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 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.

The social support, psychological resilience and quality of life of nurses in infectious disease departments in China: A mediated model

“…Our correlation results show that quality of life of nurses in IDDs was positively correlated with social support and its various dimensions. The higher the social support, the higher the quality of life, which is consistent with the existing relevant research results (Iwanowicz‐Palus et al, 2021 ; Zhou et al, 2022 ). Nurses' quality of life may improve if they can obtain sufficient material support in their work and life, as well as good social relationships with others.…”

Self-Efficacy, Coping Strategies and Quality of Life among Patients with Chronic Hepatitis B

“…This result was in accordance with prior studies on associations among psychological factors, coping strategies, and QoL. For instance, Zhou et al 23 reported the mediating role of resignation between resilience and QoL among patients with breast cancer. Another study confirmed that resignation was an important mediating factor between illness uncertainty and mental QoL.…”

“…Similar to our study, previous studies demonstrated a negative association between resignation and QoL among patients with chronic lymphedema and breast cancer. 23 , 31 As expected, our study revealed that resignation partially mediated the relationship between self-efficacy and QoL. In other words, higher self-efficacy can reduce patients’ use of resignation coping when facing CHB-related stress and accordingly improve their QoL.…”

“…Evidence showed that self-efficacy, illness perception, and social support could influence the use of coping strategies. 13,22,23 Additionally, coping strategies could play a mediating role between some psychological variables and health outcomes. One study revealed the mediating effects of coping strategies between resilience and health-related QoL in women with breast cancer.…”

“…One study revealed the mediating effects of coping strategies between resilience and health-related QoL in women with breast cancer. 23 Knowles et al’s 13 study on patients with diabetes indicated that coping strategies mediated the relationship between self-efficacy and psychological well-being. Therefore, we assumed that self-efficacy might affect QoL of patients with CHB by stimulating them to adopt the corresponding coping strategy.…”