Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness
Background Social isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety)...
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| Veröffentlicht in: | Cancer 2024-12, Vol.130 (23), p.4127-4137 |
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| creator | Li, Xiaoyin Hathaway, Cassandra A. Small, Brent J. Tometich, Danielle B. Gudenkauf, Lisa M. Hoogland, Aasha I. Fox, Rina S. Victorson, David E. Salsman, John M. Gonzalez, Brian D. Jim, Heather S. L. Siegel, Erin M. Tworoger, Shelley S. Oswald, Laura B. |
| description | Background
Social isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety) over 1 year in young adult (YA) cancer survivors 18–39 years old.
Methods
Participants were YAs in a large cohort study that completed questionnaires every 2 months for 1 year. Social isolation, aspects of social connectedness (i.e., companionship, emotional support, instrumental support, and informational support), depression, and anxiety were assessed with Patient‐Reported Outcomes Measurement Information System short form measures. Mixed‐effect models were used to evaluate changes over time. Confirmatory factor analysis and multilevel structural equation modeling were used to define social connectedness as a latent construct and determine whether relationships between social isolation and psychological distress were mediated by social connectedness.
Results
Participants (N = 304) were mean (M) = 33.5 years old (SD = 4.7) and M = 4.5 years (SD = 3.5) post‐initial cancer diagnosis. Most participants were female (67.4%) and non‐Hispanic White (68.4%). Average scores for social well‐being and psychological distress were within normative ranges and did not change (p values >.05). However, large proportions of participants reported at least mild social isolation (27%–30%), depressive symptoms (36%–37%), and symptoms of anxiety (49%–51%) at each time point. Across participants, more social isolation was related to less social connectedness (p values .05).
Conclusions
Social isolation and connectedness could be intervention targets for reducing depression among YA cancer survivors.
Among young adult cancer survivors, social connectedness mediated the relationship between social isolation and depression, but not anxiety. Social isolation and connectedness could be intervention targets for reducing depression among young adult cancer survivors. |
| doi_str_mv | 10.1002/cncr.35508 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3087699170</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3087699170</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2468-5186191bd6f6de9b42088daff49dd446d30bf66f1b0980a132ab9c63188d9e923</originalsourceid><addsrcrecordid>eNp9kUFLHDEUx0Op1FV76QeQQC9SuvZlMptNvMlSW0FaqAreQiZ5o5HZZE1mtu63NzrqwYOHJC_w4_ce70_IFwaHDKD6YYNNh3w2A_mBTBio-RRYXX0kEwCQ01nNr7bJTs635TuvZvwT2eaqUJLVE3J_Hq03HfU5dqb3MXynDlcJc36qTXDl3HvsN9QsY7immziU27ih66k1wWKieUhrv44pH9GLG6RLdL6oCpVihzS2NI89bAwBbY8uFP0e2WpNl_Hz87tLLk9-Xix-T8_-_jpdHJ9NbVWLMj2TginWONEKh6qpK5DSmbatlXN1LRyHphWiZQ0oCYbxyjTKCs4KpVBVfJccjN5VincD5l4vfbbYdSZgHLLmIOdCKTaHgn59g97GIYUyneasElwKAbJQ30bKpphzwlavkl-atNEM9GMe-jEP_ZRHgfeflUNT9vKKvgRQADYC_32Hm3dUevFn8W-UPgDEkZZw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3126386608</pqid></control><display><type>article</type><title>Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Li, Xiaoyin ; Hathaway, Cassandra A. ; Small, Brent J. ; Tometich, Danielle B. ; Gudenkauf, Lisa M. ; Hoogland, Aasha I. ; Fox, Rina S. ; Victorson, David E. ; Salsman, John M. ; Gonzalez, Brian D. ; Jim, Heather S. L. ; Siegel, Erin M. ; Tworoger, Shelley S. ; Oswald, Laura B.</creator><creatorcontrib>Li, Xiaoyin ; Hathaway, Cassandra A. ; Small, Brent J. ; Tometich, Danielle B. ; Gudenkauf, Lisa M. ; Hoogland, Aasha I. ; Fox, Rina S. ; Victorson, David E. ; Salsman, John M. ; Gonzalez, Brian D. ; Jim, Heather S. L. ; Siegel, Erin M. ; Tworoger, Shelley S. ; Oswald, Laura B.</creatorcontrib><description>Background
Social isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety) over 1 year in young adult (YA) cancer survivors 18–39 years old.
Methods
Participants were YAs in a large cohort study that completed questionnaires every 2 months for 1 year. Social isolation, aspects of social connectedness (i.e., companionship, emotional support, instrumental support, and informational support), depression, and anxiety were assessed with Patient‐Reported Outcomes Measurement Information System short form measures. Mixed‐effect models were used to evaluate changes over time. Confirmatory factor analysis and multilevel structural equation modeling were used to define social connectedness as a latent construct and determine whether relationships between social isolation and psychological distress were mediated by social connectedness.
Results
Participants (N = 304) were mean (M) = 33.5 years old (SD = 4.7) and M = 4.5 years (SD = 3.5) post‐initial cancer diagnosis. Most participants were female (67.4%) and non‐Hispanic White (68.4%). Average scores for social well‐being and psychological distress were within normative ranges and did not change (p values >.05). However, large proportions of participants reported at least mild social isolation (27%–30%), depressive symptoms (36%–37%), and symptoms of anxiety (49%–51%) at each time point. Across participants, more social isolation was related to less social connectedness (p values <.001), more depressive symptoms (p < .001), and more symptoms of anxiety (p < .001). Social connectedness mediated the relationship between social isolation and depression (p = .004), but not anxiety (p > .05).
Conclusions
Social isolation and connectedness could be intervention targets for reducing depression among YA cancer survivors.
Among young adult cancer survivors, social connectedness mediated the relationship between social isolation and depression, but not anxiety. Social isolation and connectedness could be intervention targets for reducing depression among young adult cancer survivors.</description><identifier>ISSN: 0008-543X</identifier><identifier>ISSN: 1097-0142</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.35508</identifier><identifier>PMID: 39097814</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Cancer ; Cancer Survivors - psychology ; Cohort Studies ; depression ; Depression - epidemiology ; Depression - psychology ; Evaluation ; Factor analysis ; Female ; Humans ; Male ; Mental depression ; multilevel structural equation modeling ; Neoplasms - psychology ; Psychological Distress ; Psychological stress ; social connectedness ; Social interactions ; Social isolation ; Social Isolation - psychology ; Social Support ; Surveys and Questionnaires ; Survival ; Time measurement ; Well being ; Young Adult ; young adult cancer survivors ; Young adults</subject><ispartof>Cancer, 2024-12, Vol.130 (23), p.4127-4137</ispartof><rights>2024 American Cancer Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2468-5186191bd6f6de9b42088daff49dd446d30bf66f1b0980a132ab9c63188d9e923</cites><orcidid>0000-0001-7353-3711 ; 0000-0001-5108-5735 ; 0000-0003-4307-5259 ; 0000-0002-8691-8132 ; 0000-0002-3530-8633 ; 0000-0001-6825-5921 ; 0000-0003-2317-4006 ; 0000-0001-6281-2512</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.35508$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.35508$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39097814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Xiaoyin</creatorcontrib><creatorcontrib>Hathaway, Cassandra A.</creatorcontrib><creatorcontrib>Small, Brent J.</creatorcontrib><creatorcontrib>Tometich, Danielle B.</creatorcontrib><creatorcontrib>Gudenkauf, Lisa M.</creatorcontrib><creatorcontrib>Hoogland, Aasha I.</creatorcontrib><creatorcontrib>Fox, Rina S.</creatorcontrib><creatorcontrib>Victorson, David E.</creatorcontrib><creatorcontrib>Salsman, John M.</creatorcontrib><creatorcontrib>Gonzalez, Brian D.</creatorcontrib><creatorcontrib>Jim, Heather S. L.</creatorcontrib><creatorcontrib>Siegel, Erin M.</creatorcontrib><creatorcontrib>Tworoger, Shelley S.</creatorcontrib><creatorcontrib>Oswald, Laura B.</creatorcontrib><title>Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background
Social isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety) over 1 year in young adult (YA) cancer survivors 18–39 years old.
Methods
Participants were YAs in a large cohort study that completed questionnaires every 2 months for 1 year. Social isolation, aspects of social connectedness (i.e., companionship, emotional support, instrumental support, and informational support), depression, and anxiety were assessed with Patient‐Reported Outcomes Measurement Information System short form measures. Mixed‐effect models were used to evaluate changes over time. Confirmatory factor analysis and multilevel structural equation modeling were used to define social connectedness as a latent construct and determine whether relationships between social isolation and psychological distress were mediated by social connectedness.
Results
Participants (N = 304) were mean (M) = 33.5 years old (SD = 4.7) and M = 4.5 years (SD = 3.5) post‐initial cancer diagnosis. Most participants were female (67.4%) and non‐Hispanic White (68.4%). Average scores for social well‐being and psychological distress were within normative ranges and did not change (p values >.05). However, large proportions of participants reported at least mild social isolation (27%–30%), depressive symptoms (36%–37%), and symptoms of anxiety (49%–51%) at each time point. Across participants, more social isolation was related to less social connectedness (p values <.001), more depressive symptoms (p < .001), and more symptoms of anxiety (p < .001). Social connectedness mediated the relationship between social isolation and depression (p = .004), but not anxiety (p > .05).
Conclusions
Social isolation and connectedness could be intervention targets for reducing depression among YA cancer survivors.
Among young adult cancer survivors, social connectedness mediated the relationship between social isolation and depression, but not anxiety. Social isolation and connectedness could be intervention targets for reducing depression among young adult cancer survivors.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Cancer</subject><subject>Cancer Survivors - psychology</subject><subject>Cohort Studies</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Evaluation</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>multilevel structural equation modeling</subject><subject>Neoplasms - psychology</subject><subject>Psychological Distress</subject><subject>Psychological stress</subject><subject>social connectedness</subject><subject>Social interactions</subject><subject>Social isolation</subject><subject>Social Isolation - psychology</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><subject>Survival</subject><subject>Time measurement</subject><subject>Well being</subject><subject>Young Adult</subject><subject>young adult cancer survivors</subject><subject>Young adults</subject><issn>0008-543X</issn><issn>1097-0142</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFLHDEUx0Op1FV76QeQQC9SuvZlMptNvMlSW0FaqAreQiZ5o5HZZE1mtu63NzrqwYOHJC_w4_ce70_IFwaHDKD6YYNNh3w2A_mBTBio-RRYXX0kEwCQ01nNr7bJTs635TuvZvwT2eaqUJLVE3J_Hq03HfU5dqb3MXynDlcJc36qTXDl3HvsN9QsY7immziU27ih66k1wWKieUhrv44pH9GLG6RLdL6oCpVihzS2NI89bAwBbY8uFP0e2WpNl_Hz87tLLk9-Xix-T8_-_jpdHJ9NbVWLMj2TginWONEKh6qpK5DSmbatlXN1LRyHphWiZQ0oCYbxyjTKCs4KpVBVfJccjN5VincD5l4vfbbYdSZgHLLmIOdCKTaHgn59g97GIYUyneasElwKAbJQ30bKpphzwlavkl-atNEM9GMe-jEP_ZRHgfeflUNT9vKKvgRQADYC_32Hm3dUevFn8W-UPgDEkZZw</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Li, Xiaoyin</creator><creator>Hathaway, Cassandra A.</creator><creator>Small, Brent J.</creator><creator>Tometich, Danielle B.</creator><creator>Gudenkauf, Lisa M.</creator><creator>Hoogland, Aasha I.</creator><creator>Fox, Rina S.</creator><creator>Victorson, David E.</creator><creator>Salsman, John M.</creator><creator>Gonzalez, Brian D.</creator><creator>Jim, Heather S. L.</creator><creator>Siegel, Erin M.</creator><creator>Tworoger, Shelley S.</creator><creator>Oswald, Laura B.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7353-3711</orcidid><orcidid>https://orcid.org/0000-0001-5108-5735</orcidid><orcidid>https://orcid.org/0000-0003-4307-5259</orcidid><orcidid>https://orcid.org/0000-0002-8691-8132</orcidid><orcidid>https://orcid.org/0000-0002-3530-8633</orcidid><orcidid>https://orcid.org/0000-0001-6825-5921</orcidid><orcidid>https://orcid.org/0000-0003-2317-4006</orcidid><orcidid>https://orcid.org/0000-0001-6281-2512</orcidid></search><sort><creationdate>20241201</creationdate><title>Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness</title><author>Li, Xiaoyin ; Hathaway, Cassandra A. ; Small, Brent J. ; Tometich, Danielle B. ; Gudenkauf, Lisa M. ; Hoogland, Aasha I. ; Fox, Rina S. ; Victorson, David E. ; Salsman, John M. ; Gonzalez, Brian D. ; Jim, Heather S. L. ; Siegel, Erin M. ; Tworoger, Shelley S. ; Oswald, Laura B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2468-5186191bd6f6de9b42088daff49dd446d30bf66f1b0980a132ab9c63188d9e923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Cancer</topic><topic>Cancer Survivors - psychology</topic><topic>Cohort Studies</topic><topic>depression</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Evaluation</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>multilevel structural equation modeling</topic><topic>Neoplasms - psychology</topic><topic>Psychological Distress</topic><topic>Psychological stress</topic><topic>social connectedness</topic><topic>Social interactions</topic><topic>Social isolation</topic><topic>Social Isolation - psychology</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><topic>Survival</topic><topic>Time measurement</topic><topic>Well being</topic><topic>Young Adult</topic><topic>young adult cancer survivors</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Xiaoyin</creatorcontrib><creatorcontrib>Hathaway, Cassandra A.</creatorcontrib><creatorcontrib>Small, Brent J.</creatorcontrib><creatorcontrib>Tometich, Danielle B.</creatorcontrib><creatorcontrib>Gudenkauf, Lisa M.</creatorcontrib><creatorcontrib>Hoogland, Aasha I.</creatorcontrib><creatorcontrib>Fox, Rina S.</creatorcontrib><creatorcontrib>Victorson, David E.</creatorcontrib><creatorcontrib>Salsman, John M.</creatorcontrib><creatorcontrib>Gonzalez, Brian D.</creatorcontrib><creatorcontrib>Jim, Heather S. L.</creatorcontrib><creatorcontrib>Siegel, Erin M.</creatorcontrib><creatorcontrib>Tworoger, Shelley S.</creatorcontrib><creatorcontrib>Oswald, Laura B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Xiaoyin</au><au>Hathaway, Cassandra A.</au><au>Small, Brent J.</au><au>Tometich, Danielle B.</au><au>Gudenkauf, Lisa M.</au><au>Hoogland, Aasha I.</au><au>Fox, Rina S.</au><au>Victorson, David E.</au><au>Salsman, John M.</au><au>Gonzalez, Brian D.</au><au>Jim, Heather S. L.</au><au>Siegel, Erin M.</au><au>Tworoger, Shelley S.</au><au>Oswald, Laura B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>130</volume><issue>23</issue><spage>4127</spage><epage>4137</epage><pages>4127-4137</pages><issn>0008-543X</issn><issn>1097-0142</issn><eissn>1097-0142</eissn><abstract>Background
Social isolation and social connectedness are health determinants and aspects of social well‐being with strong associations with psychological distress. This study evaluated relationships among social isolation, social connectedness, and psychological distress (i.e., depression, anxiety) over 1 year in young adult (YA) cancer survivors 18–39 years old.
Methods
Participants were YAs in a large cohort study that completed questionnaires every 2 months for 1 year. Social isolation, aspects of social connectedness (i.e., companionship, emotional support, instrumental support, and informational support), depression, and anxiety were assessed with Patient‐Reported Outcomes Measurement Information System short form measures. Mixed‐effect models were used to evaluate changes over time. Confirmatory factor analysis and multilevel structural equation modeling were used to define social connectedness as a latent construct and determine whether relationships between social isolation and psychological distress were mediated by social connectedness.
Results
Participants (N = 304) were mean (M) = 33.5 years old (SD = 4.7) and M = 4.5 years (SD = 3.5) post‐initial cancer diagnosis. Most participants were female (67.4%) and non‐Hispanic White (68.4%). Average scores for social well‐being and psychological distress were within normative ranges and did not change (p values >.05). However, large proportions of participants reported at least mild social isolation (27%–30%), depressive symptoms (36%–37%), and symptoms of anxiety (49%–51%) at each time point. Across participants, more social isolation was related to less social connectedness (p values <.001), more depressive symptoms (p < .001), and more symptoms of anxiety (p < .001). Social connectedness mediated the relationship between social isolation and depression (p = .004), but not anxiety (p > .05).
Conclusions
Social isolation and connectedness could be intervention targets for reducing depression among YA cancer survivors.
Among young adult cancer survivors, social connectedness mediated the relationship between social isolation and depression, but not anxiety. Social isolation and connectedness could be intervention targets for reducing depression among young adult cancer survivors.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39097814</pmid><doi>10.1002/cncr.35508</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7353-3711</orcidid><orcidid>https://orcid.org/0000-0001-5108-5735</orcidid><orcidid>https://orcid.org/0000-0003-4307-5259</orcidid><orcidid>https://orcid.org/0000-0002-8691-8132</orcidid><orcidid>https://orcid.org/0000-0002-3530-8633</orcidid><orcidid>https://orcid.org/0000-0001-6825-5921</orcidid><orcidid>https://orcid.org/0000-0003-2317-4006</orcidid><orcidid>https://orcid.org/0000-0001-6281-2512</orcidid></addata></record> |
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| ispartof | Cancer, 2024-12, Vol.130 (23), p.4127-4137 |
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| subjects | Adolescent Adult Anxiety Anxiety - epidemiology Anxiety - psychology Cancer Cancer Survivors - psychology Cohort Studies depression Depression - epidemiology Depression - psychology Evaluation Factor analysis Female Humans Male Mental depression multilevel structural equation modeling Neoplasms - psychology Psychological Distress Psychological stress social connectedness Social interactions Social isolation Social Isolation - psychology Social Support Surveys and Questionnaires Survival Time measurement Well being Young Adult young adult cancer survivors Young adults |
| title | Social isolation, depression, and anxiety among young adult cancer survivors: The mediating role of social connectedness |
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