PMID- 37768382
OWN - NLM
STAT- MEDLINE
DCOM- 20230929
LR  - 20231017
IS  - 1433-7339 (Electronic)
IS  - 0941-4355 (Linking)
VI  - 31
IP  - 10
DP  - 2023 Sep 28
TI  - 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.
PG  - 594
LID - 10.1007/s00520-023-08063-0 [doi]
AB  - BACKGROUND: For 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. METHODS: We 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. RESULTS: 71.6% 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 
      (DeltaR(2) = 2.3%, P < 0.001), Emotional expression*Self-efficacy (DeltaR(2) = 2.6%, 
      P < 0.001), Intimacy*Self-efficacy (DeltaR(2) = 1.0%, P = 0.018), Social 
      constraints*Self-efficacy (DeltaR(2) = 1.0%, P = 0.008), Social 
      networks*Self-efficacy (DeltaR(2) = 1.0%, P = 0.010), Blood Glucose*Self-efficacy 
      (DeltaR(2) = 0.6%, P = 0.023). The influence of independent variables on depressive 
      symptoms was gradually decreased in the low, mean, and high groups of 
      self-efficacy. CONCLUSION: Postoperative Chinese breast cancer survivors reported 
      higher depressive symptoms. Social, family, and physiological factors could 
      affect depressive symptoms, in which self-factor played moderator roles.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Gu, ZhiHui
AU  - Gu Z
AD  - Department of Social Medicine, School of Health Management, China Medical 
      University, No. 77 PuHe Road, Shenyang North New Area, Shenyang, 110122, China.
FAU - Li, MengYao
AU  - Li M
AD  - Department of Social Medicine, School of Health Management, China Medical 
      University, No. 77 PuHe Road, Shenyang North New Area, Shenyang, 110122, China.
FAU - Liu, Li
AU  - Liu L
AD  - Department of Social Medicine, School of Health Management, China Medical 
      University, No. 77 PuHe Road, Shenyang North New Area, Shenyang, 110122, China.
FAU - Ban, Yue
AU  - Ban Y
AD  - Department of Social Medicine, School of Health Management, China Medical 
      University, No. 77 PuHe Road, Shenyang North New Area, Shenyang, 110122, China.
FAU - Wu, Hui
AU  - Wu H
AD  - Department of Social Medicine, School of Health Management, China Medical 
      University, No. 77 PuHe Road, Shenyang North New Area, Shenyang, 110122, China. 
      hwu@cmu.edu.cn.
LA  - eng
GR  - 71904204/National Natural Science Foundation of China/
PT  - Journal Article
DEP - 20230928
PL  - Germany
TA  - Support Care Cancer
JT  - Supportive care in cancer : official journal of the Multinational Association of 
      Supportive Care in Cancer
JID - 9302957
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Humans
MH  - Female
MH  - *Breast Neoplasms/surgery
MH  - Cross-Sectional Studies
MH  - Depression/epidemiology/etiology
MH  - Blood Glucose
MH  - Self Efficacy
MH  - Social Isolation
MH  - China
OTO - NOTNLM
OT  - Blood glucose
OT  - Family environment
OT  - Self-efficacy
OT  - Social constraints
OT  - Social isolation
EDAT- 2023/09/28 12:44
MHDA- 2023/09/29 06:44
CRDT- 2023/09/28 11:07
PHST- 2022/11/08 00:00 [received]
PHST- 2023/09/22 00:00 [accepted]
PHST- 2023/09/29 06:44 [medline]
PHST- 2023/09/28 12:44 [pubmed]
PHST- 2023/09/28 11:07 [entrez]
AID - 10.1007/s00520-023-08063-0 [pii]
AID - 10.1007/s00520-023-08063-0 [doi]
PST - epublish
SO  - Support Care Cancer. 2023 Sep 28;31(10):594. doi: 10.1007/s00520-023-08063-0.