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Social support, anxiety, and depression in patients with prostate cancer: complete mediation of self-efficacy

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Abstract

Background

Social support and self-efficacy are important factors to improve negative emotions such as depression and anxiety in patients with prostate cancer after surgery; however, little is known about the relationship between them. The objective of the study was to comprehensively explore the relationship between social support, self-efficacy, and anxiety and depression.

Method

A cross-sectional design and a convenience sampling method were used to recruit patients with prostate cancer from a comprehensive hospital in Zhejiang Province. Structured scales were used for data collection, including the Social Support Rating Scale, Strategies Used by People to Promote Health, and the hospital anxiety and depression scale.

Results

The result showed that anxiety and depression were negatively correlated with self-efficacy (r =  − 0. 434, P < 0. 01) and social support (r =  − 0. 212, P < 0. 01), while self-efficacy and social support were positively correlated (r = 0. 356, P < 0. 01). A structural equation model showed that the effect value of social support on self-efficacy was (β = 0.386, p < 0.01) and the effect value of self-efficacy on negative emotions was (β =  − 0.497, p < 0.01). Self-efficacy fully mediated the effect between social support and negative emotions with a 100% mediation rate.

Conclusion

Social support and self-efficacy did contribute to the improvement of depression and anxiety in patients with radical prostatectomy, and they were associated with a full mediating effect of self-efficacy. Providing social support that matches the coping needs of the stressor can maximize the role of social support. Therefore, it is necessary to identify the patient’s stressor and coping needs in advance, which will help us to provide matching social support, so as to alleviate patients’ bad emotions more effectively and improve their prognosis.

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Data availability

Data and material are available to public.

Code availability

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Funding

The project is supported by the Zhejiang Provincial Basic Public Welfare Research Program under grant no. LGF19H050007 and Zhejiang Provincial Medical and Health Technology Project (grant no. 2020KY111).

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Authors and Affiliations

  1. Nursing Department, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China

    Lijuan Wang, Yaqin Li & Wei Wang

  2. Department of Urology, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China

    Jie Luo

  3. Nursing Department, Hangzhou Normal University, Zhejiang Province, Hangzhou, 311121, China

    Yao Zhou

Authors
  1. Lijuan Wang
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  2. Jie Luo
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  3. Yaqin Li
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  4. Yao Zhou
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  5. Wei Wang
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Contributions

LJW performed data analysis work and wrote the manuscript. JL helped collecting data and YQL edited the manuscript. YZ helped modify text content and helped data entry, and WW designed all the study and helped correct the writing problems. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Wei Wang.

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Ethics approval

All procedures have been approved by the Ethics Committee of The First Affiliated Hospital, Zhejiang University School of Medicine (Approved No.2018–707).

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Informed consent was obtained from all individual participants included in the study.

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The authors affirm that all the contents of this article agree to be published.

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The authors declare no competing interests.

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Wang, L., Luo, J., Li, Y. et al. Social support, anxiety, and depression in patients with prostate cancer: complete mediation of self-efficacy. Support Care Cancer 30, 6851–6856 (2022). https://doi.org/10.1007/s00520-022-07065-8

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  • DOI: https://doi.org/10.1007/s00520-022-07065-8

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