Sense of Coherence, Self-Disclosure, and Depression in Lung Cancer Patients

Togas, Constantinos; Anagnostopoulos, Fotios; Alexias, George

doi:10.4236/ojmp.2021.101002

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…In addition, our results showed that SOC was negatively correlated with depressive and anxiety symptoms, which is in line with prior outcomes [ 66 , 69 ]. The same conclusion was made for patients with breast and lung cancer, despite different samples [ 67 , 68 ]. Schmuck et al found that strong SOC emerged as the strongest predictor for less severe symptoms of anxiety and depression among HCWs [ 43 ].…”

Section: Discussionsupporting

confidence: 60%

Sense of coherence mediates perceived social support and depressive and anxiety symptoms in cervical cancer patients: a cross-sectional study

Liu

et al. 2023

BMC Psychiatry

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Background Depression and anxiety symptoms are two common psychological disturbances in cervical cancer patients. We tested whether sense of coherence (SOC) mediates the association of perceived social support (PSS) with depression and anxiety symptoms among cervical cancer patients in China. Methods We conducted a survey involving 294 cervical cancer patients aged ≥ 18 years from July to December 2020 at three hospitals in Liaoning Province, China; 269 patients completed the survey. We included a demographic questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), Antonovsky’s Sense of Coherence Scale, the Hamilton Depression Rating Scale, and the Zung Self-Rating Anxiety Scale (SAS) in this study. We used hierarchical regression analysis to examine the relationship among PSS, SOC, and symptoms of depression and anxiety. We used asymptotic and resampling strategies to explore the mediating effect of SOC. Results PSS was negatively associated with depressive symptoms (r = − 0.439, P < 0.01) and anxiety symptoms (r = − 0.325, P < 0.01). SOC was negatively related to depressive symptoms (r = − 0.627, P < 0.01) and anxiety symptoms (r = − 0.411, P < 0.01). SOC partially mediated the association between PSS and depressive symptoms (a*b = − 0.23, BCa95% CI: [− 0.31, − 0.14]) and anxiety symptoms (a*b = − 0.15, BCa95% CI: [− 0.23, − 0.08]). The proportions of the mediating effect accounting for SOC were 49.78% and 41.73% for depressive symptoms and anxiety symptoms, respectively. Conclusion The study showed that SOC could mediate the association between PSS and symptoms of depression and anxiety. This suggests that SOC might serve as a potential target for intervention in symptoms of depression and anxiety that accompany cervical cancer.

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Section: Discussionsupporting

confidence: 60%

Sense of coherence mediates perceived social support and depressive and anxiety symptoms in cervical cancer patients: a cross-sectional study

Liu

et al. 2023

BMC Psychiatry

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Illness Perception and Benefit Finding of Thyroid Cancer Survivors: A Chain Mediating Model of Sense of Coherence and Self-disclosure

Zhang,

Huang,

Sun

et al. 2024

Cancer Nurs

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Background Benefit finding is gaining attention as a strong predictor of quality of life, but few studies have addressed the mechanisms of its development. Objective The purpose of this study was to determine the relationship between illness perception and benefit finding in female thyroid cancer survivors and to further elucidate the mechanisms by which illness perception contributes to benefit finding through sense of coherence and self-disclosure. Methods A total of 280 female thyroid cancer survivors completed the questionnaire between January and August 2023. The study investigated participants’ baseline information, illness perception, sense of coherence, self-disclosure, and benefit finding. The bootstrap method was used to test the chain mediation effect. Results The findings showed that in the chain-mediated model, illness perception negatively predicted sense of coherence (β = −.475, P < .001) and self-disclosure (β = −.335, P < .001). Sense of coherence positively predicted self-disclosure (β = .272, P < .001) and benefit finding (β = .251, P < .001). Self-disclosure positively predicted benefit finding (β = .213, P < .001). The separate mediating roles of sense of coherence and self-disclosure between illness perception and benefit finding were both significant, as were the chained mediating roles of sense of coherence, and self-disclosure. Conclusion This study provides a theoretical basis for elucidating the mechanisms of benefit finding and provides precise targets for clinical intervention. Implications for Practice Healthcare professionals can improve mental health outcomes by improving cancer survivors’ disease awareness, fostering their sense of coherence, and encouraging moderate self-disclosure to achieve benefit finding.

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Sense of Coherence, Self-Disclosure, and Depression in Lung Cancer Patients

Cited by 2 publications

References 36 publications

Sense of coherence mediates perceived social support and depressive and anxiety symptoms in cervical cancer patients: a cross-sectional study

Sense of coherence mediates perceived social support and depressive and anxiety symptoms in cervical cancer patients: a cross-sectional study

Illness Perception and Benefit Finding of Thyroid Cancer Survivors: A Chain Mediating Model of Sense of Coherence and Self-disclosure

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