Moderating effect of sense of coherence on the relationship between symptom distress and health-related quality of life in patients receiving cancer chemotherapy

Purpose This study is aimed at examining the buffering effect of sense of coherence (SOC) on symptom distress during cancer drug therapy, which thereby affects health-related quality of life (QoL), and obtaining suggestions for promoting supportive care. Methods We investigated health-related QoL (S...

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Veröffentlicht in:Supportive care in cancer 2021-08, Vol.29 (8), p.4651-4662
Hauptverfasser: Asaba, Kaori, Okawa, Akiko
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description Purpose This study is aimed at examining the buffering effect of sense of coherence (SOC) on symptom distress during cancer drug therapy, which thereby affects health-related quality of life (QoL), and obtaining suggestions for promoting supportive care. Methods We investigated health-related QoL (SF-8), symptom distress (using the Symptom Distress Scale (SDS)), and SOC (the SOC 13-item Scale) in 66 patients receiving adjuvant chemotherapy for non-small cell lung cancer. We employed descriptive statistics to seek the correlation of each variable; then, a hierarchical multiple regression analysis was conducted with SF-8 score as the dependent variable. Results Results showed that significant changes in bodily pain showed a buffering effect on the SDS and sense of comprehensibility ( β  = − 0.658, p  
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Methods We investigated health-related QoL (SF-8), symptom distress (using the Symptom Distress Scale (SDS)), and SOC (the SOC 13-item Scale) in 66 patients receiving adjuvant chemotherapy for non-small cell lung cancer. We employed descriptive statistics to seek the correlation of each variable; then, a hierarchical multiple regression analysis was conducted with SF-8 score as the dependent variable. Results Results showed that significant changes in bodily pain showed a buffering effect on the SDS and sense of comprehensibility ( β  = − 0.658, p  < 0.01, β  = − 0.319, p  < 0.05), sense of manageability ( β  = − 0.658, p  < 0.01, β  = 0.398, p  < 0.01), and meaningfulness ( β  = − 0.658, p  < 0.01, β  = − 0.257, p  < 0.05). Significant changes in general health perception showed a buffering effect on the SDS and sense of manageability ( β  = − 0.406, p  < 0.01, β  = 0.329, p  < 0.05). As a result of the simple inclination test, SOC proved to be effective under high levels of symptom distress; the buffering effect of sense of manageability was reversed regarding bodily pain; and when meaningfulness was lower, it had a positive effect on QoL. Conclusion This study revealed that SOC exerts a buffering effect in situations where symptoms are highly painful. It also revealed that the effect of SOC was reversed for bodily pain and that a high SOC had a negative effect on QoL.]]></description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-021-06003-4</identifier><identifier>PMID: 33501621</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Antimitotic agents ; Antineoplastic agents ; Cancer ; Cancer patients ; Chemotherapy ; Health ; Health aspects ; Lung cancer ; Lung cancer, Non-small cell ; Medicine ; Medicine &amp; Public Health ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain ; Pain Medicine ; Quality of life ; Rehabilitation Medicine</subject><ispartof>Supportive care in cancer, 2021-08, Vol.29 (8), p.4651-4662</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-458ddb1125241c5246c9a3fdd3885519c47dae6389e9405d18477eae320e3e333</citedby><cites>FETCH-LOGICAL-c508t-458ddb1125241c5246c9a3fdd3885519c47dae6389e9405d18477eae320e3e333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-021-06003-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-021-06003-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33501621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asaba, Kaori</creatorcontrib><creatorcontrib>Okawa, Akiko</creatorcontrib><title>Moderating effect of sense of coherence on the relationship between symptom distress and health-related quality of life in patients receiving cancer chemotherapy</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description><![CDATA[Purpose This study is aimed at examining the buffering effect of sense of coherence (SOC) on symptom distress during cancer drug therapy, which thereby affects health-related quality of life (QoL), and obtaining suggestions for promoting supportive care. Methods We investigated health-related QoL (SF-8), symptom distress (using the Symptom Distress Scale (SDS)), and SOC (the SOC 13-item Scale) in 66 patients receiving adjuvant chemotherapy for non-small cell lung cancer. We employed descriptive statistics to seek the correlation of each variable; then, a hierarchical multiple regression analysis was conducted with SF-8 score as the dependent variable. Results Results showed that significant changes in bodily pain showed a buffering effect on the SDS and sense of comprehensibility ( β  = − 0.658, p  < 0.01, β  = − 0.319, p  < 0.05), sense of manageability ( β  = − 0.658, p  < 0.01, β  = 0.398, p  < 0.01), and meaningfulness ( β  = − 0.658, p  < 0.01, β  = − 0.257, p  < 0.05). Significant changes in general health perception showed a buffering effect on the SDS and sense of manageability ( β  = − 0.406, p  < 0.01, β  = 0.329, p  < 0.05). As a result of the simple inclination test, SOC proved to be effective under high levels of symptom distress; the buffering effect of sense of manageability was reversed regarding bodily pain; and when meaningfulness was lower, it had a positive effect on QoL. Conclusion This study revealed that SOC exerts a buffering effect in situations where symptoms are highly painful. It also revealed that the effect of SOC was reversed for bodily pain and that a high SOC had a negative effect on QoL.]]></description><subject>Analysis</subject><subject>Antimitotic agents</subject><subject>Antineoplastic agents</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Chemotherapy</subject><subject>Health</subject><subject>Health aspects</subject><subject>Lung cancer</subject><subject>Lung cancer, Non-small cell</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain Medicine</subject><subject>Quality of life</subject><subject>Rehabilitation Medicine</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9ks1u1DAUhS0EokPhBVggS2y6SfFv4iyrCgpSERtYWx77ZuIqsVPbQzWPw5vidAoVCGFL_v3O8bV0EHpNyTklpHuXCZGMNITRhrSE8EY8QRsqOG86zvunaEN6QRvBpTxBL3K-IYR2nWTP0QnnktCW0Q368Tk6SKb4sMMwDGALjgPOEDKsCxtHSBBs3QRcRsAJpgrHkEe_4C2UO4CA82FeSpyx87kkyBmb4PAIZipjcy8Ah2_3ZvLlsJpOfgDsA16qE4SSq6kF_30twZr6VsJ2hDnW55JZDi_Rs8FMGV49zKfo24f3Xy8_Ntdfrj5dXlw3VhJVGiGVc1tKmWSC2jq0tjd8cI4rJSXtreicgZarHnpBpKNKdB0Y4IwAB875KTo7-i4p3u4hFz37bGGaTIC4z5oJRVvedoJV9O1f6E3cp1Cr00wKKbgifftI7cwE2ochlmTsaqov2toUVYpU6vwfVO0OZm9jgMHX8z8E7CiwKeacYNBL8rNJB02JXnOhj7nQNRf6PhdaVNGbh4r32xncb8mvIFSAH4Fcr8IO0uOX_mP7E2Ycw5o</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Asaba, Kaori</creator><creator>Okawa, Akiko</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20210801</creationdate><title>Moderating effect of sense of coherence on the relationship between symptom distress and health-related quality of life in patients receiving cancer chemotherapy</title><author>Asaba, Kaori ; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asaba, Kaori</au><au>Okawa, Akiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Moderating effect of sense of coherence on the relationship between symptom distress and health-related quality of life in patients receiving cancer chemotherapy</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>29</volume><issue>8</issue><spage>4651</spage><epage>4662</epage><pages>4651-4662</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract><![CDATA[Purpose This study is aimed at examining the buffering effect of sense of coherence (SOC) on symptom distress during cancer drug therapy, which thereby affects health-related quality of life (QoL), and obtaining suggestions for promoting supportive care. Methods We investigated health-related QoL (SF-8), symptom distress (using the Symptom Distress Scale (SDS)), and SOC (the SOC 13-item Scale) in 66 patients receiving adjuvant chemotherapy for non-small cell lung cancer. We employed descriptive statistics to seek the correlation of each variable; then, a hierarchical multiple regression analysis was conducted with SF-8 score as the dependent variable. Results Results showed that significant changes in bodily pain showed a buffering effect on the SDS and sense of comprehensibility ( β  = − 0.658, p  < 0.01, β  = − 0.319, p  < 0.05), sense of manageability ( β  = − 0.658, p  < 0.01, β  = 0.398, p  < 0.01), and meaningfulness ( β  = − 0.658, p  < 0.01, β  = − 0.257, p  < 0.05). Significant changes in general health perception showed a buffering effect on the SDS and sense of manageability ( β  = − 0.406, p  < 0.01, β  = 0.329, p  < 0.05). As a result of the simple inclination test, SOC proved to be effective under high levels of symptom distress; the buffering effect of sense of manageability was reversed regarding bodily pain; and when meaningfulness was lower, it had a positive effect on QoL. Conclusion This study revealed that SOC exerts a buffering effect in situations where symptoms are highly painful. It also revealed that the effect of SOC was reversed for bodily pain and that a high SOC had a negative effect on QoL.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33501621</pmid><doi>10.1007/s00520-021-06003-4</doi><tpages>12</tpages></addata></record>
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subjects Analysis
Antimitotic agents
Antineoplastic agents
Cancer
Cancer patients
Chemotherapy
Health
Health aspects
Lung cancer
Lung cancer, Non-small cell
Medicine
Medicine & Public Health
Nursing
Nursing Research
Oncology
Original Article
Pain
Pain Medicine
Quality of life
Rehabilitation Medicine
title Moderating effect of sense of coherence on the relationship between symptom distress and health-related quality of life in patients receiving cancer chemotherapy
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