Evidence map›Paper›PMID 39097814›Full record

ArticleCancer2024

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

Xiaoyin Li, Cassandra A Hathaway, Brent J Small, Danielle B Tometich, Lisa M Gudenkauf, Aasha I Hoogland, Rina S Fox, David E Victorson, John M Salsman, Brian D Gonzalez and 4 more

Abstract read
In one paragraph

Article in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Review
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  7. The importance of social vulnerability and exclusion in cancer prognosis and survival: a scoping review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  9. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Xiaoyin LiMoffitt Cancer Center, Tampa, Florida, USA.
Cassandra A HathawayMoffitt Cancer Center, Tampa, Florida, USA.
Brent J SmallUniversity of North Carolina Chapel Hill School of Nursing, Chapel Hill, North Carolina, USA.
Danielle B TometichUniversity of South Florida College of Nursing, Tampa, Florida, USA.
Lisa M GudenkaufMoffitt Cancer Center, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-6825-5921
Aasha I HooglandMoffitt Cancer Center, Tampa, Florida, USA.ORCID https://orcid.org/0000-0002-8691-8132
Rina S FoxUniversity of Arizona College of Nursing, Tucson, Arizona, USA.ORCID https://orcid.org/0000-0003-4307-5259
David E VictorsonNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-3530-8633
John M SalsmanWake Forest University School of Medicine, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0003-2317-4006
Brian D GonzalezMoffitt Cancer Center, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-5108-5735
Heather S L JimMoffitt Cancer Center, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-7353-3711
Erin M SiegelMoffitt Cancer Center, Tampa, Florida, USA.
Shelley S TworogerDivision of Oncological Sciences and the Knight Cancer Institute, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Laura B OswaldMoffitt Cancer Center, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-6281-2512

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Improving sleep in gynecologic cancer survivorsK08CA247973 · NCI · UNIVERSITY OF ARIZONA · PI FOX, RINA S · 2021 to 2025
$926k
Cancer-related cognitive impairment: Real-time evaluation and assessment of long-term impact of treatment on young adult survivors (CRCI REALITY)R00CA270294 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Danielle Tometich · 2024 to 2026
$747k
Cancer-related cognitive impairment: Real-time evaluation and assessment of long-term impact of treatment on young adult survivors (CRCI REALITY)K99CA270294 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI TOMETICH, DANIELLE · 2022 to 2023
$220k
NCI NIH HHS K08 CA247973NCI NIH HHS K08CA247973NCI NIH HHS K99 CA270294NCI NIH HHS K99CA270294NCI NIH HHS P30 CA076292NCI NIH HHS P30CA076292NCI NIH HHS R00 CA270294
6 · The paper itself

Abstract

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.

Indexed as

AnxietyCancer SurvivorsDepressionSocial IsolationSocial SupportAdolescentAdultCohort StudiesFemaleHumansMaleNeoplasmsPsychological DistressSurveys and QuestionnairesYoung Adultanxietydepressionmultilevel structural equation modelingsocial connectednesssocial isolationyoung adult cancer survivors

Identifiers

PMID39097814
PMCPMC11560659

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.