期刊
EUROPEAN JOURNAL OF ONCOLOGY NURSING
卷 50, 期 -, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.ejon.2020.101892
关键词
Anxiety; Breast cancer; Coping skills; Depression; Social support; Mediation model
This study investigated the relationship between social support, coping strategies, and depressive/anxious symptoms in Iranian breast cancer patients. The results showed that social support and coping strategies can help alleviate depressive and anxious symptoms, with active coping, positive reframing, and acceptance playing a partial mediating role in the relationship between social support and depression. This highlights the importance of providing social support and educating breast cancer patients on functional coping strategies to manage their symptoms effectively.
Purpose: Depression and anxiety are now considered as common adverse reactions to cancer. Prior research has shown that social support and functional coping strategies alleviate depressive and anxious symptoms of cancer patients but the exact relationship between social support and coping strategies in amelioration of the symptoms is yet to be elaborated. Methods: The current study examined the relationship between social support, coping strategies and depressive anxious symptomatology and explored the possible role of coping strategies in mediating the relationship between social support, depression and anxiety in Iranian breast cancer patients (N = 221). Anxiety and depressive symptoms were measured using the Depression-Anxiety-Stress (DASS-21) scale, social support was measured using the Medical Outcome Survey, Social Support Scale (MOSS-SSS), and coping strategies were measured using the brief COPE. Results: All of the social support subscales were negatively correlated with depression and anxiety. Most of the coping strategies were negatively correlated with depressive-anxious symptoms. When controlling for covariates, mediation analysis revealed that active coping, positive reframing and acceptance partially mediated the association of social support of different types with depression. Positive reframing also partially mediated the relationship of the total social support and positive social interactions with anxiety . Conclusions: High levels of social support may relieve depressive and anxious symptoms of breast cancer patients through functional coping. The management of breast cancer patients should also focus on providing patients with social support and educating them on the practice of functional coping strategies.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据