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Perceived social support and depressive symptoms in Chinese patients with ovarian cancer and the mediating role of resilience:a cross-sectional study

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Abstract

Patients with ovarian cancer (OC) often suffer from depressive symptoms, but the associated factors only have a small number of reports. In view of increasing attention to positive psychological resources in the field of oncology, it is necessary to explore the effects of these resources on depressive symptoms. This study explored the relations between social support and depressive symptoms, and whether resilience played a mediating role. A cross-sectional study was performed between August 2018 and March 2019. Perceived social support, resilience, and depressive symptoms were measured with the Multi-dimensional Scale of Perceived Social Support (MSPSS), the Center for Epidemiologic Studies-Depression (CES-D) scale and the Connor-Davidson Resilience Scale (CD-RISC). Hierarchical linear regression analyses were used to assess the mediating role of resilience between these variables. A total of 230 OC survivors were enrolled and finally 217 patients completed the questionnaires. The prevalence of depressive symptoms was 50.7%. After controlling for covariates, perceived social support was negatively correlated with depressive symptoms and explained 22.8% of the variance. In addition, after controlling for covariates and perceived social support, resilience was also negatively associated with depressive symptoms and explained 18.1% of the variance. Resilience could partially mediate the associations of perceived social support with depressive symptoms. Depressive symptoms in OC patients should be concerned. Perceived social support and resilience were both positive psychological resources for resisting depressive symptoms, and resilience could mediate the association between social support and depressive symptoms. It was critical to focus on social support as well as resilience in the psychosocial interventions of OC patients.

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Data Availability

The datasets analysed during the current study are available from the corresponding author on reasonable request.

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Funding

This study was supported by the Special project for central guidance of local science and technology development of Liaoning province. (Project No: 2019JH6/10400006).

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Authors and Affiliations

  1. Department of Gynecology, the First Hospital of China Medical University, Shenyang, 110001, Liaoning, China

    Xiaoyan Pang, Fangmei Li, Lei Dou, Yichang Tian & Yi Zhang

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  1. Xiaoyan Pang
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  2. Fangmei Li
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  4. Yichang Tian
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  5. Yi Zhang
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Contributions

XYP wrote the manuscript as the first author. Professor YZ conceived and designed the study as the corresponding author. XYP, FML, LD and YCT collected the data and analyzed the results. FML, LD, YCT and YZ revised the manuscript. All authors have read and approved the manuscript.

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Correspondence to Yi Zhang.

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This work was approved by the Ethical Committee for Human Trials of the China Medical University, China.

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All participants provided written informed consent before participating in the study.

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Pang, X., Li, F., Dou, L. et al. Perceived social support and depressive symptoms in Chinese patients with ovarian cancer and the mediating role of resilience:a cross-sectional study. Curr Psychol 42, 20485–20491 (2023). https://doi.org/10.1007/s12144-022-03155-2

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