The mediating effect of social support on uncertainty in illness and quality of life of female cancer survivors: a cross-sectional study

Lee, Insook; Park, Changseung

doi:10.1186/s12955-020-01392-2

Cited by 26 publications

(20 citation statements)

References 33 publications

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“…The results highlight the importance of IU in the development of FCR and validate the antecedent framework of Mishel’s (1988) uncertainty in illness theory. Previous studies have also reported a negative association between social support and IU similar to the results of this study ( Lee and Park, 2020 ). Cancer survivors’ perceptions and interpretations of stressful disease events are often considered to be key factors in the occurrence of IU ( Zhang, 2017 ).…”

Section: Discussionsupporting

confidence: 92%

Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty

Sun

2022

Front. Psychol.

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ObjectiveTo examine the relations between social support, illness uncertainty (IU), and fear of cancer recurrence (FCR).MethodsUsing data from a convenience sample of 231 breast cancer survivors in China to perform structural equation modeling with bootstrapping estimation. Participants were recruited from a general hospital in Shenyang, China. Participants completed the Perceived Social Support Scale, Mishel Uncertainty in Illness Scale, and Fear of Cancer Recurrence Inventory- Shorter Form.ResultsThe majority of breast cancer survivors have FCR (67.5%). FCR was significantly negatively associated with social support, and was significantly positively associated with IU (both P < 0.01). Moreover, IU was found to mediate the relationship between social support and FCR (standardized indirect effect = –0.18; bias-corrected 95% confidence interval: –0.255, –0.123).ConclusionThe findings support the final model. Good social support can directly mitigate FCR, while illness uncertainty can play a mediation role between social support and FCR. Further studies should be conducted to explore effective interventions for social support and IU to ultimately mitigate FCR in cancer survivors.

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Section: Discussionsupporting

confidence: 92%

Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty

Sun

2022

Front. Psychol.

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“…Specifically, perceived social support decreased with increasing uncertainty. This finding is consistent with the results of a previous study that reported a correlation between social support and uncertainty among patients undergoing hemodialysis [ 17 ], women who were cancer survivors [ 28 ] and pregnant [ 29 ], and patients with cholangiocarcinoma [ 30 ] and stroke [ 31 ]. However, our results contrast with those reported in another study that reported no significant association between uncertainty and social support among patients with peripheral artery disease [ 18 ], elderly patients with cancer [ 19 ], and those with Parkinson’s disease [ 32 ].…”

Section: Discussionsupporting

confidence: 92%

The Mediating Effects of Social Support on the Relationship between Uncertainty and Quality of Life among Patients with Chronic Low Back Pain: A Cross-Sectional Survey

Choi

Kim

2022

Healthcare

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Background: This study aimed to investigate the mediating effects of social support on the relationship between uncertainty and quality of life (QOL) in patients with chronic low back pain (LBP). Methods: From 1 July 2019 to 25 March 2020, data were collected using a structured questionnaire from inpatients and outpatients > 20 years of age with chronic LBP lasting > 3 months. Inpatients included patients waiting for surgery and those recovering after surgery. The exclusion criteria were cancer and other serious pathological diseases. The relationships between uncertainty, social support, and QOL were analyzed using Pearson’s correlation coefficients. Results: Uncertainty, the independent variable, exerted a significant effect on social support, the mediator (B = 0.33, p < 0.001). In addition, both uncertainty (B = 0.37, p < 0.001) and social support (B = 0.45, p < 0.001) exerted statistically significant effects on QOL, the dependent variable. Conclusions: Disease-related uncertainty can reduce QOL in patients with chronic LBP, and this relationship is mediated by the level of social support. To develop strategies for strengthening social support from healthcare providers, family, and friends, future studies should examine the experiences of patients with chronic LBP from various perspectives, including pain intensity and duration.

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“…Meanwhile, illness uncertainty can result in negative emotions, such as anxiety and depression (Cui, Li, & Wang, 2020). Previous studies examined the relationship of illness uncertainty and QoL among patients with cancer and other chronic disease (Ahadzadeh & Sharif, 2018; An, Zhang, Wang, Chen, & Fan, 2021; Lee & Park, 2020). These studies showed that illness uncertainty directly or indirectly influenced patients’ QoL through mediating variables such as perceived stress, depression, social support and coping strategies.…”

Section: Introductionmentioning

confidence: 99%

Illness uncertainty, self‐perceived burden and quality of life in patients with chronic myeloid leukaemia: A cross‐sectional study

Zhang

Tang

Lü

et al. 2021

Journal of Clinical Nursing

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Aims and objectives:To investigate the relationship between illness uncertainty, selfperceived burden and quality of life and explore the mediating role of self-perceived burden between illness uncertainty and quality of life in patients with chronic myeloid leukaemia.Background: Patients with chronic myeloid leukaemia need long-term, potentially lifelong therapy to control the disease, which affects their quality of life. There is a need for exploring potentially changeable factors to develop interventions. Little is known about the effects of illness uncertainty and self-perceived burden on quality of life in this population. Design:A cross-sectional study. Methods: A convenience sample of 248 patients with chronic myeloid leukaemia was recruited from four university hospitals from February to August 2020. Participants were assessed with the Mishel Uncertainty in Illness Scale, Self-Perceived Burden Scale, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. The STROBE checklist was used to report the results.Results: Illness uncertainty and self-perceived burden were negatively associated with quality of life in patients with chronic myeloid leukaemia. Self-perceived burden partially mediated the relationship between illness uncertainty and quality of life. The indirect effect was −0.101, accounting for 22.9% of the total effect. Conclusion:The findings revealed the relationship between illness uncertainty, selfperceived burden and quality of life in patients with chronic myeloid leukaemia. Selfperceived burden exerted a mediating role between illness uncertainty and quality of life in this population. Relevance to clinical practice:This study alerts healthcare providers to pay attention to patients' illness uncertainty and self-perceived burden, which can contribute to develop effective interventions to improve the quality of life among patients with chronic myeloid leukaemia in the clinical practice.

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The mediating effect of social support on uncertainty in illness and quality of life of female cancer survivors: a cross-sectional study

Cited by 26 publications

References 33 publications

Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty

Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty

The Mediating Effects of Social Support on the Relationship between Uncertainty and Quality of Life among Patients with Chronic Low Back Pain: A Cross-Sectional Survey

Illness uncertainty, self‐perceived burden and quality of life in patients with chronic myeloid leukaemia: A cross‐sectional study

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