A Path Analysis: A Model of Depression in Korean Women With Breast Cancer-Mediating Effects of Self-Esteem and Hope

Tae, Young Sook; Heitkemper, Margaret; Kim, Mi Yea

doi:10.1188/12.onf.e49-e57

Cited by 33 publications

(35 citation statements)

References 44 publications

(45 reference statements)

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“…No significant effect was observed on self-esteem. Previous studies have reported that self-esteem in Korean women with cancer was strongly related to family support Tae et al 2012). Lowered self-esteem commonly appears in patients with cancer (Berterö 2002).…”

Section: Discussionmentioning

confidence: 93%

Psychological effects of a cosmetic education programme in patients with breast cancer

et al. 2015

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Treatments for breast cancer often include interventions related to psychosocial issues such as negative body image, loss of femininity, and low self-esteem. We identified the psychological effects of a cosmetics education programme in patients with breast cancer. Cosmetic programme is a specific care designed to help patients handle appearance-related side effects. Thirty-one women with breast cancer at a university hospital in South Korea who received a cosmetics education programme were compared with 29 subjects in a control group who received the treatment as usual. Psychological factors including distress, self-esteem, and sexual functioning were assessed three times (before and after the programme, and at the 1-month follow-up). After the programme, patients in the treatment group were significantly less likely than those in the control group to rely on distress (P = 0.038) and avoidance coping (P < 0.001) but not on self-esteem. The mean scores in the treatment group for sexual functioning were higher than those in the control group after the treatment. Our results suggest the potential usefulness of a brief cosmetics education programme for reducing distress and reliance on negative coping strategies. Implementing a cosmetics programme for patients with breast cancer may encourage patients to control negative psychological factors.

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Section: Discussionmentioning

confidence: 93%

Psychological effects of a cosmetic education programme in patients with breast cancer

et al. 2015

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“…Hope may provide individuals a positive resource for combating depression and anxiety while protecting against perceptions of vulnerability and unpredictability [24]. Cancer survivors with higher levels of hope reported lower levels of depression and anxiety [45,46]. Optimism represents a positive attribution of success including positive emotions and motivation.…”

Section: Discussionmentioning

confidence: 99%

Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time

et al. 2013

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BackgroundPsychological distress (e.g., depression and anxiety) has been regarded as the main cause of leaving work for people living with HIV/AIDS (PLWHA) in workplaces. This study aims to explore the associations of functional social support (FSS) and psychological capital (PC) with depressive and anxiety symptoms among PLWHA employed full-time.MethodsThis cross-sectional study was performed in Liaoning, China, during the period of December 2010–April 2011. The Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, the Duke-UNC Functional Social Support Questionnaire, and the Psychological Capital Questionnaire were completed by PLWHA employed full-time. Structural equation modeling was used to test the proposed relationships between variables. Asymptotic and resampling strategies were performed to explore the mediating roles of PC and its components (self-efficacy, hope, optimism, resilience).ResultsOf 320 participants surveyed, 66.3% had depressive symptoms, and 45.6% had anxiety symptoms. Significant negative associations of FSS and PC with depressive and anxiety symptoms were revealed. PC (a*b = −0.209, BCa 95% CI: -0.293, -0.137, p < 0.05), hope (a*b = −0.103, BCa 95% CI: -0.192, -0.034, p < 0.05), and optimism (a*b = −0.047, BCa 95% CI: -0.106, -0.008, p < 0.05) significantly mediated the association between FSS and depressive symptoms. PC (a*b = −0.151, BCa 95% CI: -0.224, -0.095, p < 0.05) and self-efficacy (a*b = −0.080, BCa 95% CI: -0.158, -0.012, p < 0.05) significantly mediated the FSS-anxiety symptoms association.ConclusionsFSS and PC could help reduce depressive and anxiety symptoms among PLWHA employed full-time. PC fully mediates the associations of FSS with depressive and anxiety symptoms. In addition to enhancing FSS, PC development could be included in the prevention and treatment strategies for depressive and anxiety symptoms targeted at PLWHA employed full-time.

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“…Furthermore, health status, family support, and self-esteem of women with breast cancer have been shown to indirectly affect depression through hope. (22) There are few studies employing interventions to improve hope. (23,24) However, a recent study analyses a randomized clinical trial of women who had undergone mastectomy, aiming to assess the effects of a spiritual support intervention on spirituality and clinical parameters.…”

Section: Discussionmentioning

confidence: 99%

Variação longitudinal da qualidade do sono em mulheres com câncer de mama

Mansano-Schlosser

Ceolim

2016

Acta paul. enferm.

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Objectives: To compare sleep quality, depression, and hope in women with breast cancer over an approximate period of 1 year. Methods: This longitudinal study included 107 women assisted at a teaching hospital. The following instruments were used: Questionnaire on Socio-demographic and Clinical Characteristics; Pittsburgh Sleep Quality Index; Beck Depression Inventory; and Herth Hope Scale. Data were collected at T0, before tumor removal surgery, and after surgery at T1 (average of 3.2 months), T2 (average of 6.1 months), and T3 (average of 12.4 months). Results: Poor sleep quality persisted over the follow-up; hope increased at T1; the proportion of women with moderate and severe depression increased at T3. There was a significant correlation among scores indicating sleep quality, depression, and hope in all four time points. Conclusion: Our study findings suggest the significance of long-term follow-up. ResumoObjetivo: Comparar a qualidade do sono, a depressão e a esperança em mulheres com câncer de mama ao longo de aproximadamente um ano. Métodos: Estudo longitudinal, com 107 mulheres, em hospital universitário. Foram utilizados os instrumentos: questionário de caracterização sociodemográfica e clínica; Índice de Qualidade do Sono de Pittsburgh; Inventário de Depressão de Beck e Escala de Esperança de Herth. Os dados foram coletados em T0, antes da cirurgia de retirada do tumor, e após a mesma em: T1, em média 3,2 meses; T2, em média 6,1 meses; em T3, em média 12,4 meses. Resultados: A má qualidade do sono persistiu ao longo do seguimento; a esperança aumentou em T1; a proporção de mulheres com depressão moderada e grave elevou-se em T3. Houve correlação significativa entre os escores indicativos de qualidade do sono, de depressão e de esperança nos quatro tempos. Conclusão: Os achados deste estudo indicam a importância do seguimento por tempo prolongado.

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A Path Analysis: A Model of Depression in Korean Women With Breast Cancer-Mediating Effects of Self-Esteem and Hope

Abstract: Self-esteem and hope must be considered when developing services to reduce depression in Korean women with breast cancer.

Cited by 33 publications

References 44 publications

Psychological effects of a cosmetic education programme in patients with breast cancer

Psychological effects of a cosmetic education programme in patients with breast cancer

Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time

Variação longitudinal da qualidade do sono em mulheres com câncer de mama

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