Relationship between social support, physical symptoms, and depression in women with breast cancer and pain
Purpose Fatigue and pain are common among women with breast cancer, and often related to depressive symptoms. Social support may influence levels of fatigue, pain interference, and depressive symptoms. We tested a theory-based, structural model examining the relationship between social support (i.e....
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| Veröffentlicht in: | Supportive care in cancer 2021-09, Vol.29 (9), p.5513-5521 |
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| container_title | Supportive care in cancer |
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| creator | Fisher, Hannah M. Winger, Joseph G. Miller, Shannon N. Wright, Arianna N. Plumb Vilardaga, Jennifer C. Majestic, Catherine Kelleher, Sarah A. Somers, Tamara J. |
| description | Purpose
Fatigue and pain are common among women with breast cancer, and often related to depressive symptoms. Social support may influence levels of fatigue, pain interference, and depressive symptoms. We tested a theory-based, structural model examining the relationship between social support (i.e., emotional and instrumental) and depressive symptoms via fatigue and pain interference in women with breast cancer.
Methods
Women (
N
= 327) with stages I–III breast cancer were enrolled in a randomized trial investigating a behavioral pain intervention. Measures of social support, fatigue, pain interference, and depressive symptoms were completed at enrollment. Data were analyzed using structural equation modeling to test direct and indirect pathways relating social support, fatigue, pain interference, and depressive symptoms.
Results
Our model evidenced good fit. Significant direct effects emerged linking higher levels of emotional support with lower levels of fatigue (
β
= −.30), pain interference (
β
= −.32), and depressive symptoms (
β
= −.31). More instrumental support was significantly associated with more depressive symptoms (
β
= .11), but not fatigue or pain interference. Higher levels of fatigue (
β
= .30) and pain interference (
β
= .34) were significantly related to higher levels of depressive symptoms. More emotional support related to less depressive symptoms via lower levels of fatigue (
β
= −.09) and pain interference (
β
= −.11).
Conclusion
Women reporting higher levels of emotional support endorsed fewer depressive symptoms, and that relationship was driven by lower levels of fatigue and pain interference. Our results highlight novel pathways that healthcare professionals can leverage to optimize social support topics in psychosocial interventions targeting breast cancer symptoms. This model should be replicated using longitudinal data. |
| doi_str_mv | 10.1007/s00520-021-06136-6 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8919209</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A669317350</galeid><sourcerecordid>A669317350</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-a6c244d1a3394c0dafde47107186aa78941e2247664cde9e72a82becc56145bd3</originalsourceid><addsrcrecordid>eNp9kl9rFDEUxYModlv9Aj5IwBcfOjX_M_MilKJVKAiizyGTubObOpOMyUyX_fZmu7W1IpKHwL2_c8IJB6FXlJxRQvS7TIhkpCKMVkRRrir1BK2o4LzSnDdP0Yo0glaCS3mEjnO-JoRqLdlzdMS5ZlxpuUI_vsJgZx9D3vgJtzBvAQLO0Xk74LxMU0zzKZ42u-zdfrIbpzmO-RTb0OEOpgQ5FzX2AW_jWKRbP29wm8DmGTsbHKRbdLI-vEDPejtkeHl3n6DvHz98u_hUXX25_HxxflU5KehcWeWYEB21JYRwpLN9B0JTommtrNV1CQWMCa2UcB00oJmtWQvOSUWFbDt-gt4ffKelHaFzEOZkBzMlP9q0M9F683gT_Mas442pG9ow0hSDt3cGKf5cIM9m9NnBMNgAccmGSUJrSQTXBX3zF3odlxRKvEJJrmgjavlAre0Axoc-lnfd3tScK9VwqrkkhTr7B1VOB6N3MUDvy_yRgB0ELsWcE_T3GSkx-4qYQ0VMqYi5rYhRRfT6z9-5l_zuRAH4AchlFdaQHiL9x_YXl6zHGg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2553619485</pqid></control><display><type>article</type><title>Relationship between social support, physical symptoms, and depression in women with breast cancer and pain</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Fisher, Hannah M. ; Winger, Joseph G. ; Miller, Shannon N. ; Wright, Arianna N. ; Plumb Vilardaga, Jennifer C. ; Majestic, Catherine ; Kelleher, Sarah A. ; Somers, Tamara J.</creator><creatorcontrib>Fisher, Hannah M. ; Winger, Joseph G. ; Miller, Shannon N. ; Wright, Arianna N. ; Plumb Vilardaga, Jennifer C. ; Majestic, Catherine ; Kelleher, Sarah A. ; Somers, Tamara J.</creatorcontrib><description>Purpose
Fatigue and pain are common among women with breast cancer, and often related to depressive symptoms. Social support may influence levels of fatigue, pain interference, and depressive symptoms. We tested a theory-based, structural model examining the relationship between social support (i.e., emotional and instrumental) and depressive symptoms via fatigue and pain interference in women with breast cancer.
Methods
Women (
N
= 327) with stages I–III breast cancer were enrolled in a randomized trial investigating a behavioral pain intervention. Measures of social support, fatigue, pain interference, and depressive symptoms were completed at enrollment. Data were analyzed using structural equation modeling to test direct and indirect pathways relating social support, fatigue, pain interference, and depressive symptoms.
Results
Our model evidenced good fit. Significant direct effects emerged linking higher levels of emotional support with lower levels of fatigue (
β
= −.30), pain interference (
β
= −.32), and depressive symptoms (
β
= −.31). More instrumental support was significantly associated with more depressive symptoms (
β
= .11), but not fatigue or pain interference. Higher levels of fatigue (
β
= .30) and pain interference (
β
= .34) were significantly related to higher levels of depressive symptoms. More emotional support related to less depressive symptoms via lower levels of fatigue (
β
= −.09) and pain interference (
β
= −.11).
Conclusion
Women reporting higher levels of emotional support endorsed fewer depressive symptoms, and that relationship was driven by lower levels of fatigue and pain interference. Our results highlight novel pathways that healthcare professionals can leverage to optimize social support topics in psychosocial interventions targeting breast cancer symptoms. This model should be replicated using longitudinal data.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-021-06136-6</identifier><identifier>PMID: 33723675</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Breast cancer ; Breast Neoplasms - complications ; Depression - epidemiology ; Depression - etiology ; Depression, Mental ; Fatigue ; Fatigue - epidemiology ; Fatigue - etiology ; Female ; Humans ; Medicine ; Medicine & Public Health ; Mental depression ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain ; Pain - epidemiology ; Pain - etiology ; Pain Medicine ; Psychological aspects ; Rehabilitation Medicine ; Social networks ; Social Support ; Women ; Womens health</subject><ispartof>Supportive care in cancer, 2021-09, Vol.29 (9), p.5513-5521</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-a6c244d1a3394c0dafde47107186aa78941e2247664cde9e72a82becc56145bd3</citedby><cites>FETCH-LOGICAL-c541t-a6c244d1a3394c0dafde47107186aa78941e2247664cde9e72a82becc56145bd3</cites><orcidid>0000-0001-8769-6060</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-021-06136-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-021-06136-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33723675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fisher, Hannah M.</creatorcontrib><creatorcontrib>Winger, Joseph G.</creatorcontrib><creatorcontrib>Miller, Shannon N.</creatorcontrib><creatorcontrib>Wright, Arianna N.</creatorcontrib><creatorcontrib>Plumb Vilardaga, Jennifer C.</creatorcontrib><creatorcontrib>Majestic, Catherine</creatorcontrib><creatorcontrib>Kelleher, Sarah A.</creatorcontrib><creatorcontrib>Somers, Tamara J.</creatorcontrib><title>Relationship between social support, physical symptoms, and depression in women with breast cancer and pain</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
Fatigue and pain are common among women with breast cancer, and often related to depressive symptoms. Social support may influence levels of fatigue, pain interference, and depressive symptoms. We tested a theory-based, structural model examining the relationship between social support (i.e., emotional and instrumental) and depressive symptoms via fatigue and pain interference in women with breast cancer.
Methods
Women (
N
= 327) with stages I–III breast cancer were enrolled in a randomized trial investigating a behavioral pain intervention. Measures of social support, fatigue, pain interference, and depressive symptoms were completed at enrollment. Data were analyzed using structural equation modeling to test direct and indirect pathways relating social support, fatigue, pain interference, and depressive symptoms.
Results
Our model evidenced good fit. Significant direct effects emerged linking higher levels of emotional support with lower levels of fatigue (
β
= −.30), pain interference (
β
= −.32), and depressive symptoms (
β
= −.31). More instrumental support was significantly associated with more depressive symptoms (
β
= .11), but not fatigue or pain interference. Higher levels of fatigue (
β
= .30) and pain interference (
β
= .34) were significantly related to higher levels of depressive symptoms. More emotional support related to less depressive symptoms via lower levels of fatigue (
β
= −.09) and pain interference (
β
= −.11).
Conclusion
Women reporting higher levels of emotional support endorsed fewer depressive symptoms, and that relationship was driven by lower levels of fatigue and pain interference. Our results highlight novel pathways that healthcare professionals can leverage to optimize social support topics in psychosocial interventions targeting breast cancer symptoms. This model should be replicated using longitudinal data.</description><subject>Analysis</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - complications</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression, Mental</subject><subject>Fatigue</subject><subject>Fatigue - epidemiology</subject><subject>Fatigue - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>Pain - etiology</subject><subject>Pain Medicine</subject><subject>Psychological aspects</subject><subject>Rehabilitation Medicine</subject><subject>Social networks</subject><subject>Social Support</subject><subject>Women</subject><subject>Womens health</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kl9rFDEUxYModlv9Aj5IwBcfOjX_M_MilKJVKAiizyGTubObOpOMyUyX_fZmu7W1IpKHwL2_c8IJB6FXlJxRQvS7TIhkpCKMVkRRrir1BK2o4LzSnDdP0Yo0glaCS3mEjnO-JoRqLdlzdMS5ZlxpuUI_vsJgZx9D3vgJtzBvAQLO0Xk74LxMU0zzKZ42u-zdfrIbpzmO-RTb0OEOpgQ5FzX2AW_jWKRbP29wm8DmGTsbHKRbdLI-vEDPejtkeHl3n6DvHz98u_hUXX25_HxxflU5KehcWeWYEB21JYRwpLN9B0JTommtrNV1CQWMCa2UcB00oJmtWQvOSUWFbDt-gt4ffKelHaFzEOZkBzMlP9q0M9F683gT_Mas442pG9ow0hSDt3cGKf5cIM9m9NnBMNgAccmGSUJrSQTXBX3zF3odlxRKvEJJrmgjavlAre0Axoc-lnfd3tScK9VwqrkkhTr7B1VOB6N3MUDvy_yRgB0ELsWcE_T3GSkx-4qYQ0VMqYi5rYhRRfT6z9-5l_zuRAH4AchlFdaQHiL9x_YXl6zHGg</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Fisher, Hannah M.</creator><creator>Winger, Joseph G.</creator><creator>Miller, Shannon N.</creator><creator>Wright, Arianna N.</creator><creator>Plumb Vilardaga, Jennifer C.</creator><creator>Majestic, Catherine</creator><creator>Kelleher, Sarah A.</creator><creator>Somers, Tamara J.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</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>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>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8769-6060</orcidid></search><sort><creationdate>20210901</creationdate><title>Relationship between social support, physical symptoms, and depression in women with breast cancer and pain</title><author>Fisher, Hannah M. ; Winger, Joseph G. ; Miller, Shannon N. ; Wright, Arianna N. ; Plumb Vilardaga, Jennifer C. ; Majestic, Catherine ; Kelleher, Sarah A. ; Somers, Tamara J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-a6c244d1a3394c0dafde47107186aa78941e2247664cde9e72a82becc56145bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - complications</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Depression, Mental</topic><topic>Fatigue</topic><topic>Fatigue - epidemiology</topic><topic>Fatigue - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain - epidemiology</topic><topic>Pain - etiology</topic><topic>Pain Medicine</topic><topic>Psychological aspects</topic><topic>Rehabilitation Medicine</topic><topic>Social networks</topic><topic>Social Support</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fisher, Hannah M.</creatorcontrib><creatorcontrib>Winger, Joseph G.</creatorcontrib><creatorcontrib>Miller, Shannon N.</creatorcontrib><creatorcontrib>Wright, Arianna N.</creatorcontrib><creatorcontrib>Plumb Vilardaga, Jennifer C.</creatorcontrib><creatorcontrib>Majestic, Catherine</creatorcontrib><creatorcontrib>Kelleher, Sarah A.</creatorcontrib><creatorcontrib>Somers, Tamara J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & 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 Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fisher, Hannah M.</au><au>Winger, Joseph G.</au><au>Miller, Shannon N.</au><au>Wright, Arianna N.</au><au>Plumb Vilardaga, Jennifer C.</au><au>Majestic, Catherine</au><au>Kelleher, Sarah A.</au><au>Somers, Tamara J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between social support, physical symptoms, and depression in women with breast cancer and pain</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>29</volume><issue>9</issue><spage>5513</spage><epage>5521</epage><pages>5513-5521</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
Fatigue and pain are common among women with breast cancer, and often related to depressive symptoms. Social support may influence levels of fatigue, pain interference, and depressive symptoms. We tested a theory-based, structural model examining the relationship between social support (i.e., emotional and instrumental) and depressive symptoms via fatigue and pain interference in women with breast cancer.
Methods
Women (
N
= 327) with stages I–III breast cancer were enrolled in a randomized trial investigating a behavioral pain intervention. Measures of social support, fatigue, pain interference, and depressive symptoms were completed at enrollment. Data were analyzed using structural equation modeling to test direct and indirect pathways relating social support, fatigue, pain interference, and depressive symptoms.
Results
Our model evidenced good fit. Significant direct effects emerged linking higher levels of emotional support with lower levels of fatigue (
β
= −.30), pain interference (
β
= −.32), and depressive symptoms (
β
= −.31). More instrumental support was significantly associated with more depressive symptoms (
β
= .11), but not fatigue or pain interference. Higher levels of fatigue (
β
= .30) and pain interference (
β
= .34) were significantly related to higher levels of depressive symptoms. More emotional support related to less depressive symptoms via lower levels of fatigue (
β
= −.09) and pain interference (
β
= −.11).
Conclusion
Women reporting higher levels of emotional support endorsed fewer depressive symptoms, and that relationship was driven by lower levels of fatigue and pain interference. Our results highlight novel pathways that healthcare professionals can leverage to optimize social support topics in psychosocial interventions targeting breast cancer symptoms. This model should be replicated using longitudinal data.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33723675</pmid><doi>10.1007/s00520-021-06136-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8769-6060</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Supportive care in cancer, 2021-09, Vol.29 (9), p.5513-5521 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Analysis Breast cancer Breast Neoplasms - complications Depression - epidemiology Depression - etiology Depression, Mental Fatigue Fatigue - epidemiology Fatigue - etiology Female Humans Medicine Medicine & Public Health Mental depression Nursing Nursing Research Oncology Original Article Pain Pain - epidemiology Pain - etiology Pain Medicine Psychological aspects Rehabilitation Medicine Social networks Social Support Women Womens health |
| title | Relationship between social support, physical symptoms, and depression in women with breast cancer and pain |
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