scholarly journals Correlations of social isolation and anxiety and depression symptoms among patients with breast cancer of Heilongjiang province in China: The mediating role of social support

Nursing Open ◽  
2021 ◽  
Author(s):  
Bingshuo Liu ◽  
Xinyu Wu ◽  
Lei Shi ◽  
Han Li ◽  
Di Wu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Social Isolation ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Heilongjiang Province ◽  
Mediating Role

scholarly journals Mediating effects of depression on anxiety and leisure constraints in patients with breast cancer

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hsiu-Mei Huang ◽  
Jun-Hung Lai ◽  
Tsai-Wei Huang
Keyword(s):  
Breast Cancer ◽  
Leisure Activities ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Leisure Constraints ◽  
Daily Lives ◽  
Mediating Role ◽  
Patients Experience ◽  
The Relationship

Abstract Background Patients with breast cancer often exhibit high levels of anxiety and depression and a considerable decrease in their ability to participate in leisure activities, which result in the long-term disruption of their daily lives. This study intended to explore the relationships among anxiety, leisure constraints, and depression and evaluate whether depression mediates the effects of anxiety on leisure constraints in patients with breast cancer. Method This prospective study included 106 patients with breast cancer. All the patients completed the Taiwanese version of the Hospital Anxiety and Depression Scale and Leisure constraints questionnaire. Path analysis was used to test the mediating role of depression. Results Leisure constraints, anxiety, and depression were positively interrelated and co-occurred in the patients. The accelerated bootstrapping confidence intervals of the indirect effect did not include zero (0.276–1.663). Moreover, depression completely mediated the effects of anxiety on leisure constraints in patients with earlier cancer stages but not in patients with advanced cancer stages. Conclusions Depression is a crucial mechanism underlying the relationship between anxiety and leisure constraints in patients with breast cancer. Although many patients experience minimal disruption of activities and roles during survivorship, they are unable to perform functional activities and satisfactorily play their roles. This is the first study to explore leisure constraints in patients with breast cancer and investigate the mediating role of depression that underlies the relationship between anxiety and leisure constraints. The current findings are clinically crucial because they suggest the need to consider the simultaneous management of anxiety and depression for alleviating leisure constraints.

scholarly journals Addressing Depression Symptoms among University Students under COVID-19 Restrictions—The Mediating Role of Stress and the Moderating Role of Resilience

2021 ◽  
Vol 18 (23) ◽  
pp. 12752
Author(s):  
Chang Liu ◽  
Melinda McCabe ◽  
Sebastian Kellett-Renzella ◽  
Shruthi Shankar ◽  
Nardin Gerges ◽  
...  
Keyword(s):  
Mental Health ◽  
University Students ◽  
Social Isolation ◽  
Perceived Stress ◽  
Structural Equation ◽  
Depression Symptoms ◽  
Targeted Interventions ◽  
Mediating Role ◽  
Moderating Role

Background: The COVID-19 pandemic has contributed to a decline in mental health globally. Compared to the general population, university students have been identified as a group vulnerable to developing depression symptoms during the pandemic. Social isolation, a signature mental health consequence under physical-distancing regulations, is a known predictor of depression symptoms during the pandemic. Yet, more research is required to understand the mechanism that underpins the isolation–depression association and identify psychological factors that may attenuate the association. The current study aimed to understand the role of stress and resilience in the isolation–depression association among university students. Methods: Data were collected from 1718 university students between 28 and 31 May 2020. Partial least squares structural equation modelling (PLS-SEM) was used to examine the mediating role of perceived stress and the moderating role of resilience in the isolation–depression association. Results: We found that perceived stress partially mediated the association between social isolation and depression symptoms. Both the direct and indirect effects were moderated by participants’ resilience levels. Conclusions: Social isolation during the pandemic may contribute to depression symptoms both directly and through elevated stress levels. As an internal strength, resilience may buffer the adverse effects of isolation and stress on depression symptoms. Targeted interventions including mindfulness and physical exercise training may provide promising results in reducing depression symptoms among university students and should be considered by university administrators particularly during times of imposed physical-distancing measures.

scholarly journals Social Disparities in Post-Diagnosis Health Behaviors of Iranian Breast Cancer Survivors: The Mediating Role of Psychosocial Factors as Potential Buffering Agents

2021 ◽  
Vol 14 (8) ◽  
Author(s):  
Mohammad Tavakol ◽  
Reza Tayari Ashtiani ◽  
Majid Koosheshi ◽  
Mohammad Esmaeil Akbari ◽  
Maryam Khayamzadeh
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Health Behaviors ◽  
Cancer Survivors ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Social Disparities ◽  
Cross Sectional ◽  
Mediating Role

Background: Breast cancer (BC) is surging as a public health issue in Iran and engagement in positive health behaviors improves the odds of survival and reduces the risk of concomitant comorbidities in BC survivors. Objectives: The primary purpose of this study was to investigate the impact of socioeconomic inequalities on leisure-time physical activity (LTPA) and fruit and vegetable (F & V) consumption among Iranian BC survivors. Another objective of this study was to examine the role of psychosocial factors, such as stress, self-efficacy, and social support as mediators between socioeconomic status (SES) and these health behaviors. Few studies have investigated social disparities in the health behaviors of cancer survivors. Likewise, the mediating role of psychosocial factors in the SES-health behavior gradient has rarely been explored in the cancer context. Psychosocial factors might have positive implications for socioeconomically disadvantaged survivors. Methods: Cross-sectional data were obtained from 196 patients with BC by a telephone-administrated questionnaire. The Behavioral Risk Factor Surveillance system (BRFSS) 2013 was partially employed to measure exercise and F & V consumption. Cross-sectional analyses (correlations and logistic regression) were conducted to assess the relationship between SES, psychosocial factors, and health behaviors (P < 0.05). Results: Regarding LTPA and F & V consumption, more than half of the survivors complied with the recommended levels, consecutively. Both education and family income exhibited a positive association with LTPA and F & V consumption. Furthermore, self-efficacy and social support showed a positive relationship with LTPA and F & V consumption. Conclusions: The SES impacted health behaviors directly and via intermediary psychosocial factors. The results can inform future studies and interventions; psychosocial factors could buffer the effects of social inequalities on health behaviors. A key policy priority should, therefore, be planning and implementing psychosocial empowerment interventions to promote exercise and a healthy diet among impoverished cancer survivors.

scholarly journals The Relationship of Psychological Wellbeing and Psychological Hardiness With the Mediating Role of Social Support in Women With Breast Cancer

2021 ◽  
Vol 27 (1) ◽  
pp. 18-33
Author(s):  
Roya Azadi ◽  
◽  
Hassan Ahadi ◽  
Hamid Reza Hatami ◽  
◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Structural Equation ◽  
Psychological Wellbeing ◽  
Equation Modeling ◽  
Mazandaran Province ◽  
Mediating Role ◽  
Psychological Hardiness ◽  
The Relationship

Aims: Breast cancer is the most common cancer in women and the first cause of cancer death. This study aims to determine the relationship between psychological wellbeing and psychological hardiness with the mediating role of social support in women with breast cancer. Methods & Materials This research was a correlation study based on Structural Equation Modeling (SEM). The study population consisted of women with breast cancer living in Mazandaran Province, Iran, in 2017. For this study, a sample of 236 patients with breast cancer was selected by the random sampling method. Then, Ryff psychological welfare questionnaire, Ahvaz hardiness inventory, and Berlin social support scales were administered to them. The obtained data were analyzed using the SEM. Findings: The correlation between variables of psychological wellbeing and psychological hardiness with social support was significant (P<0.001). Fit indices indicated an appropriate fit for the proposed model (P<0.05). There was also a significant relationship between psychological hardiness and psychological wellbeing through social support (P<0.05). Conclusion: Considering the importance of preserving and improving the quality of life of patients with breast cancer, the evaluation of psychological hardiness, and social support with psychological wellbeing, and proper intervention to improve the mental health of these patients, is recommended.

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