Evidence map›Paper›PMID 40302915›Full record

ArticleFrontiers in psychology2025

Social support and psychological distress of patients with pituitary adenomas: chain-mediated effects of self-efficacy and rumination.

Lating Zhang, Na Cheng, Shan Zhang, Xinhui Liang, Yao Jia, Xue Jiang

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Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. From rumination quagmire to hope's flame: a cross-sectional mediation study of family support and life satisfaction among hematological cancer caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lating ZhangSchool of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China.
Na ChengXijing 986 Hospital Department, Fourth Military Medical University, Xi'an, Shaanxi, China.
Shan ZhangSchool of Nursing, Air Force Medical University, Xi'an, Shaanxi, China.
Xinhui LiangDepartment of Anesthesiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Yao JiaDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Xue JiangDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Psychological distress in patients with pituitary adenomas affects their quality of life and is influenced by various aspects such as sociocultural factors, personal resources, and stressors. Therefore, the aim of this study was to investigate the chain-mediated role of self-efficacy and rumination in the relationship between social support and psychological distress. Methods: The study was based on the Wilson-Cleary model of health-related quality of life and self-efficacy theory. We investigated 500 patients with surgically treated pituitary adenomas in three tertiary hospitals in Shaanxi Province, China. We used the "Social Support" and "General Self-Efficacy" scales, "Rumination Scale," and the "Psychological Distress in Patients with Pituitary Adenomas" questionnaire to conduct the survey, and the data were analyzed using structural equation modeling and bootstrap methods to examine the relationships between the variables. Results: The results showed that there was a significant positive correlation between social support and self-efficacy, social support and self-efficacy negatively predicted rumination and psychological distress, respectively. Rumination significant positive correlation with psychological distress, and social support, indirectly affected psychological distress through the chain-mediated effect of self-efficacy and rumination. This represents a compound multiple mediating effect on psychological distress. Discussion: Clinical practitioners should enhance social support for patients with pituitary adenomas, improve patients' self-efficacy, and mitigate rumination to reduce patients' psychological distress.

Indexed as

pituitary adenomaspsychological distressruminationself-efficacysocial support

Identifiers

PMID40302915
PMCPMC12037976

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