ArticleInternational health2020
Analysis of quality of life in breast cancer survivors using structural equation modelling: the role of spirituality, social support and psychological well-being.
Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 35 citations in OpenAlex.
- An exploration of the relationship between perceived injustice and pain severity in breast cancer survivors: a structural equation model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Trial
- Trial
- Supportive care needs of women with breast cancer in the Middle East and North Africa region: A scoping review.International journal of nursing studies advances · 2026Review
- The effect of gender role stress on psychological distress in women with breast cancer after mastectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The experience of musculoskeletal symptoms among patients with breast cancer during aromatase inhibitor therapy: A qualitative study.Asia-Pacific journal of oncology nursing · 2025Article
- Perceived support and psychological resilience as collaborative mediators between external support and quality of life in elderly breast cancer patients.Scientific reports · 2025Article
- Investigating the relationships between social support and hospital anxiety- depression with quality of life in geriatric cancer outpatients under oncology treatments.BMC geriatrics · 2025Article
- The relationships between symptom clusters and contributing factors in patients with esophageal cancer: structural equation modelling based on theory of unpleasant symptoms.BMC gastroenterology · 2025Article
- Social support and psychological distress of patients with pituitary adenomas: chain-mediated effects of self-efficacy and rumination.Frontiers in psychology · 2025Article
- Model of Health-Related Quality of Life in Breast Cancer Patients Using Cross-Sectional Data: The Role of Resilience.Cancer management and research · 2024Article
- A study of the mediating effect of social support on self-disclosure and demoralization in Chinese older adult homebound breast cancer patients.Frontiers in psychology · 2024Article
- The effect of surgery and hormone therapy on quality of life in breast cancer patients receiving radiotherapy.Turkish journal of surgery · 2023Article
- Current status and influencing factors of spiritual needs of patients with advanced cancer: a cross-sectional study.BMC nursing · 2023Article
- The relationship between resilience and quality of life in advanced cancer survivors: multiple mediating effects of social support and spirituality.Frontiers in public health · 2023Article
- Association of social support, spirituality with psychological factors in Iranian breast cancer survivors: An evidence from a cross-sectional study.Nursing open · 2022Article
- Social Support and Spiritual Well-Being of Patients With Esophageal Cancer Aged Over 50 Years: The Mediating Role of Rumination.Frontiers in psychiatry · 2022Article
- The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support.Health and quality of life outcomes · 2021Article
- Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors.Health and quality of life outcomes · 2020Article
- Preliminary study on the effects of treatment for breast cancer: immunological markers as they relate to quality of life and neuropsychological performance.BMC women's health · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo explore and characterize the inter-relationship between psychological well-being, spirituality, social support, comorbidity, demographic and lifestyle factors and quality of life (QoL).
methodsThis cross-sectional study was conducted with 305 breast cancer survivors in northern Iran in 2017. The demographic and socio-economic data and physical activity were measured with a standard questionnaire. The standard European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 QoL scale, a system-of-belief inventory questionnaire, the social support scale, the short form of the Hospital Anxiety and Depression Scale and the fatigue severity scale (FSS) were used in data collection. In structural equation modelling analysis, we used the maximum likelihood procedure to estimate the direct and indirect effects of relevant factors on QoL.
resultsThe median age (quartile 1 [Q1], quartile 3 [Q3]) of patients was 50 y (43, 55). The psychological factors designated by anxiety, depression and FSS had a negative significant direct effect on QoL (β=-0.62). Spirituality has a positive direct effect (β=0.089) but a negligible indirect effect (β=0.020) on QoL, while the direct association of social support was almost negligible.
conclusionsThe findings emphasized the unifying structure of the determinants of QoL and the mediating negative association of psychological factors with QoL. Thus the supportive education efforts should focus on improving psychological well-being along with standard treatment in breast cancer survivors.
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