Impact of social support on psychosocial symptoms and quality of life in cancer patients - results of a multilevel model approach from a longitudinal multicenter study
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Impact of social support on psychosocial symptoms and quality of life in cancer patients - results of a multilevel model approach from a longitudinal multicenter study. / Sauer, Christina; Weis, Joachim; Faller, Hermann; Junne, Florian; Hönig, Klaus; Bergelt, Corinna; Hornemann, Beate; Stein, Barbara; Teufel, Martin; Goerling, Ute; Erim, Yesim; Geiser, Franziska; Niecke, Alexander; Senf, Bianca; Weber, Dorothea; Maatouk, Imad.
In: ACTA ONCOL, Vol. 58, No. 9, 09.2019, p. 1298-1306.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Impact of social support on psychosocial symptoms and quality of life in cancer patients - results of a multilevel model approach from a longitudinal multicenter study
AU - Sauer, Christina
AU - Weis, Joachim
AU - Faller, Hermann
AU - Junne, Florian
AU - Hönig, Klaus
AU - Bergelt, Corinna
AU - Hornemann, Beate
AU - Stein, Barbara
AU - Teufel, Martin
AU - Goerling, Ute
AU - Erim, Yesim
AU - Geiser, Franziska
AU - Niecke, Alexander
AU - Senf, Bianca
AU - Weber, Dorothea
AU - Maatouk, Imad
PY - 2019/9
Y1 - 2019/9
N2 - Background: This prospective multicenter study aimed to investigate the courses of positive support (PS) and detrimental interaction (DI), two different aspects of social support, and the relation between social support and psychosocial distress and/or health-related quality of life (HRQOL) in a large sample of patients with different cancers. Methods: For this observational study, we enrolled adult patients with cancer from 13 comprehensive cancer centers (CCCs) in Germany. We included a total of 1087 patients in our analysis. We assessed the outcomes via standardized self-report questionnaires at three measurement points: at admission for acute care (T1), 6 (T2) and 12 months (T3) thereafter. Our outcome variables included PS and DI, depression and anxiety symptoms, distress, mental quality of life (MQoL) and physical QoL (PQoL). Data were analyzed using three-level hierarchical linear modeling (HLM) and group-based trajectory modeling. Results: During the first year after the cancer diagnosis, both PS and DI decreased in our sample. Baseline depression symptom severity was a significant predictor of PS and DI. Further analyses revealed significant associations between PS, DI and the course of depression and anxiety symptoms, and MQoL. PS buffered the negative effects of DI with regards to these variables. Low DI was associated with better PQoL, whereas PS was not. In general, the impact of social support on psychosocial outcomes was weak to moderate. Conclusions: Our findings provide evidence for the influence of PS and DI on psychosocial symptoms and HRQOL, and emphasize the importance of psycho-oncological interventions that strengthen PS and prevent or reduce DI for patients with cancer and their relatives.
AB - Background: This prospective multicenter study aimed to investigate the courses of positive support (PS) and detrimental interaction (DI), two different aspects of social support, and the relation between social support and psychosocial distress and/or health-related quality of life (HRQOL) in a large sample of patients with different cancers. Methods: For this observational study, we enrolled adult patients with cancer from 13 comprehensive cancer centers (CCCs) in Germany. We included a total of 1087 patients in our analysis. We assessed the outcomes via standardized self-report questionnaires at three measurement points: at admission for acute care (T1), 6 (T2) and 12 months (T3) thereafter. Our outcome variables included PS and DI, depression and anxiety symptoms, distress, mental quality of life (MQoL) and physical QoL (PQoL). Data were analyzed using three-level hierarchical linear modeling (HLM) and group-based trajectory modeling. Results: During the first year after the cancer diagnosis, both PS and DI decreased in our sample. Baseline depression symptom severity was a significant predictor of PS and DI. Further analyses revealed significant associations between PS, DI and the course of depression and anxiety symptoms, and MQoL. PS buffered the negative effects of DI with regards to these variables. Low DI was associated with better PQoL, whereas PS was not. In general, the impact of social support on psychosocial outcomes was weak to moderate. Conclusions: Our findings provide evidence for the influence of PS and DI on psychosocial symptoms and HRQOL, and emphasize the importance of psycho-oncological interventions that strengthen PS and prevent or reduce DI for patients with cancer and their relatives.
U2 - 10.1080/0284186X.2019.1631471
DO - 10.1080/0284186X.2019.1631471
M3 - SCORING: Journal article
C2 - 31284793
VL - 58
SP - 1298
EP - 1306
JO - ACTA ONCOL
JF - ACTA ONCOL
SN - 0284-186X
IS - 9
ER -