Impact of emotional competence on supportive care needs, anxiety and depression symptoms of cancer patients: a multiple mediation model
- 662 Downloads
The aim of this study was to test the effect of intrapersonal and interpersonal emotional competence on cancer patients’ supportive care needs, as mediated by anxiety and depression symptoms.
Cross-sectional design: 137 cancer patients (42% breast or ovarian cancer, 58% gastrointestinal cancer) in 4 French hospitals completed the Profile of Emotional Competence (PEC), the Hospital Anxiety and Depression Scale (HADS), and the Supportive Care Needs Survey Short Form (SCNS-SF). Bootstrap methods with PROCESS Macro were used to test multiple mediation models.
Emotional competence presented a direct or indirect beneficial effect on the satisfaction of supportive care needs, anxiety and depression symptoms. As expected, anxiety and depression symptoms had also strong positive correlations with unmet needs. All multiple mediation models were significant, except for physical needs: intrapersonal and interpersonal emotional competence impacted anxiety and depression symptoms, which in turn impacted psychological, sexual, care/support, and information needs.
These innovative results show the important effect of patients’ emotional competence on their supportive care need satisfaction, as mediated by anxiety and depression. Consequently, patients with high emotional competence may require less psychosocial input from medical clinicians. Thus, emotional competence may be integrated into health models and psychosocial interventions to improve patient adjustment. Further investigation is, however, needed to know which are the most beneficial specific emotional competences and at what point of the cancer pathway.
KeywordsEmotional intelligence Supportive care needs Anxiety Depression Multiple mediation
The authors wish to extend their sincere thanks to all the patients of the study, as well as all the investigators: Manon Lafarge, Ferdaous Kooli, Amandine Duhamel (Centre Hospitalier de Valenciennes), Perrine Coroller (Polyclinique du Bois), and Stéphanie Cambien (Hôpital privé la Louvière) for the collected data. The authors also thank the SIRIC ONCOLille, Grant INCa-DGOS-Inserm 6041, for their help.
Compliance with ethical standards
This study was performed in accordance with the Declaration of Helsinki and was approved by the Ethics Committee of Lille University (France).
The authors declare that they have no conflict of interest.
- 2.Okamoto I, Wright D, Foster C (2012) Impact of cancer on everyday life: a systematic appraisal of the research evidence. Health Expect Int J Public Particip Health Care Health Policy 15:97–111Google Scholar
- 7.Brédart A, Merdy O, Sigal-Zafrani B, Fiszer C, Dolbeault S, Hardouin J-B et al (2016) Identifying trajectory clusters in breast cancer survivors’ supportive care needs, psychosocial difficulties, and resources from the completion of primary treatment to 8 months later. Support Care Cancer 24:357–366CrossRefPubMedGoogle Scholar
- 14.Mikolajczak M (2009) Going beyond the ability-trait debate: the three-level model of emotional intelligence. E-J Appl Psychol 5:25–31Google Scholar
- 16.Nelis D, Kotsou I, Quoidbach J, Hansenne M, Weytens F, Dupuis P et al (2011) Increasing emotional competence improves psychological and physical well-being, social relationships, and employability. Emot Wash DC 11:354–366Google Scholar
- 17.Brasseur S, Grégoire J, Bourdu R, Mikolajczak M (2013) The Profile of Emotional Competence (PEC): development and validation of a self-reported measure that fits dimensions of emotional competence theory. PLoS One 6(8):e62635–e62635Google Scholar
- 18.Martins A, Ramalho N, Morin E (2010) A comprehensive meta-analysis of the relationship between emotional intelligence and health. Personal Individ Differ 49:554–564Google Scholar
- 19.Schmidt JE, Andrykowski MA (2004) The role of social and dispositional variables associated with emotional processing in adjustment to breast cancer: an internet-based study (English). Health Psychol Hillsdale NJ 23:259–266Google Scholar
- 20.Smith SG, Petrides KV, Green JSA, Sevdalis N (2012) The role of trait emotional intelligence in the diagnostic cancer pathway. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 20:2933–2939Google Scholar
- 21.Smith SG, Turner B, Pati J, Petrides KV, Sevdalis N, Green JSA (2012) Psychological impairment in patients urgently referred for prostate and bladder cancer investigations: the role of trait emotional intelligence and perceived social support. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 20:699–704Google Scholar
- 23.Razavi D, Delvaux N, Farvacques C, Robaye E (1989) Validation de la version française du HADS dans une population de patients cancéreux hospitalisés. = Validation of the French version of the Hospital Anxiety and Depression Scale (HADS) in a population of hospitalized cancer patients. Rev Psychol Appliquée 39:295–307Google Scholar
- 28.Hayes AF (2012) PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling Retrieved from http://www.afhayes.com/public/process2012.pdf
- 38.Delvaux N, Merckaert I, Razavi D, liénard A (2008) Communication soignant-soigné : généralités. In: Précis de psycho-oncologie de l’adulte. Masson, Paris, pp 189–225Google Scholar