The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support

Women with breast cancer are prone to have mental stress and be stimulated by the fear of progression (FOP), then giving rise to a lower quality of life (QOL). The study aimed to examine the relationships between FOP, social support and QOL, and further explore whether social support mediates the as...

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Bibliographic Details
Published in:Health and quality of life outcomes 2021-07, Vol.19 (1), p.1-178, Article 178
Main Authors: Ban, Yue, Li, Mengyao, Yu, Mingli, Wu, Hui
Format: Article
Language:English
Subjects:
Breast cancer
Cancer patients
Chemotherapy
Consent
Demographic aspects
Development and progression
Disease
Families & family life
Fear
Fear of progression
Health aspects
Illnesses
Influence
Measurement
Medical prognosis
Multiple regression analysis
Patient outcomes
Patients
Psychological aspects
Psychological stress
Quality of life
Questionnaires
Radiation therapy
Resampling
Social aspects
Social interactions
Social networks
Social support
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Summary:Women with breast cancer are prone to have mental stress and be stimulated by the fear of progression (FOP), then giving rise to a lower quality of life (QOL). The study aimed to examine the relationships between FOP, social support and QOL, and further explore whether social support mediates the association between FOP and QOL among Chinese patients with breast cancer. The cross-sectional study was conducted from October 2019 to May 2020 at Anshan Cancer Hospital in Liaoning, China. 244 female breast cancer patients completed questionnaires including the Functional Assessment of Cancer Therapy for Breast (FACT-B), Multi-Dimensional Scale of Perceived Social Support (MSPSS), and Fear of Progression (FOP). Hierarchical multiple regression analysis was performed to assess the associations between FOP, social support and QOL. Asymptotic and resampling strategies were used to explore the mediating role of social support. The mean QOL score was 90.6 [+ or -] 17.0 among the patients with breast cancer. FOP was negatively correlated with QOL, while social support was positively related to QOL. Social support partly mediated the association between FOP and QOL, and the proportion of the mediating effect accounted for by social support was 25%. Chinese breast cancer patients expressed low QOL. Social support could mediate the association between FOP and QOL. Medical staffs and cancer caregivers should alleviate patients' FOP to improve their QOL by facilitating social support.
ISSN:1477-7525
1477-7525
DOI:10.1186/s12955-021-01816-7