Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study
Abstract Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating roles of perceived social support (PSS) and coping style (CS) in the relationship between resilience and HRQoL in newly diagnosed breast cancer patients. Methods Following a cross-sectional...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-05-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01783-1 |
| _version_ | 1811258827220189184 |
|---|---|
| author | Kaina Zhou Fan Ning Xiao Wang Wen Wang Dongfang Han Xiaomei Li |
| author_facet | Kaina Zhou Fan Ning Xiao Wang Wen Wang Dongfang Han Xiaomei Li |
| author_sort | Kaina Zhou |
| collection | DOAJ |
| description | Abstract Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating roles of perceived social support (PSS) and coping style (CS) in the relationship between resilience and HRQoL in newly diagnosed breast cancer patients. Methods Following a cross-sectional design, 431 patients completed a survey at two hospitals in Shaanxi Province, China. Four validated self-report measures assessed HRQoL, psychological resilience, PSS, and CS. A one-sample t-test analyzed differences between resilience, PSS, and CS in breast cancer patients and the corresponding norm. Multivariate linear regression analyzed the independent predictors of HRQoL. The mediating roles of PSS and CS between resilience and HRQoL were investigated using structural equation modeling (SEM). Results Participants had significantly lower scores for resilience and PSS, and higher scores for the avoidance and resignation CSs than their corresponding norm. SEM analysis showed resilience had significant direct effects on PSS (Bs: 0.59, 95% CI 0.49, 0.68, P = 0.003), CS (confrontation: 0.53 (0.44, 0.62), P = 0.001; resignation: − 0.66 (− 0.74, − 0.57), P = 0.002), and HRQoL (Bs range from 0.44 to 0.63, P < 0.05). Resilience had significant indirect effects (Bs range from 0.09 to 0.27), and PSS and CS had significant direct effects on HRQoL (P < 0.05). Conclusions Newly diagnosed breast cancer patients had lower resilience and PSS, and higher negative CSs, suggesting that PSS and CS mediated the influence of resilience on HRQoL. A multimodal intervention program focusing on PSS and CS might improve the positive influences of resilience on HRQoL in breast cancer patients. |
| first_indexed | 2024-04-12T18:20:23Z |
| format | Article |
| id | doaj.art-21a7cdc367224e69867f09b03ee62117 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-12T18:20:23Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-21a7cdc367224e69867f09b03ee621172022-12-22T03:21:27ZengBMCBMC Women's Health1472-68742022-05-012211910.1186/s12905-022-01783-1Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional studyKaina Zhou0Fan Ning1Xiao Wang2Wen Wang3Dongfang Han4Xiaomei Li5School of Nursing, Xi’an Jiaotong University Health Science CentreSchool of Nursing, Xi’an Jiaotong University Health Science CentreSurgical Breast Cancer Department, The Tumor Hospital of Shaanxi ProvinceSchool of Nursing, Xi’an Jiaotong University Health Science CentreGynecology Department, The First Affiliated Hospital of Xi’an Jiaotong UniversitySchool of Nursing, Xi’an Jiaotong University Health Science CentreAbstract Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating roles of perceived social support (PSS) and coping style (CS) in the relationship between resilience and HRQoL in newly diagnosed breast cancer patients. Methods Following a cross-sectional design, 431 patients completed a survey at two hospitals in Shaanxi Province, China. Four validated self-report measures assessed HRQoL, psychological resilience, PSS, and CS. A one-sample t-test analyzed differences between resilience, PSS, and CS in breast cancer patients and the corresponding norm. Multivariate linear regression analyzed the independent predictors of HRQoL. The mediating roles of PSS and CS between resilience and HRQoL were investigated using structural equation modeling (SEM). Results Participants had significantly lower scores for resilience and PSS, and higher scores for the avoidance and resignation CSs than their corresponding norm. SEM analysis showed resilience had significant direct effects on PSS (Bs: 0.59, 95% CI 0.49, 0.68, P = 0.003), CS (confrontation: 0.53 (0.44, 0.62), P = 0.001; resignation: − 0.66 (− 0.74, − 0.57), P = 0.002), and HRQoL (Bs range from 0.44 to 0.63, P < 0.05). Resilience had significant indirect effects (Bs range from 0.09 to 0.27), and PSS and CS had significant direct effects on HRQoL (P < 0.05). Conclusions Newly diagnosed breast cancer patients had lower resilience and PSS, and higher negative CSs, suggesting that PSS and CS mediated the influence of resilience on HRQoL. A multimodal intervention program focusing on PSS and CS might improve the positive influences of resilience on HRQoL in breast cancer patients.https://doi.org/10.1186/s12905-022-01783-1Breast cancerResiliencePerceived social supportCoping styleHealth-related quality of life |
| spellingShingle | Kaina Zhou Fan Ning Xiao Wang Wen Wang Dongfang Han Xiaomei Li Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study BMC Women's Health Breast cancer Resilience Perceived social support Coping style Health-related quality of life |
| title | Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study |
| title_full | Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study |
| title_fullStr | Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study |
| title_full_unstemmed | Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study |
| title_short | Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study |
| title_sort | perceived social support and coping style as mediators between resilience and health related quality of life in women newly diagnosed with breast cancer a cross sectional study |
| topic | Breast cancer Resilience Perceived social support Coping style Health-related quality of life |
| url | https://doi.org/10.1186/s12905-022-01783-1 |
| work_keys_str_mv | AT kainazhou perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy AT fanning perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy AT xiaowang perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy AT wenwang perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy AT dongfanghan perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy AT xiaomeili perceivedsocialsupportandcopingstyleasmediatorsbetweenresilienceandhealthrelatedqualityoflifeinwomennewlydiagnosedwithbreastcanceracrosssectionalstudy |