Effects of physical activity and stress on the relationship between social capital and quality of life among breast cancer survivors

Abstract This study aims to investigate the serial multiple mediation of physical activity and perceived stress in the relationship between individual social capital and quality of life (QOL) in breast cancer survivors (BCSs). This study was conducted among 520 BCSs between March and April 2017 in Shanghai, China. Data were collected using the Individual Social Capital Scale, the Health-Promoting Lifestyle Profile-II, the Perceived Stress Scale-14 and the EORTC QLQ-C30. Ordinary least-squares regression and the bootstrap method was used to test the significance of the serial multiple mediation model. The serial-multiple mediations of physical activity and perceived stress were found significant in the relationship of QOL with all five dimensions of individual social capital. The separate mediations of two single mediating variables were found significant in the relationship of QOL with control over life and feeling about the community. In the relationship of QOL with social participation, social network and social support, the separate mediation of physical activity was significant, while the separate mediation of perceived stress was not significant. A multidisciplinary team approach and a variety of delivery systems are needed to address the social, physical and psychological issues for improving QOL among BCSs.

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The relationship of fatigue in breast cancer survivors with quality of life and factors to address in psychological interventions: A systematic review

Clinical Psychology Review ◽

10.1016/j.cpr.2018.05.004 ◽

2018 ◽

Vol 63 ◽

pp. 1-11 ◽

Cited By ~ 30

Author(s):

H.J.G. Abrahams ◽

M.F.M. Gielissen ◽

C.A.H.H.V.M. Verhagen ◽

H. Knoop

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Systematic Review ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Psychological Interventions ◽

Relationship Of ◽

The Relationship

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The relationship of pain and sleep disturbances in racially diverse breast cancer survivors – A therapeutic opportunity to improve quality of life in long-term survivorship

Journal of the Neurological Sciences ◽

10.1016/j.jns.2019.10.1828 ◽

2019 ◽

Vol 405 ◽

pp. 133-134

Author(s):

U. Wesselmann ◽

R.A. Oster ◽

L.Q. Rogers

Keyword(s):

Breast Cancer ◽

Sleep Disturbances ◽

Breast Cancer Survivors ◽

Improve Quality ◽

Racially Diverse ◽

Therapeutic Opportunity ◽

Relationship Of ◽

The Relationship

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Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207532 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7532

Author(s):

Nam Mi Kang ◽

Won-Ho Hahn ◽

Suyeon Park ◽

Jung Eun Lee ◽

Young Bum Yoo ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Physical Activity ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Spousal Support ◽

Moderating Factors ◽

Mental Hrqol ◽

The Relationship

Spousal support may attenuate stress in breast cancer survivors and improve their health-related quality of life (HRQoL). However, there is limited evidence of a relationship between spousal support, stress, and HRQoL in Asian populations. The current study examined whether spousal support, adherence to the American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity for Cancer Survivors, and breastfeeding experience mediated or moderated the relationship between stress and HRQoL in Korean breast-cancer survivors. Between June 2016 and May 2018, 144 Korean women who survived breast cancer were recruited for the current cross-sectional study. Structured questionnaires and medical records were used to collect data. Structural equation modeling was used to examine mediating and moderating factors. Spousal support buffered the adverse effect of stress on HRQoL (β = −0.22 for stress→spousal support; β = 0.27 for spousal support→physical HRQoL; β = 0.40 for spousal support→mental HRQoL). We found that adherence to ACS guidelines moderated the association between stress and HRQoL (β = −0.14 for stress→mental HRQoL in high ACS adherence; β = −0.79 for stress→mental HRQoL in low ACS adherence). Moreover, beta coefficients were −0.22 for stress→mental HRQoL in women with breastfeeding experience, and −0.71 in those without breastfeeding experience. In conclusion, spousal support mediated the association between stress and HRQoL and this association was moderated by both adherence to ACS guidelines and breastfeeding experience.

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