Impact of perceived social support on the mental health and health-related quality of life in cancer patients: results from a nationwide, multicenter survey in South Korea

Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Methods Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea...

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Published inPsycho-oncology (Chichester, England) Vol. 22; no. 6; pp. 1283 - 1290
Main Authors Eom, Chun-Sick, Shin, Dong Wook, Kim, So Young, Yang, Hyung Kook, Jo, Heui Sug, Kweon, Sun Seog, Kang, Yune Sik, Kim, Jong-Heun, Cho, Be-Long, Park, Jong-Hyock
Format Journal Article
LanguageEnglish
Published England Blackwell Publishing Ltd 01.06.2013
Wiley Subscription Services, Inc
Subjects
Adult
Aged, 80 and over
Cancer
Cross-Sectional Studies
Depression
Depression - etiology
Depression - psychology
Female
Health Status
Health Surveys
Humans
Korea
Male
Mental depression
Mental Health
Middle Aged
Neoplasms - psychology
Oncology
Perceived social support
Perception
Quality of life
Quality of Life - psychology
Regression Analysis
Republic of Korea
Social Support
Socioeconomic Factors
Stress, Psychological
Surveys and Questionnaires
Symptoms
Republic of Korea
South Korea
Korea, Rep
Online AccessGet full text
ISSN1057-9249
1099-1611
1099-1611
DOI10.1002/pon.3133

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Abstract Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Methods Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke‐UNC functional social support scale was used to measure the perceived social support, and the PHQ‐9 and the EORTC QLQ‐C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Results Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Conclusion Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress‐buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients. Copyright © 2012 John Wiley & Sons, Ltd.
AbstractList We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients. 40 references
Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Methods Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke‐UNC functional social support scale was used to measure the perceived social support, and the PHQ‐9 and the EORTC QLQ‐C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Results Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Conclusion Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress‐buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients. Copyright © 2012 John Wiley & Sons, Ltd.
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients.
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses.OBJECTIVEWe investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses.Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively.METHODSData were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively.Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes.RESULTSSubjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes.Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients.CONCLUSIONPerceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients.
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients.
Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Methods Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Results Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Conclusion Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients. Copyright copyright 2012 John Wiley & Sons, Ltd.
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data were collected from 1930 cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. The Duke-UNC functional social support scale was used to measure the perceived social support, and the PHQ-9 and the EORTC QLQ-C30 were used to measure the cancer patients' depression levels and quality of life, respectively. Subjects with low perceived social support reported significantly higher levels of depression, lower scores on all functional scales, higher scores on all three symptom scales, lower global health/quality of life scale scores, and higher scores on most single items than subjects with high perceived social support. There was no interaction between potential stressors and perceived social support, supporting the main effect model as the mechanism that the perceived social support reduce the adverse psychological outcomes. Perceived social support was associated with mental health and quality of life in cancer patients, through direct effect rather than stress-buffering effect. Interventions to enhance perceived social support might be helpful for improving mental health and QOL in cancer patients. [Copyright John Wiley and Sons, Ltd.]
Author Kim, So Young
Kang, Yune Sik
Cho, Be-Long
Yang, Hyung Kook
Jo, Heui Sug
Park, Jong-Hyock
Shin, Dong Wook
Eom, Chun-Sick
Kim, Jong-Heun
Kweon, Sun Seog
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  givenname: Chun-Sick
  surname: Eom
  fullname: Eom, Chun-Sick
  organization: Department of Family Medicine, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, South Korea
– sequence: 2
  givenname: Dong Wook
  surname: Shin
  fullname: Shin, Dong Wook
  organization: Department of Family Medicine, Seoul National University Hospital, Seoul, South Korea
– sequence: 3
  givenname: So Young
  surname: Kim
  fullname: Kim, So Young
  organization: National Cancer Control Institute, National Cancer Center, South Korea
– sequence: 4
  givenname: Hyung Kook
  surname: Yang
  fullname: Yang, Hyung Kook
  organization: Department of Family Medicine, Seoul National University Hospital, Seoul, South Korea
– sequence: 5
  givenname: Heui Sug
  surname: Jo
  fullname: Jo, Heui Sug
  organization: Gangwon National Cancer Center & Department of Health Management, School of Medicine, Kangwon National University, South Korea
– sequence: 6
  givenname: Sun Seog
  surname: Kweon
  fullname: Kweon, Sun Seog
  organization: Department of Preventive Medicine, Chonnam National University Medical School, South Korea
– sequence: 7
  givenname: Yune Sik
  surname: Kang
  fullname: Kang, Yune Sik
  organization: Gyeongnam Regional Cancer Center, School of Medicine, Gyeongsang National University, South Korea
– sequence: 8
  givenname: Jong-Heun
  surname: Kim
  fullname: Kim, Jong-Heun
  organization: Mental Health Clinic, National Cancer Center, Goyang, South Korea
– sequence: 9
  givenname: Be-Long
  surname: Cho
  fullname: Cho, Be-Long
  email: Correspondence to: Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center, 111 Jungbalsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea. , whitemiso@ncc.re.kr, Department of Family Medicine, Seoul National University Hospital, Yeongeon-dong 28, Jongno-gu, Seoul 110-744, South Korea. , belong@snu.ac.kr
  organization: Department of Family Medicine, Seoul National University Hospital, Seoul, South Korea
– sequence: 10
  givenname: Jong-Hyock
  surname: Park
  fullname: Park, Jong-Hyock
  email: Correspondence to: Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center, 111 Jungbalsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea. , whitemiso@ncc.re.kr, Department of Family Medicine, Seoul National University Hospital, Yeongeon-dong 28, Jongno-gu, Seoul 110-744, South Korea. , belong@snu.ac.kr
  organization: National Cancer Control Institute, National Cancer Center, South Korea
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22833521$$D View this record in MEDLINE/PubMed
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References Aaronson NK, Ahmedzai S, Bergman B et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365-376.
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Schwarzer R, Hahn A, Schroder H. Social integration and social support in a life crisis: effects of macrosocial change in East Germany. Am J Community Psychol 1994;22:685-706.
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Carpenter KM, Fowler JM, Larry Maxwell G et al. Direct and buffering effects of social support among gynecologic cancer survivors. Ann Behav Med 2010;39:79-90.
Kwan ML, Ergas IJ, Somkin CP et al. Quality of life among women recently diagnosed with invasive breast cancer: the Pathways Study. Breast Cancer Res Treat 2010;123:507-524.
Miller RC, Atherton PJ, Kabat BF et al. Marital status and quality of life in patients with esophageal cancer or Barrett's esophagus: the mayo clinic esophageal adenocarcinoma and Barrett's esophagus registry study. Dig Dis Sci 2010;55:2860-2868.
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Smith SK, Crespi CM, Petersen L et al. The impact of cancer and quality of life for posttreatment non-Hodgkin lymphoma survivors. Psycho-Oncology 2010;19:1259-1267.
Saluja G, Kotch J, Lee LC. Effects of child abuse and neglect: does social capital really matter? Arch Pediatr Adolesc Med 2003;157:681-686.
Antonucci TC, Akiyama H. An examination of sex differences in social support among older men and women. Sex Roles 1987;17:737-749.
Zhou ES, Penedo FJ, Lewis JE et al. Perceived stress mediates the effects of social support on health-related quality of life among men treated for localized prostate cancer. J Psychosom Res 2010;69:587-590.
Queenan JA, Feldman-Stewart D, Brundage M et al. Social support and quality of life of prostate cancer patients after radiotherapy treatment. Eur J Cancer Care (Engl) 2010;19:251-259.
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2010; 55
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1991; 6
2007; 29
2010; 69
1988; 26
2008; 49
1988; 7
1986; 27
1997; 18
2011; 26
2010; 193
2007; 20
1985; 98
1998; 13
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– reference: Krause N, Liang J, Gu S. Financial strain, received support, anticipated support, and depressive symptoms in the People's Republic of China. Psychol Aging 1998;13:58-68.
– reference: Berkman LF, Glass T, Brissette I et al. From social integration to health: Durkheim in the new millennium. Soc Sci Med 2000;51:843-857.
– reference: Boehmer S, Luszczynska A, Schwarzer R. Coping and quality of life after tumor surgery: personal and social resources promote different domains of quality of life. Anxiety Stress Coping 2007;20:61-75.
– reference: Carpenter KM, Fowler JM, Larry Maxwell G et al. Direct and buffering effects of social support among gynecologic cancer survivors. Ann Behav Med 2010;39:79-90.
– reference: Luszczynska A, Boehmer S, Knoll N et al. Emotional support for men and women with cancer: do patients receive what their partners provide? Int J Behav Med 2007;14:156-163.
– reference: Zhou ES, Penedo FJ, Lewis JE et al. Perceived stress mediates the effects of social support on health-related quality of life among men treated for localized prostate cancer. J Psychosom Res 2010;69:587-590.
– reference: Suh SY, Park MS, Yoo TW et al. A study for the development of Korean version of the Duke-UNC functional social support questionnaire. J Korean Acad Fam Med 1997;18:250-260.
– reference: Aaronson NK, Ahmedzai S, Bergman B et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365-376.
– reference: Gottlieb BH. Social support as a focus for integrative research in psychology. Am Psychol 1983;38:278-287.
– reference: Queenan JA, Feldman-Stewart D, Brundage M et al. Social support and quality of life of prostate cancer patients after radiotherapy treatment. Eur J Cancer Care (Engl) 2010;19:251-259.
– reference: Price MA, Butow PN, Costa DSJ et al. Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers. Med J Aust 2010;193:S52.
– reference: Liem R, Liem J. Social class and mental illness reconsidered: the role of economic stress and social support. J Health Soc Behav 1978;19:139-156.
– reference: Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull 1985;98:310-357.
– reference: Miller RC, Atherton PJ, Kabat BF et al. Marital status and quality of life in patients with esophageal cancer or Barrett's esophagus: the mayo clinic esophageal adenocarcinoma and Barrett's esophagus registry study. Dig Dis Sci 2010;55:2860-2868.
– reference: Remor E. Social support and quality of life in the HIV infection. Aten Primaria 2002;30:143-148.
– reference: Cheung CL, Tan KC, Bow CH et al. Low handgrip strength is a predictor of osteoporotic fractures: cross-sectional and prospective evidence from the Hong Kong Osteoporosis Study. Age 2011, DOI: 10.1007/s11357-011-9297-2.
– reference: Saluja G, Kotch J, Lee LC. Effects of child abuse and neglect: does social capital really matter? Arch Pediatr Adolesc Med 2003;157:681-686.
– reference: House JS. Social isolation kills, but how and why? Psychosom Med 2001;63:273-274.
– reference: Schroevers MJ, Ranchor AV, Sanderman R. The role of social support and self-esteem in the presence and course of depressive symptoms: a comparison of cancer patients and individuals from the general population. Soc Sci Med 2003;57:375-385.
– reference: Deeks AA, Gibson-Helm ME, Paul E et al. Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression? Hum Reprod 2011;26:1399-1407.
– reference: Atkinson T, Liem R, Liem JH. The social costs of unemployment: implications for social support. J Health Soc Behav 1986;27:317-331.
– reference: Smith SK, Crespi CM, Petersen L et al. The impact of cancer and quality of life for posttreatment non-Hodgkin lymphoma survivors. Psycho-Oncology 2010;19:1259-1267.
– reference: Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol 1988;7:269-297.
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  start-page: 317
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  article-title: The social costs of unemployment: implications for social support
  publication-title: J Health Soc Behav
– volume: 49
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– volume: 38
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  end-page: 287
  article-title: Social support as a focus for integrative research in psychology
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Snippet Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer...
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data...
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer diagnoses. Data...
We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer...
Objective We investigated whether and how perceived social support is associated with depression and quality of life among patients with various cancer...
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StartPage 1283
SubjectTerms Adult
Aged, 80 and over
Cancer
Cross-Sectional Studies
Depression
Depression - etiology
Depression - psychology
Female
Health Status
Health Surveys
Humans
Korea
Male
Mental depression
Mental Health
Middle Aged
Neoplasms - psychology
Oncology
Perceived social support
Perception
Quality of life
Quality of Life - psychology
Regression Analysis
Republic of Korea
Social Support
Socioeconomic Factors
Stress, Psychological
Surveys and Questionnaires
Symptoms
Title Impact of perceived social support on the mental health and health-related quality of life in cancer patients: results from a nationwide, multicenter survey in South Korea
URI https://api.istex.fr/ark:/67375/WNG-FC6BH25L-T/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fpon.3133
https://www.ncbi.nlm.nih.gov/pubmed/22833521
https://www.proquest.com/docview/1367700175
https://www.proquest.com/docview/1365987059
https://www.proquest.com/docview/1419337954
https://www.proquest.com/docview/1430189407
https://www.proquest.com/docview/1660404272
Volume 22
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