The mediating effect of self‐efficacy in the relationship between social support and post‐traumatic stress disorder symptoms among patients with central system tumors in China: a cross‐sectional study

Wang, Yang; Bao, Yijun; Liu, Li; Ramos, Aaron; Wang, Lie

doi:10.1002/pon.3838

Cited by 17 publications

(11 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mediatorstested in our study differs from most previous studies [72, 79–81], in which authors have mostly chosen self-efficacy [72], emotional abuse [79], sleep disturbances [80], and negative perception of social support [81]. Although Li [73] also suggested that resilience partially mediated the relation between psychological stress with depressive and anxiety symptoms, their research differed from ours in terms of population, dependent and independent variables, and even the resilience scale to some extent.…”

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model

et al. 2017

View full text Add to dashboard Cite

Post-traumatic stress disorder (PTSD) symptoms can develop after person experiences one or more traumatic events. Little research, however, has been done on PTSD symptoms of patients with ovarian cancer. The present study aimed to estimate the prevalence of PTSD symptoms in patients with ovarian cancer in China; the effects of demographic and clinical variables on PTSD symptoms; multiple mediation roles in the association between social support and PTSD symptoms in patients with ovarian cancer in China. We collected demographic and clinical information of patients with ovarian cancer in the first and second hospitals of China Medical University between January 1, 2014 and December 31, 2015. Qualified patients were asked to complete the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C), Duke-UNC Functional Social Support Questionnaire, Herth Hope Index (HHI), and Resilience Scale-14 (RS-14). 201 patients provided responses. We performed hierarchical linear regression to assess the correlation between social support and PTSD symptoms and bootstrapping to test the mediating role of hope and resilience as potential mediators. After controlling demographic and clinical characteristics, social support negatively correlated with PTSD symptoms (β = -0.406, P < 0.01). Social support explained 14.7% of the variance in PTSD symptoms. Hope and resilience explained 17.0% of the variance in PTSD symptoms. The proportion of the hope mediating effect was 43.37% for social support and the proportion of the resilience mediating effect was 10.64% for social support. Hope and resilience partly mediated the correlation between social support and PTSD symptoms despite accounting for different proportions of the mediating effect. Future intervention plans should pay more attention to social support as well as hope and resilience to prevent, relieve and treat PTSD symptoms.

show abstract

Section: Discussionmentioning

confidence: 59%

“…Liu [64] demonstrated that PTSD symptoms are negatively associated with social support in patients with hematological malignancies in China. Wang [72] also confirmed that social support is negatively associated with PTSD symptoms in Chinese patients with central system tumors.…”

Section: Discussionmentioning

confidence: 90%

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Previous studies have revealed that positive psychological resources have considerable impact on chronic patients (e.g. cancer) and are remarkably important for one’s ability to recover from the current difficulties and to facilitate psychological well-being [32, 48, 54, 55]. In this study, social support, hope, resilience and self-efficacy were shown to be negatively correlated with depressive and anxiety symptoms in stroke survivors.…”

Section: Discussionmentioning

confidence: 60%

“…Although till now, studies in this field using a large sample size are scarce. Nonetheless, there were indications that these factors are strongly related to mood and quality of life of patients with other chronic conditions [16, 31, 32]. Therefore, we conducted the present study with following aims: Investigating the prevalence of psychological distress including depression and anxiety in stroke patients,Identifying the associations of psychological distress with positive psychological variables and ADL among stroke patients…”

Section: Introductionmentioning

confidence: 99%

Associations of psychological distress with positive psychological variables and activities of daily living among stroke patients: a cross-sectional study

et al. 2019

Self Cite

View full text Add to dashboard Cite

BackgroundDepression and anxiety result in psychological distress, which can further affect mental status and quality of life in stroke patients. Exploring the associations between positive psychological variables and symptoms of psychological distress following stroke is of great significance for further psychological interventions.MethodsA total of 710 stroke patients from the five largest cities in Liaoning Province in China were enrolled into the present study in July 2014. All patients independently completed the questionnaires with respect to psychological distress and positive psychological variables. Depressive and anxiety symptoms were evaluated using Center for Epidemiologic Studies Depression Scale (CES-D) and Self-Rating Anxiety Scale, respectively. Positive psychological variables were evaluated using Perceived Social Support Scale, Adult Hope Scale (AHS), General Perceived Self-Efficacy Scale and Resilience Scale-14 (RS-14). Activities of Daily Living (ADL) was measured using Barthel Index. Factors associated with psychological variables and depressive and anxiety symptoms were identified using t-test, ANOVA, correlation and hierarchical linear regression analysis.ResultsDepressive and anxiety symptoms were present in 600 of 710 (84.51%) and 537 of 710 (75.63%) stroke patients enrolled, respectively.Social support (β = − 0.111, p < 0.001) and hope (β = − 0.120, p < 0.001) were negatively associated with both depressive and anxiety symptoms.Resilience (β = − 0.179, p < 0.001) was negatively associated with depressive symptoms.Self-efficacy (β = − 0.135, p < 0.001) was negatively associated with anxiety symptoms. Hierarchical regression analyses indicated that ADL accounted for 10.0 and 6.0% of the variance of depressive and anxiety symptoms, respectively.Social support, resilience, self-efficacy and hope as a whole accounted for 7.5 and 5.3% of the variance of depressive and anxiety symptoms.ConclusionsThe high frequency of depressive and anxiety symptoms among Chinese stroke survivors should receive attentions from all stakeholders. Findings suggested that intervention strategies on ADL, social support, hope, resilience and self-efficacy could be developed to improve psychosocial outcomes for stroke survivors.

show abstract

“…The mediating role of self-efficacy in the relationship between social support and its positive health-related outcomes has been confirmed widely in patients with chronic diseases. 23 , 24 Moreover, self-efficacy can also act as a “moderator” to enhance or attenuate the effects of stressors and coping resources on psychological well-being. Yang et al 25 found that self-efficacy moderated the relationships of persuasion/pressure with diabetes-related emotional distress and depressive symptoms among older adults with type 2 diabetes mellitus.…”

Section: Introductionmentioning

confidence: 99%

Moderating role of self-efficacy on the associations of social support with depressive and anxiety symptoms in Chinese patients with rheumatoid arthritis

Liu

Wang

2017

NDT

Self Cite

View full text Add to dashboard Cite

PurposeRheumatoid arthritis (RA) is significantly associated with depression and anxiety. Social support and self-efficacy are the coping resources of psychological distress. However, little research is available on the interaction of social support and self-efficacy in RA patients. This study aimed to identify the prevalence of depressive and anxiety symptoms and to examine whether or not self-efficacy moderates the associations of social support with depressive and anxiety symptoms in Chinese RA patients.MethodsA multicenter, cross-sectional study was conducted in northeast of China from December 2014 to January 2016. A total of 297 RA patients completed the Center for Epidemiologic Studies Depression Scale, Zung Self-Rating Anxiety Scale, Multidimensional Scale of Perceived Social Support and General Self-Efficacy Scale. The associations of social support, self-efficacy and social support × self-efficacy interaction with depressive and anxiety symptoms were examined by hierarchical regression analysis. If the interaction was statistically significant, simple slope analysis was conducted.ResultsThe prevalence of depressive symptoms was 58.2%, while 47.5% RA patients had anxiety symptoms. Social support and social support × self-efficacy interaction were significantly associated with depressive symptoms. Social support, self-efficacy and their interaction were significantly associated with anxiety symptoms. The association between social support and depressive symptoms was gradually reduced in the low (1 standard deviation [SD] below the mean, B=−0.614, β=−0.876, P<0.001), mean (B=−0.395, β=−0.563, P<0.001) and high (1 SD above the mean, B=−0.176, β=−0.251, P=0.002) groups of self-efficacy. For anxiety symptoms, the association was also gradually reduced in the low (B=−0.527, β=−0.774, P<0.001), mean (B=−0.288, β=−423, P<0.001) and high (B=−0.049, β=−0.071, P=0.447) groups of self-efficacy.ConclusionThere was a high prevalence of depressive and anxiety symptoms in Chinese RA patients. Self-efficacy could attenuate the associations of social support with depressive and anxiety symptoms. Adequate social support and self-efficacy intervention should be provided to alleviate psychological distress.

show abstract

The mediating effect of self‐efficacy in the relationship between social support and post‐traumatic stress disorder symptoms among patients with central system tumors in China: a cross‐sectional study

Abstract: Self-efficacy partially mediated the relationship between social support and PTSD symptoms. Interventions focusing on both social support and self-efficacy might be more useful than interventions only targeting either of them.

Cited by 17 publications

References 34 publications

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model

Associations of psychological distress with positive psychological variables and activities of daily living among stroke patients: a cross-sectional study

Moderating role of self-efficacy on the associations of social support with depressive and anxiety symptoms in Chinese patients with rheumatoid arthritis

Contact Info

Product

Resources

About