ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023
The moderating effect of self-efficacy between social constraints, social isolation, family environment, and depressive symptoms among breast cancer patients in China: a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Prevalence and associated factors of psychological distress among patients with breast cancer: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- The mediating role of digital health literacy on the relationship of social isolation and digital technology anxiety among older cancer patients.BMC geriatrics · 2026Article
- Reluctance to Use a Psycho-Oncology Mobile App Among Patients With Primary Breast Cancer: Retrospective Cross-Sectional Survey.JMIR mHealth and uHealth · 2026Article
- Network analysis of distress, symptom burden, social support, and digital health literacy in older postoperative patients with gastric cancer.Frontiers in psychiatry · 2026Article
- Breast Cancer Survivors' Perspectives on Exercise and Body Image: Qualitative Findings for Patient-Centered Care.Journal of patient experience · 2026Article
- Efficacy of Mindfulness-based complementary alternative therapy on physical and mental stress, self-efficacy, and coping styles of patients undergoing breast cancer surgery.Pakistan journal of medical sciences · 2026Article
- Impact of social support on body image during chemotherapy in patients with breast cancer: The chain mediating role of depression and self-efficacy.Asia-Pacific journal of oncology nursing · 2025Article
- Illness acceptance and community self-efficacy mediate the relationship between social isolation and loneliness among elderly people with parkinson's disease.Scientific reports · 2025Article
- The Effect of Family Support on Self-Management Behavior in Postoperative Cardiac Surgery Patients: A Cross-Sectional Study.Reviews in cardiovascular medicine · 2025Article
- Construction of a nomogram-based risk prediction model for depressive symptoms in middle-aged and young breast cancer patients.World journal of clinical oncology · 2025Article
- Social isolation as a significant risk factor for depression in colorectal cancer patients post-colostomy: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Non-linear associations between night shifts and adverse events in nursing staff: a restricted cubic spline analysis.BMC nursing · 2024Article
- Association between sensory processing sensitivity and quality of life among cancer patients: a mediation and moderation of resilience and social determinants.Health and quality of life outcomes · 2024Article
- How social support influences learned helplessness in lung cancer patients: the chain mediation role of individual resilience and self-efficacy.Frontiers in psychology · 2024Article
- The Moderating Effect of Self-Efficacy on Pregnancy Stress and Smartphone Addiction of Pregnant Women in Late Pregnancy: A Longitudinal Study.Risk management and healthcare policy · 2024Article
- Interpersonal emotion regulation and mental health among cancer survivors: A systematic review.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundFor female breast cancer patients, the psychological status after surgery, especially the social and family psychological-related factors, deserves more attention. This study analyzed the influence of social constraints, social support, social isolation, family conflict, and family emotion expression on depression. At the same time, this study conducted the relationship between the variables and the mechanism of action.
methodsWe conducted a cross-sectional study and 522 breast cancer patients finished questionnaires consisting of Self-Rating Depression Scale (SDS), General Self-Efficacy Scale (GSES), Multi-Dimensional Scale of Perceived Social Support (MSPSS), Social Constraints Scale-5 (SCS-5), Family Environment Scale (FES), and Lubben Social Network Scale (LSNS-6). Multivariable logical regression was used to explore influencing factors. Pearson's correlation, hierarchical regression, and simple slope analysis were conducted to verify the role of self-efficacy.
results71.6% of patients had depressive symptoms. Family contradiction (OR = 10.086), social constraints (OR = 2.522), social isolation (OR = 2.507), and high blood glucose (OR = 2.156) were risk factors of depressive symptoms. Family emotional expression (OR = 0.480), family intimacy (OR = 0.235), and self-efficacy (OR = 0.246) were protective factors against depressive symptoms. The interactive items interpretation quantity were as follows: Contradiction*Self-efficacy (ΔR
conclusionPostoperative Chinese breast cancer survivors reported higher depressive symptoms. Social, family, and physiological factors could affect depressive symptoms, in which self-factor played moderator roles.
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