Psychological well–being in breast cancer patients: the role of social support in managing anxiety and depression
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1
Department of Clinical Psychology, Kyiv Institute of Modern Psychology and Psychotherapy, Ukraine
2
Department of Clinical Psychology, KYIV INSTITUTE OF MODERN PSYCHOLOGY AND PSYCHOTHERAPY, Ukraine
Submission date: 2024-05-22
Acceptance date: 2024-08-07
Publication date: 2024-11-03
Corresponding author
Nataliia V. Zaviazkina
Department of Clinical Psychology, Kyiv Institute of Modern Psychology and Psychotherapy, 34, boulevard Lesi Ukrainki, 01133, Kyiv, Ukraine
Wiadomości Lekarskie 2024;77(9):1704-1711
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ABSTRACT
Aim:
To investigate the role of social support in the relationship between psychological well-being, anxiety, and depression among breast cancer patients
Material and methods:
A cross-sectional study included 98 women with breast cancer. Measures used were the Psychological General Well-being Index (PGWBI), the Hospital Anxiety and Depression Scale (HADS), the Multidimensional Scale of Perceived Social Support (MSPSS), and a sociodemographic questionnaire. Descriptive statistics, Cronbach's alpha, and regression analyses with moderation and mediation were conducted. T-tests estimated statistical significance in regression. Mediation effects were assessed using the quasi-Bayesian Monte Carlo method with bootstrapping.
Results:
The initial linear regression analysis showed a strong negative relationship between anxiety/depression (HADS) and psychological well-being (PGWBI), with higher HADS scores were linked to lower psychological well-being. The regression analysis for social support (MSPSS) indicated a positive but small effect on psychological well-being. The moderation analysis showed no significant interaction between social support and anxiety/depression on psychological well-being. However, the mediation analysis demonstrated that social support significantly improves psychological well-being by reducing anxiety and depression, with a substantial proportion of the effect mediated.
Conclusions:
The study found that while social support does not moderate the relationship between anxiety, depression and psychological well-being, it significantly enhances psychological well-being by reducing anxiety and depression.