Promoting Post-Traumatic Growth in Colorectal Cancer Patients: Exploring the Role of Social Support through a Chain Mediation Model
Article ID:
3836
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Abstract
Colorectal cancer (CRC) poses significant physical and psychological challenges that necessitate an exploration of factors influencing post-traumatic growth (PTG) for patient well-being. This study aims to investigate the effects of positive psychological capital (PsyCap) and perceived stress on mediating the social support-PTG relation among 673 CRC patients. Social support, positive PsyCap, perceived stress, and PTG were assessed through questionnaires. The results indicated a direct prediction effect of social support on PTG (LICI = 0.481, ULCI = 0.644), with the direct effect being 59.5%. Both positive PsyCap and perceived stress exerted a mediating role in the correlation between social support and PTG, with the mediating effects occupying 29.4% (LICI = 0.217, ULCI = 0.343) and 5.7% (LICI = 0.030, ULCI = 0.082), respectively. Positive PsyCap further had a chain mediating effect on perceived stress (LICI = 0.031, ULCI = 0.074)), with the chain effect accounting for 5.4%. The total impact of social support on PTG was 100% (LICI = 0.882, ULCI = 1.008). This model underscores the pivotal role of social support in promoting PTG in CRC patients. Positive PsyCap serves as a crucial mediator in the social support-PTG link, with perceived stress playing a sequential mediating role. These findings suggest that strengthening social support networks and cultivating positive PsyCap may reduce perceived stress and promote the development of PTG in CRC patients. Consequently, intervention programs are recommended to improve the psychosocial well-being of CRC patients.
References
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31.Kheirallah KA, Al-Zureikat SH, Al-Mistarehi AH, Alsulaiman JW, AlQudah M, Khassawneh AH, et al. The association of conflict-related trauma with markers of mental health among syrian refugee women: tthe role of social support and post-traumatic growth. Int J Womens Health. 2022;14:1251–66. [Google Scholar] [PubMed]
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43.Yeung NC, Lu Q. Perceived stress as a mediator between social support and posttraumatic growth among Chinese American breast cancer survivors. Cancer Nurs. 2018;41(1):53–61. [Google Scholar] [PubMed]
44.McDonough MH, Sabiston CM, Wrosch C. Predicting changes in posttraumatic growth and subjective well-being among breast cancer survivors: the role of social support and stress. Psycho-Oncol. 2014;23(1):114–20. [Google Scholar]
45.Ruini C, Vescovelli F, Albieri E. Post-traumatic growth in breast cancer survivors: new insights into its relationships with well-being and distress. J Clin Psychol Med Settings. 2013;20(3):383–91. [Google Scholar] [PubMed]
46.Costa ALS, Heitkemper MM, Alencar GP, Damiani LP, da Silva RM, Jarrett ME. Social support is a predictor of lower stress and higher quality of life and resilience in Brazilian patients with colorectal cancer. Cancer Nurs. 2017;40(5):352–60. [Google Scholar] [PubMed]
2.Fu X, Sun J, Wang X, Cui M, Zhang Q. Research progress on influencing factors and intervention measures of post-traumatic growth in breast cancer patients. Front Public Health. 2022;10:927370. [Google Scholar] [PubMed]
3.Dorval M, Maunsell E, Deschenes L, Brisson J, Masse B. Long-term quality of life after breast cancer: comparison of 8-year survivors with population controls. J Clin Oncol. 1998;16(2):487–94. [Google Scholar] [PubMed]
4.Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1–18. [Google Scholar]
5.Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996;9(3):455–71. [Google Scholar] [PubMed]
6.Cohen S. Social relationships and health. Am Psychol. 2004;59(8):676–84. [Google Scholar] [PubMed]
7.Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Adv. Public Health. 2020;2020:1–11. [Google Scholar]
8.Žukauskienė R, Kaniušonytė G, Bergman LR, Bakaitytė A, Truskauskaitė-Kunevičienė I. The role of social support in identity processes and posttraumatic growth: a study of victims of intimate partner violence. J Interpers Violence. 2021;36(15–16):7599–624. [Google Scholar] [PubMed]
9.Zhang L, Lu Y, Qin Y, Xue J, Chen Y. Post-traumatic growth and related factors among 1221 Chinese cancer survivors. Psychooncology. 2020;29(2):413–22. [Google Scholar] [PubMed]
10.Kim Y, Kim Y, Kwak Y. Factors associated with post-traumatic growth in male patients with rectal cancer: a cross-sectional study. Eur J Oncol Nurs. 2021;54:102028. [Google Scholar] [PubMed]
11.Sörensen J, Rzeszutek M, Gasik R. Social support and post-traumatic growth among a sample of arthritis patients: analysis in light of conservation of resources theory. Curr Psychol. 2021;40:2017–25. [Google Scholar]
12.Luthans F, Luthans KW, Luthans BC. Positive psychological capital: beyond human and social capital. Bus Horiz. 2004;47(1):45–50. [Google Scholar]
13.Li MY, Yang YL, Liu L, Wang L. Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health Qual Life Outcomes. 2016;14:73. [Google Scholar] [PubMed]
14.Xu H, Liu X, Zeng P. The mediating role of social support in the relationship between psychological capital and depression among Chinese emergency physicians. Psychol Res Behav Manag. 2022;15:977–90. [Google Scholar] [PubMed]
15.Liang J, Zhen L, Ye X, Zhu M, Gan H, Liu J, et al. Relationship among self-concept clarity, social support, and psychological resilience in Chinese patients with an enterostomy: a cross-sectional study and structural equation model analysis. Eur J Oncol Nurs. 2022;59:102151. [Google Scholar] [PubMed]
16.Yang YL, Liu L, Li MY, Shi M, Wang L. Psychological disorders and psychosocial resources of patients with newly diagnosed bladder and kidney cancer: a cross-sectional study. PLoS One. 2016;11(5):e0155607. [Google Scholar] [PubMed]
17.Lv M, Tan X, Xing C, Zheng J, Han S. How family-work conflict influences post-traumatic growth among medical workers: a moderated mediation model. Front Psychol. 2021;12:743970. [Google Scholar] [PubMed]
18.Ho S, Rajandram RK, Chan N, Samman N, McGrath C, Zwahlen RA. The roles of hope and optimism on posttraumatic growth in oral cavity cancer patients. Oral Oncol. 2011;47(2):121–4. [Google Scholar] [PubMed]
19.Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96. [Google Scholar] [PubMed]
20.Özer Ö., Özkan O, Budak F, Özmen S. Does social support affect perceived stress? A research during the COVID-19 pandemic in Turkey. J Hum Behav Soc Environ. 2021;31(1–4):134–44. [Google Scholar]
21.Karadas A, Duran S. The effect of social support on work stress in health workers during the pandemic: the mediation role of resilience. J Community Psychol. 2022;50(3):1640–9. [Google Scholar] [PubMed]
22.Zhang L, Fu B, Xu Y, Zhang Q, Peng S, Tan X. Association between social support and perceived stress: aa cross-sectional study on staffs of the epidemic prevention during the covid-19 epidemic in China. Front Public Health. 2022;10:844139. [Google Scholar] [PubMed]
23.Groarke A, Curtis R, Groarke JM, Hogan MJ, Gibbons A, Kerin M. Post-traumatic growth in breast cancer: how and when do distress and stress contribute? Psychooncology. 2017;26(7):967–74. [Google Scholar] [PubMed]
24.Teodorescu DS, Siqveland J, Heir T, Hauff E, Wentzel-Larsen T, Lien L. Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway. Health Qual Life Outcomes. 2012;10:84. [Google Scholar] [PubMed]
25.Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30–41. [Google Scholar]
26.Luthans F, Avolio BJ, Avey JB, Norman SM. Positive psychological capital: measurement and relationship with performance and satisfaction. Pers Psychol. 2007;60(3):541–72. [Google Scholar]
27.Cohen S, Kamarck T, Mermelstein R. Perceived stress scale. Meas Stress: A Guide Health Soc Scientists. 1994;10(2):1–2. [Google Scholar]
28.Tedeschi RG, Calhoun L. Posttraumatic growth: a new perspective on psychotraumatology. Psychiatr Times. 2004;21(4):58–60. [Google Scholar]
29.Fekih-Romdhane F, Riahi N, Achouri L, Jahrami H, Cheour M. Social support is linked to post-traumatic growth among tunisian postoperative breast cancer women. Healthcare. 2022;10(9):1710. [Google Scholar] [PubMed]
30.Sirin Gok M, Ciftci B. Relationship between perceived social support and post-traumatic growth in coronavirus disease 2019 patients discharged from the hospital. World J Psychiatry. 2023;13(4):171–81. [Google Scholar] [PubMed]
31.Kheirallah KA, Al-Zureikat SH, Al-Mistarehi AH, Alsulaiman JW, AlQudah M, Khassawneh AH, et al. The association of conflict-related trauma with markers of mental health among syrian refugee women: tthe role of social support and post-traumatic growth. Int J Womens Health. 2022;14:1251–66. [Google Scholar] [PubMed]
32.Kumalasari F, Ahyani LN. Hubungan antara dukungan sosial dengan penyesuaian diri remaja di panti asuhan. Jurnal Psikologi: PITUTUR. 2012;1:19–28. [Google Scholar]
33.Tedeschi RG, Shakespeare-Finch J, Taku K, Calhoun LG. Posttraumatic growth: theory, research, and applications. New York: Routledge; 2018. [Google Scholar]
34.Newman A, Nielsen I, Smyth R, Hirst G. Mediating role of psychological capital in the relationship between social support and wellbeing of refugees. Int Migr. 2018;56(2):117–32. [Google Scholar]
35.Mehta P, Garg N, Gharib M, Pimpunchat B. Social support during COVID-19: exploring the psychometric properties of the PSS-JSAS and its relationship with job search activities. Socio Econ Plan Sci. 2023;85:101349. [Google Scholar]
36.Chu Y, Zhang Y, Wang S, Dai H. Resilience mediates the influence of hope, optimism, social support, and stress on anxiety severity among Chinese patients with cervical spondylosis. Front Psychiatry. 2022;13:997541. [Google Scholar] [PubMed]
37.Al-Dwaikat TN, Rababah JA, Al-Hammouri MM, Chlebowy DO. Social support, self-efficacy, and psychological wellbeing of adults with type 2 diabetes. Western J Nurs Res. 2021;43(4):288–97. [Google Scholar]
38.Ekas NV, Lickenbrock DM, Whitman TL. Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2010;40:1274–84. [Google Scholar] [PubMed]
39.Bai C, Ma J, Bai B, Zhu S. How does strength use relate to posttraumatic growth in health care workers during the COVID-19 pandemic? The mediating role of self-efficacy and optimism. Psychol Trauma. 2023;30:1–8. [Google Scholar]
40.Liu L, Huang W, Huang Z, Liu J, Zheng X, Tang J, et al. Relationship between family caregiver burden and medication adherence in patients with mechanical valve replacement: a structural equation model. Patient Prefer Adher. 2022;16:3371–82. [Google Scholar]
41.Han CJ, Yang GS, Syrjala K. Symptom experiences in colorectal cancer survivors after cancer treatments: a systematic review and meta-analysis. Cancer Nurs. 2020;43(3):E132. [Google Scholar] [PubMed]
42.Husebø AML, Karlsen B, Husebø SE. Health professionals’ perceptions of colorectal cancer patients’ treatment burden and their supportive work to ameliorate the burden-a qualitative study. BMC Health Serv Res. 2020;20:1–13. [Google Scholar]
43.Yeung NC, Lu Q. Perceived stress as a mediator between social support and posttraumatic growth among Chinese American breast cancer survivors. Cancer Nurs. 2018;41(1):53–61. [Google Scholar] [PubMed]
44.McDonough MH, Sabiston CM, Wrosch C. Predicting changes in posttraumatic growth and subjective well-being among breast cancer survivors: the role of social support and stress. Psycho-Oncol. 2014;23(1):114–20. [Google Scholar]
45.Ruini C, Vescovelli F, Albieri E. Post-traumatic growth in breast cancer survivors: new insights into its relationships with well-being and distress. J Clin Psychol Med Settings. 2013;20(3):383–91. [Google Scholar] [PubMed]
46.Costa ALS, Heitkemper MM, Alencar GP, Damiani LP, da Silva RM, Jarrett ME. Social support is a predictor of lower stress and higher quality of life and resilience in Brazilian patients with colorectal cancer. Cancer Nurs. 2017;40(5):352–60. [Google Scholar] [PubMed]
Published
2024-09-12
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Sun, X., Li, Q., Li, Y., Yan, W., Gong, S., & Yan, W. (2024). Promoting Post-Traumatic Growth in Colorectal Cancer Patients: Exploring the Role of Social Support through a Chain Mediation Model. Psycho-Oncologie, 18(3). Retrieved from https://ojs.piscomed.com/index.php/PO/article/view/3836
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