic sources because their needs are not fulfilled in the hospital settings.Objectives: The explore cancer patients' perception of social support in non-profit electronic counselling services.Design: A qualitative descriptive cross-sectional design.Methods: The data were collected from adult cancer patients who had utilized non-profit electronic counselling services. The interviews were conducted face-to-face or over the phone and analysed with inductive content analysis.Findings: Two patterns were identified: (1) a contact person that will ensure a personalized matching type of support to enhance patients' ability to cope with cancer if necessary and (2) deficient resources of the electronic counselling services to provide the matching type of support to enhance patients' coping with cancer.Conclusions: For patients to be able to successfully cope with their disease, it is essential that the electronic social support type matches each patient's specific needs.
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Affiliation(s)
- Tiina Yli-Uotila
- Faculty of Social Sciences, Health Sciences, Nursing Science, University of Tampere, Tampere FI-33014, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Health Sciences, Nursing Science, University of Tampere, Tampere FI-33014, Finland.,General administration, Pirkanmaa Hospital District, Tampere, Finland
| | - Liisa Pylkkänen
- Cancer Society of Finland, Unioninkatu 22, Helsinki 00130, Finland
| | - Tarja Suominen
- Faculty of Social Sciences, Health Sciences, Nursing Science, University of Tampere, Tampere FI-33014, Finland
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Exploring the Social Needs and Challenges of Chinese American Immigrant Breast Cancer Survivors: a Qualitative Study Using an Expressive Writing Approach. Int J Behav Med 2018; 24:827-835. [PMID: 28585073 DOI: 10.1007/s12529-017-9661-4] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
PURPOSE Little is known about the psychological well-being and social barriers among immigrant Chinese American breast cancer survivors. The aim of the present study was to explore the social needs and challenges of Chinese American immigrant breast cancer survivors. METHOD This study used the expressive writing approach to explore the experiences among 27 Chinese American breast cancer survivors. The participants were recruited through community-based organizations in Southern California, most of whom were diagnosed at stages I and II (33 and 48%, respectively). Participants, on average, had been living in the USA for 19 years. Participants were asked to write three 20-min essays related to their experience with breast cancer (in 3 weeks). Participants' writings were coded with line-by-line analysis, and categories and themes were generated. RESULTS Emotion suppression, self-stigma, and perceived stigma about being a breast cancer survivor were reflected in the writings. Interpersonally, participants indicated their reluctance to disclose cancer diagnosis to family and friends and concerns about fulfilling multiple roles. Some of them also mentioned barriers of communicating with their husbands. Related to life in the USA, participants felt unfamiliar with the healthcare system and encountered language barriers. CONCLUSION Counseling services addressing concerns about stigma and communication among family members may benefit patients' adjustments. Tailor-made information in Chinese about diagnosis and treatment for breast cancer and health insurance in the USA may also help patients go through the course of recovery.
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26
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You J, Wang C, Yeung NCY, Lu Q. Socioeconomic status and quality of life among Chinese American breast cancer survivors: The mediating roles of social support and social constraints. Psychooncology 2018; 27:1742-1749. [PMID: 29603490 DOI: 10.1002/pon.4719] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Revised: 02/19/2018] [Accepted: 03/20/2018] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Literature has well noted ethnic/racial disparities in cancer survival and cancer care. However, socioeconomic disparities in psychosocial adjustment to breast cancer have garnered little attention. This study addresses the research gap by investigating the associations between socioeconomic indicators (ie, education, annual personal, and household income) and quality of life (QOL) and the mediating roles of social support and social constraints (objective and subjective conditions that constrain individuals from disclosing cancer concerns) in these associations among Chinese American breast cancer survivors (CABCS). METHODS Ninety-six CABCS completed questionnaires assessing these variables. RESULTS After controlling for stage of cancer, annual personal and household income had indirect effects on QOL through social support, and education showed indirect effect on QOL through social support and social constraints. Subscale analyses indicated that controlling for years of immigration, annual personal and household income showed indirect effect on functional well-being through social support. When controlling for stage of cancer and income, education showed indirect effects on physical well-being through social support and social constraints and showed both direct and indirect effects on breast cancer concerns through social constraints. CONCLUSION This study suggested that socioeconomic indicators, education, and income could be associated with different aspects of QOL through unique interpersonal mechanisms among CABCS. Our findings implied that increasing social support and reducing social constraints when implementing psychosocial interventions for CABCS may help to address the SES-related health disparities.
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Affiliation(s)
- Jin You
- Wuhan University, Wuhan, China
| | | | | | - Qian Lu
- University of Houston, Houston, TX, USA
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27
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Relationship Between Defense Mechanisms and the Quality of Life in Women With Breast Cancer. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.11116] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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28
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You J, Wang C, Rodriguez L, Wang X, Lu Q. Personality, coping strategies and emotional adjustment among Chinese cancer patients of different ages. Eur J Cancer Care (Engl) 2017; 27. [PMID: 28975690 DOI: 10.1111/ecc.12781] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2017] [Indexed: 11/28/2022]
Abstract
Literature has documented personality and coping strategies as valuable intrapersonal resources for cancer adjustment among Caucasians. Nevertheless, it remains unclear whether these personal characteristics operate in a similar manner among cancer patients of different ages and cultural backgrounds. This study examined the association between personality traits and affects, their underlying mechanism (i.e. coping strategies) and how these relations differed by age among Chinese cancer survivors, an understudied population. A sample of 234 Chinese cancer survivors in Beijing, China completed the five factor inventory, affect balance scale, ways of coping checklist and medical and demographic information. The results indicated that neuroticism was associated with negative affect, which was explained by avoidance coping strategies. Extraversion and neuroticism were associated with positive affect, and these associations were explained by approach coping strategies. Conditional process (i.e. moderated mediation) analyses demonstrated that conscientiousness was more strongly related to positive affect directly and indirectly through approach coping strategies among older survivors than among younger survivors. The findings highlight the importance of personality traits for emotional adjustment to breast cancer and the critical role of approach coping strategies in explaining the linkage of personality to positive affect for survivors of different age.
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Affiliation(s)
- Jin You
- Department of Psychology, Wuhan University, Wuhan, China
| | - Carol Wang
- Department of Psychology, University of Houston, Houston, TX, USA
| | | | - Xuejiao Wang
- Department of Psychology, Wuhan University, Wuhan, China
| | - Qian Lu
- Department of Psychology, University of Houston, Houston, TX, USA
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29
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Association between socio-demographic factors, coping style, illness perceptions and preference for disclosure/nondisclosure of diagnosis in Chinese patients with hepatocellular carcinoma. J Health Psychol 2017; 24:1473-1483. [DOI: 10.1177/1359105317707258] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
We explored the association between socio-demographic factors, coping style, illness perceptions and preferences for disclosure/nondisclosure of cancer diagnosis in 384 Chinese patients with hepatocellular carcinoma. We found that (1) 69.3 percent of the patients preferred disclosure and (2) multivariate analysis showed that four variables were significantly positively associated with preference for disclosure, including active emotional-focused coping style, illness perceptions of personal control, chronic infection of hepatitis B virus, and educational level, whereas perceived emotional impact of illness and objective social support (mainly family support) were significantly associated with preference for nondisclosure. The findings provide useful information for understanding patients’ preferences for disclosure/nondisclosure of cancer diagnosis from a psychosocial perspective.
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Ambivalence over emotional expression, intrusive thoughts, and posttraumatic stress symptoms among Chinese American breast cancer survivors. Support Care Cancer 2017; 25:3281-3287. [DOI: 10.1007/s00520-017-3744-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 05/04/2017] [Indexed: 10/19/2022]
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Match between culture and social support: Acculturation moderates the relationship between social support and well-being of Chinese American breast cancer survivors. Qual Life Res 2016; 26:73-84. [DOI: 10.1007/s11136-016-1362-y] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2016] [Indexed: 11/27/2022]
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Yan B, Yang LM, Hao LP, Yang C, Quan L, Wang LH, Wu Z, Li XP, Gao YT, Sun Q, Yuan JM. Determinants of Quality of Life for Breast Cancer Patients in Shanghai, China. PLoS One 2016; 11:e0153714. [PMID: 27082440 PMCID: PMC4833339 DOI: 10.1371/journal.pone.0153714] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 04/01/2016] [Indexed: 12/22/2022] Open
Abstract
Purpose To evaluate the association of social support status, health insurance and clinical factors with the quality of life of Chinese women with breast cancer. Methods Information on demographics, clinical characteristics, and social support status was collected from 1,160 women with newly diagnosed breast cancer in Shanghai, China. The Perceived Social Support Scale was used to assess different sources of social support for breast cancer patients. The quality of life was evaluated using the Functional Assessment of Cancer Therapy-Breast Cancer that consisted of five domains: breast cancer-specific, emotional, functional, physical, and social & family well-being. Multivariate linear regression models were used to evaluate the associations of demographic variables, clinical characteristics, and social support status with the quality of life measures. Results Adequate social support from family members, friends and neighbors, and higher scores of Perceived Social Support Scale were associated with significantly improved quality of life of breast cancer patients. Higher household income, medical insurance plans with low copayment, and treatment with traditional Chinese medicine for breast cancer all were associated with higher (better) scores of quality of life measures whereas patients receiving chemotherapy had significantly lower scores of quality of life. Conclusion Social support and financial aids may significantly improve the quality of life of breast cancer survivors.
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Affiliation(s)
- Bei Yan
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
- Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States of America
| | - Li-Ming Yang
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Li-Peng Hao
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Chen Yang
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Lei Quan
- Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States of America
- School of Bioscience and Bioengineering, South China University of Technology, Guangzhou, China
| | - Li-Hong Wang
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Zheng Wu
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Xiao-Pan Li
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Yu-Tang Gao
- Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Qiao Sun
- Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai, China
- * E-mail: (J-MY); (QS)
| | - Jian-Min Yuan
- Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States of America
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
- * E-mail: (J-MY); (QS)
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The need for social support provided by the non-profit cancer societies throughout different phases in the cancer trajectory and its integration into public healthcare. Eur J Oncol Nurs 2016; 21:97-104. [DOI: 10.1016/j.ejon.2016.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Revised: 04/27/2015] [Accepted: 02/03/2016] [Indexed: 11/23/2022]
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Fong AJ, Scarapicchia TMF, McDonough MH, Wrosch C, Sabiston CM. Changes in social support predict emotional well-being in breast cancer survivors. Psychooncology 2016; 26:664-671. [PMID: 26818101 DOI: 10.1002/pon.4064] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Revised: 11/02/2015] [Accepted: 11/25/2015] [Indexed: 11/11/2022]
Abstract
BACKGROUND Breast cancer survivors who have completed surgery and adjuvant treatment have distinct social support needs that may relate to emotional health. There is little research on both levels of social support following treatment and the association between social support and emotional well-being over time following breast cancer diagnosis and treatment. The aims of this study were to assess (1) the direction and magnitude of change in social support quality and quantity and (2) the degree to which change in quality and quantity of social support predicted change in emotional well-being over time following completion of breast cancer treatment. METHODS A sample of 157 female breast cancer survivors (Mage = 55, SD = 11 years) completed a baseline and a 1-year follow-up questionnaire assessing sociodemographic information, quality and quantity of social support, and emotional well-being including depression symptoms, stress, and positive and negative affect. RESULTS Social support quantity significantly decreased over 1 year, while social support quality remained stable. Based on change score analyses, a decrease in social support quality was a significant predictor of increases in depression, stress, and negative affect, explaining an extra 4 to 6% of variance in the emotional well-being outcomes compared with social support quantity. CONCLUSIONS This study highlights the decline in social support among recently treated female breast cancer survivors and the importance of maintaining high-quality social support for emotional well-being. Copyright © 2016 John Wiley & Sons, Ltd.
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Affiliation(s)
- Angela J Fong
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Tanya M F Scarapicchia
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Meghan H McDonough
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, USA
| | - Carsten Wrosch
- Department of Psychology, Concordia University, Montreal, Canada
| | - Catherine M Sabiston
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
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Admiraal JM, van Nuenen FM, Burgerhof JGM, Reyners AKL, Hoekstra-Weebers JEHM. Cancer patients' referral wish: effects of distress, problems, socio-demographic and illness-related variables and social support sufficiency. Psychooncology 2016; 25:1363-1370. [DOI: 10.1002/pon.4067] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Revised: 12/08/2015] [Accepted: 12/10/2015] [Indexed: 12/29/2022]
Affiliation(s)
- J. M. Admiraal
- Department of Medical Oncology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
| | - F. M. van Nuenen
- Wenckebach Institute; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
- Netherlands Comprehensive Cancer Organisation; Groningen The Netherlands
| | - J. G. M. Burgerhof
- Department of Epidemiology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
| | - A. K. L. Reyners
- Department of Medical Oncology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
| | - J. E. H. M. Hoekstra-Weebers
- Wenckebach Institute; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
- Netherlands Comprehensive Cancer Organisation; Groningen The Netherlands
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Faghani S, Rahmani A, Parizad N, Mohajjel-Aghdam AR, Hassankhani H, Mohammadpoorasl A. Social support and its predictors among Iranian cancer survivors. Asian Pac J Cancer Prev 2015; 15:9767-71. [PMID: 25520102 DOI: 10.7314/apjcp.2014.15.22.9767] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social support is an important factor in psycho-social well-being of cancer survivors. There is little information about level of social support and its predictors among cancer survivors in Iran or other Middle Eastern countries. The aims of present study were to determine the social support and its prediction factors among Iranian cancer survivors. MATERIALS AND METHODS In this descriptive-correlational study 187 cancer patients in one educational center and one private oncology office in northwest of Iran participated using a convenient sampling method. The data collection tool consisted of a researcher-prepared checklist and the Multidimensional Scale of Perceived Social Support Assessment (MSPSS). Data analysis was performed using SPSS statistical software with descriptive statistics and multiple linear regression analysis. RESULTS The total score of MSPSS was 68 from a possible score between 7 and 84. Participants believed that they received a high level of support from their family members and significant others. Multiple linear regression analysis showed that single and depressed cancer survivors and participants with lower levels of physical activity believed that they received lower levels of social support. CONCLUSIONS Iranian cancer survivors receive high levels of social support and family members are the most important source of this support. In planning any supportive care program for Iranian cancer survivors this strength should be considered. Especially, single and depressed and patients with lower levels of physical activity need more attention.
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Affiliation(s)
- Safieh Faghani
- Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :
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Moonesar R, Sammy I, Nunes P, Paul J. Social support in older people: lessons from a developing country. Qual Life Res 2015; 25:233-6. [PMID: 26091584 DOI: 10.1007/s11136-015-1053-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2015] [Indexed: 10/23/2022]
Abstract
PURPOSE The purpose of this study was to determine the level of social support in older people presenting to the Emergency Department of a tertiary hospital in Trinidad. METHODS This was a prospective observational study, assessing social support in patients ≥65 years presenting to the Emergency Department, using the Sarason Social Support Questionnaire. RESULTS One hundred sixty-two respondents aged 65 years and older were included. Respondents reported a median Social Support Questionnaire Score (SSQS) of 4.83 and number (SSQN) of 1.67, which did not differ significantly between genders and ethnic groups. Patients who presented via ambulance had a significantly lower SSQS (4.33 vs. 5.16) and SSQN (1.33 vs. 1.92) than those who arrived by their own transport. Respondents reported far greater median family scores (1.33) than non-family scores (0.00). CONCLUSIONS This study contributes to the understanding of social support for older people in developing countries. The dependence on family support in developing countries may prove challenging in the long term as family structures in these countries change with economic pressures. More extensive research is needed into the phenomenon of social support for older people in developing countries, particularly with the impending expansion of this age group in these countries.
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Affiliation(s)
- Reeta Moonesar
- Southwestern Regional Health Authority, Trinidad, West Indies
| | - Ian Sammy
- The University of the West Indies, St Augustine, Trinidad, West Indies.
| | - Paula Nunes
- The University of the West Indies, St Augustine, Trinidad, West Indies
| | - Joanne Paul
- The University of the West Indies, St Augustine, Trinidad, West Indies
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Li CC, Chen ML, Chang TC, Chou HH, Chen MY. Social support buffers the effect of self-esteem on quality of life of early-stage cervical cancer survivors in Taiwan. Eur J Oncol Nurs 2015; 19:486-94. [PMID: 25782718 DOI: 10.1016/j.ejon.2015.02.008] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2014] [Revised: 02/02/2015] [Accepted: 02/15/2015] [Indexed: 11/15/2022]
Abstract
PURPOSE The purpose of this study was to examine the effects of self-esteem and social support on quality of life (QoL) in stage I and II cervical cancer survivors. METHOD The sample consisted of 110 participants who had been diagnosed with stage I-II cervical cancer and had completed their treatment 5 years or more before data collection. Each participant completed four structured questionnaires: a demographic-disease survey, the Rosenberg Self-Esteem Scale, Medical Outcomes Study Social Support Survey, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30. Data were analyzed using descriptive statistics, independent sample t-test, one-way ANOVA, and hierarchical multiple linear regression analyses. RESULTS The participants' mean age was 60.74 ± 10.69 years. Better QoL was significantly associated with younger age, higher self-esteem, and stronger social support; in addition, social support buffered the effect of self-esteem on global QoL. Together, five variables (age, time since treatment, self-esteem, social support, and the interaction term of self-esteem and social support) explained 36% of the variance in global QoL, with self-esteem being the strongest predictor. CONCLUSIONS The results of this study advance current knowledge of QoL in cervical cancer survivors by demonstrating that survivors with low self-esteem and social support tend to have lower QoL than those with low self-esteem but high social support. Health professionals should help survivors seek support and provide appropriate strategies to expand their social networks and enhance their self-esteem to improve their global QoL after cervical cancer.
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Affiliation(s)
- Chia-Chun Li
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
| | - Mei-Ling Chen
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Ting-Chang Chang
- Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, and College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Hung-Hsueh Chou
- Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, and College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Min-Yue Chen
- Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, and College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
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