Social connectedness and health‐related quality of life among patients with cancer undergoing chemotherapy: A mixed method approach using structural equation modelling and photo‐elicitation

Salazar, Sarah Maria D. C.; Diño, Michael Joseph S.; Macindo, John Rey B.

doi:10.1111/jocn.16675

Cited by 4 publications

(3 citation statements)

References 55 publications

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“…Lastly, the qualitative studies highlight that the group aspect and feeling connected to other patients is an important aspect of mindfulness groups. This matches previous research highlighting the importance of feeling connected and understood in cancer patients 102,103 which sometimes cannot be met by family and friends not affected by cancer 102–104 . Although not a specific MBI‐related factor, it is thus an important one, that has implications for the delivery setting.…”

Section: Discussionsupporting

confidence: 87%

“…This matches previous research highlighting the importance of feeling connected and understood in cancer patients 102,103 which sometimes cannot be met by family and friends not affected by cancer. [102][103][104] Although not a specific MBIrelated factor, it is thus an important one, that has implications for the delivery setting. The program of this study was designed for patients and their caregivers.…”

Section: Discussionmentioning

confidence: 99%

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How do mindfulness‐based interventions promote coping and self‐efficacy in patients with cancer: A systematic review of qualitative and quantitative data

Heinen,

Laing,

Schäffeler

et al. 2024

Psycho-Oncology

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ObjectiveThe purpose of this study was to review the existing quantitative and qualitative evidence regarding how mindfulness‐based interventions (MBIs) help cope with cancer‐related challenges and increase affected patients' perceived self‐efficacy.MethodsA systematic literature search was conducted on PubMed, PsycInfo, PubPsych, and CINAHL. Quantitative, qualitative, and mixed methods studies were included if they (1) evaluated MBIs (2) for patients with cancer or cancer survivors (3) regarding their impact on coping with cancer and perceived self‐efficacy. The reports were screened by two independent reviewers and conflicts were resolved by a third reviewer. The review was pre‐registered on PROSPERO (CRD42022368765).ResultsFindings from 28 reports of 19 quantitative studies, six qualitative studies, and three mixed‐methods studies (total N = 1722) were extracted and integrated. The synthesis of quantitative data showed considerable heterogeneity in outcomes and measurement instruments. Most often reported were significant positive impacts of mindfulness on general coping skills, self‐regulation, and perceived efficacy in coping with cancer. Qualitative interviews with patients supported those results. The three meta‐themes identified were that MBI (1) provided patients with tools to use in stressful situations, (2) promoted a general change of mindset and (3) created a feeling of social connectedness.ConclusionsThe reviewed studies suggest that MBI can promote coping and enhance the perceived self‐efficacy of patients with cancer. In the future, more research investigating the different aspects of coping and the potentially moderating role of self‐efficacy could provide further insights with respect to how coping and self‐efficacy related to MBI.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

How do mindfulness‐based interventions promote coping and self‐efficacy in patients with cancer: A systematic review of qualitative and quantitative data

Heinen,

Laing,

Schäffeler

et al. 2024

Psycho-Oncology

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show abstract

“…15 It is linked to longer life expectancy, better mental health, better cognitive functioning, and enhanced neuroendocrine and immune regulation. 15 In cancer, social connectedness is associated with improved social and emotional well-being, 16 and increased social support is associated with decreased mortality. 17 Thus social connectedness and aspects thereof, such as social support and belongingness, could promote well-being for YAs with cancer.…”

Section: Introductionmentioning

confidence: 99%

Social isolation and social connectedness among young adult cancer survivors: A systematic review

Fox,

Armstrong,

Gaumond

et al. 2023

Cancer

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BackgroundSocial isolation and connectedness are social determinants of health that have demonstrated effects on cancer‐related outcomes. These constructs have been systematically evaluated among pediatric and older adult cancer populations. In this review, the authors evaluated the prevalence, correlates, and psychosocial implications of social isolation and connectedness among young adult (YA) cancer survivors aged 18–39 years.MethodsPeer‐reviewed articles published in English before June 2021 were identified from database searches and included articles' reference lists according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) guidelines. Included articles described studies that assessed social isolation and/or connectedness among YA cancer survivors.ResultsIn total, 5094 unique records were identified; 4143 were excluded after title/abstract screening, and 907 were excluded after full‐text review. Forty‐four articles were included. Few studies used validated measures or directly assessed social isolation or connectedness. Social isolation was similarly prevalent among YAs and older cancer survivors and noncancer populations. Demographic, clinical, and behavioral risk and protective factors for social isolation were identified. Social isolation was related to worse psychological well‐being, whereas social connectedness was often, but not always, related to better psychological well‐being.ConclusionsThis growing literature underscores the relevance of social isolation and connectedness as important health determinants among YA cancer survivors. The identified risk and protective factors can identify YAs who especially may benefit from screening for social isolation. Future studies are needed that directly, reliably, and validly evaluate social isolation and connectedness to inform the development of interventions to decrease isolation and increase connectedness.

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Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness

Li,

Hathaway,

Small

et al. 2024

Cancer

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BackgroundSocial isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety) over 1 year in young adult (YA) cancer survivors 18–39 years old.MethodsParticipants were YAs in a large cohort study that completed questionnaires every 2 months for 1 year. Social isolation, aspects of social connectedness (i.e., companionship, emotional support, instrumental support, and informational support), depression, and anxiety were assessed with Patient‐Reported Outcomes Measurement Information System short form measures. Mixed‐effect models were used to evaluate changes over time. Confirmatory factor analysis and multilevel structural equation modeling were used to define social connectedness as a latent construct and determine whether relationships between social isolation and psychological distress were mediated by social connectedness.ResultsParticipants (N = 304) were mean (M) = 33.5 years old (SD = 4.7) and M = 4.5 years (SD = 3.5) post‐initial cancer diagnosis. Most participants were female (67.4%) and non‐Hispanic White (68.4%). Average scores for social well‐being and psychological distress were within normative ranges and did not change (p values >.05). However, large proportions of participants reported at least mild social isolation (27%–30%), depressive symptoms (36%–37%), and symptoms of anxiety (49%–51%) at each time point. Across participants, more social isolation was related to less social connectedness (p values <.001), more depressive symptoms (p < .001), and more symptoms of anxiety (p < .001). Social connectedness mediated the relationship between social isolation and depression (p = .004), but not anxiety (p > .05).ConclusionsSocial isolation and connectedness could be intervention targets for reducing depression among YA cancer survivors.

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Social connectedness and health‐related quality of life among patients with cancer undergoing chemotherapy: A mixed method approach using structural equation modelling and photo‐elicitation

Cited by 4 publications

References 55 publications

How do mindfulness‐based interventions promote coping and self‐efficacy in patients with cancer: A systematic review of qualitative and quantitative data

How do mindfulness‐based interventions promote coping and self‐efficacy in patients with cancer: A systematic review of qualitative and quantitative data

Social isolation and social connectedness among young adult cancer survivors: A systematic review

Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness

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