Evidence map›Paper›PMID 41305763›Full record

Observational studyMedicine2025

Depression and cancer-related fatigue in elderly colorectal cancer patients: A cross-sectional study with focus on the mediating role of chemotherapy-induced peripheral neuropathy and the moderating role of perceived social support.

Wenjing Xu, Qian Cao, Chen Xu, Jinyou Song, Yuling Yang, Ying Chen

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Wenjing XuDepartment of Oncology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Qian CaoWuxi Medical School, Jiangnan University, Wuxi, Jiangsu Province, China.
Chen XuWuxi Medical School, Jiangnan University, Wuxi, Jiangsu Province, China.
Jinyou SongDepartment of Oncology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Yuling YangDepartment of Oncology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Ying ChenDepartment of Oncology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.ORCID 0000-0001-7050-8887

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examines whether chemotherapy-induced peripheral neuropathy (CIPN) mediates the relationship between depression and cancer-related fatigue (CRF) and further investigates the moderating role of perceived social support (PSS) in this relationship among Chinese older adults with colorectal cancer (CRC). A total of 290 elderly Chinese patients with CRC undergoing chemotherapy were recruited. Structured questionnaires were administered to assess levels of depression, symptoms of CIPN, CRF, and PSS. Moderated mediation models were tested using the PROCESS macro (Models 4 and 8) in SPSS, controlling for relevant demographic and clinical covariates, to examine the hypothesized path relationships and interaction effects. After controlling for relevant covariates, CIPN was found to partially mediate the relationship between depression and CRF (indirect effect = 0.231), accounting for 38.44% of the total effect. Moreover, PSS significantly moderated the associations between depression with both CIPN (β = 0.101, P < .05) and CRF (β = 0.018, P < .05), such that higher levels of PSS strengthened these relationships. CIPN may be a potential pathway reflecting how emotional disturbances, particularly depression, are associated with CRF in elderly patients with CRC. The subjective experience of CIPN appears to be closely related to depressive symptoms. Contrary to the classical stress-buffering hypothesis, PSS did not exhibit a protective effect; rather, in certain cultural contexts, it may be linked to the physiological manifestations of negative emotions. These findings underscore the need for culturally sensitive and context-specific approaches to emotional intervention and social support in symptom management to optimize individualized care strategies for elderly CRC patients.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsDepressionFatiguePeripheral Nervous System DiseasesSocial SupportAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAntineoplastic Agentscancer-related fatiguechemotherapy-induced peripheral neuropathydepressionelderly colorectal cancer patientsmoderated mediation modelperceived social support

Identifiers

PMID41305763
PMCPMC12643597

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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.