Abstract
Purpose
Perceived social support serves as a buffer against stress in cancer patients as well as in the healthy. However, not all individuals low in support necessarily want more support. We, therefore, tested a match–mismatch model (low versus high perceived support relative to low versus high desired support) with regard to its association with emotional distress.
Methods
Participants included two large samples of n = 576 consecutively recruited, newly diagnosed cancer patients and n = 383 healthy controls. The hypothesized interaction effects of perceived and desired support and its impact on anxiety and depressive symptoms were tested via hierarchical linear regression.
Results
Perceived social support and desire for support were orthogonal in cancer patients (r = −0.03, p = 0.56). In accordance with the match–mismatch model, only those cancer patients with a high desire for support but who perceived low support exceeded cut-offs suggestive of anxiety and/or depressive disorder, whereas the other patient groups did not show clinical symptoms. Results for healthy controls were weaker.
Conclusions
The findings support the hypothesized match–mismatch model suggesting that lack of social support is only associated with emotional distress when patients desire more support than they actually perceive as having. Perceived as well as desired social support are, therefore, relevant and non-overlapping constructs to be included in screening tools for emotional distress in order to heighten the utility of screening as a decision aid to guide psycho-oncological follow-up.
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References
Aiken LS, West SG (1991) Multiple regression: testing and interpreting interactions. Sage, Thousand Oaks
Arora NK, Finney Rutten LJ, Gustafson DH, Moser R, Hawkins RP (2007) Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psychooncology 16:474–486
Baumeister RF, Leary MR (1995) The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull 117:497–529
Cohen S (2004) Social relationships and health. Am Psychol 59:676–684
Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357
Dunkel-Schetter C, Folkman S, Lazarus RS (1987) Correlates of social support receipt. J Pers Soc Psychol 53:71–80
Girgis A, Boyes A (2005) Proactive routine monitoring and intervention to reduce the psychosocial impact of cancer therapy. Clin Psychol 9(2):70–73
Hannum Rose J (1990) Social support and cancer: adult patients' desires for support from family, friends, and health professionals. Am J Comm Psychol 18:439–464
Helgeson VS, Cohen S (1996) Social support and adjustment to cancer: reconciling descriptive, correlational, and intervention research. Health Psychol 15:135–148
Helgeson VS, Cohen S, Schulz R, Yasko J (2000) Group support interventions for women with breast cancer: who benefits from what? Health Psychol 19:107–114
Helgeson VS, Snyder P, Seltman H (2004) Psychological and physical adjustment to breast cancer over 4 years: identifying distinct trajectories of change. Health Psychol 23:3–15
Hogan B, Linden W, Najarian B (2002) Social support interventions: do they work? Clin Psychol Rev 22:381–440
House JS, Landis KR, Umberson D (1988) Social relationships and health. Science 241:540–545
Jacobsen PB (2007) Screening for psychological distress in cancer patients: challenges and opportunities. J Clin Oncol 25:4526–4527
Jenks Kettmann JD, Altmaier EM (2008) Social support and depression among bone marrow transplant patients. J Health Psychol 13:39–46
Krumholz HM, Butler J, Miller J, Vaccarino V, Williams CS, Mendes de Leon CF, Seeman TE, Kasl SV, Berkman LF (1998) Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation 97:958–964
Linden W, DesMeules M, Dressler PM, Luo W (2008) Psychological and behavioural risk factors for cardiovascular diseases: evidence and gaps. Canadian Cardiovascular Congress, Toronto
Linden W, Yi D, Barroetavena MC, MacKenzie R, Doll R (2005) Development and validation of a psychosocial screening instrument for cancer. Health Qual Life Outcomes 3:54
Linden W, Vodermaier A, MacKenzie R, Barroetavena MC, Yi D, Doll R (2009) The Psychosocial Screen for Cancer (PSSCAN): further validation and normative data. Health Qual Life Outcomes 7:16
Martin R, Davis GM, Baron RS, Suls J, Blanchard EB (1994) Specificity in social support: perceptions of helpful and unhelpful provider behaviors among irritable bowel, headache and cancer patients. Health Psychol 13:432–439
Merckaert I, Libert Y, Messin S, Milani M, Slachmuylder JL, Razavi D (2010) Cancer patients' desire for psychological support: prevalence and implications for screening patients' psychological needs. Psychooncology 19:141–149
Ostir GV, Simonsick E, Kasper JD, Guralnik JM (2002) Satisfaction with support given and its association with subsequent health status. J Aging Health 14:355–369
Reynolds JS, Perrin NA (2004) Mismatches in social support and psychosocial adjustment to breast cancer. Health Psychol 23:425–430
Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P, Supportive Care Group (2000) The unmet supportive care needs of patients with cancer. Cancer 88:225–236
Vodermaier A, Linden W, Siu C (2009) Screening for emotional distress in cancer patients: a systematic review of assessment instruments. J Natl Cancer Inst 101:1464–1488
Acknowledgments
This work was supported by the Canadian Institutes for Health Research, Team for Supportive Cancer Care (#AQC83559; PIs R Doll & A Kazanjian). There are no conflicts of interest or financial interests associated with this work.
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Linden, W., Vodermaier, A. Mismatch of desired versus perceived social support and associated levels of anxiety and depression in newly diagnosed cancer patients. Support Care Cancer 20, 1449–1456 (2012). https://doi.org/10.1007/s00520-011-1228-3
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DOI: https://doi.org/10.1007/s00520-011-1228-3