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Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors

BACKGROUND: Social support is considered to be one of the most important resources for coping with cancer. However, social interactions may also be detrimental, e. g. disappointing or discouraging. The present study explored: 1. the extent of illness-specific positive aspects of social support and d...

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Autores principales: Fischbeck, Sabine, Weyer-Elberich, Veronika, Zeissig, Sylke R., Imruck, Barbara H., Blettner, Maria, Binder, Harald, Beutel, Manfred E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904995/
https://www.ncbi.nlm.nih.gov/pubmed/29665805
http://dx.doi.org/10.1186/s12889-018-5401-1
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author Fischbeck, Sabine
Weyer-Elberich, Veronika
Zeissig, Sylke R.
Imruck, Barbara H.
Blettner, Maria
Binder, Harald
Beutel, Manfred E.
author_facet Fischbeck, Sabine
Weyer-Elberich, Veronika
Zeissig, Sylke R.
Imruck, Barbara H.
Blettner, Maria
Binder, Harald
Beutel, Manfred E.
author_sort Fischbeck, Sabine
collection PubMed
description BACKGROUND: Social support is considered to be one of the most important resources for coping with cancer. However, social interactions may also be detrimental, e. g. disappointing or discouraging. The present study explored: 1. the extent of illness-specific positive aspects of social support and detrimental interactions in melanoma survivors, 2. their relationships to mental health characteristics (e. g. distress, quality of life, fatigue, coping processes, and dispositional optimism) and 3. Combinations of positive social support and detrimental interactions in relation to depression and anxiety. METHODS: Based on the cancer registry of Rhineland-Palatinate, Germany, melanoma patients diagnosed at least 5 years before the survey were contacted by their physicians. N = 689 melanoma patients filled out the Illness-specific Social Support Scale ISSS (German version) and standardised instruments measuring potential psychosocial determinants of social support. RESULTS: Using principal component analysis, the two factor structure of the ISSS could be reproduced with acceptable reliability; subscales were “Positive Support” (PS) and “Detrimental Interactions” (DI); Cronbach’s α = .95/.72. PS was rated higher than DI. Multivariable linear regressions identified different associations with psychosocial determinants. Survivors living in a partnership and those actively seeking out support had a higher probability of receiving PS, but not DI. PS and DI interacted regarding their association with distress: Survivors reporting high DI but low PS were the most depressed and anxious. High DI was partly buffered by PS. When DI was low, high or low PS made no difference regarding distress. CONCLUSION: Psycho-oncologic interventions should take into account both positive and negative aspects of support in order to promote coping with the disease.
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spelling pubmed-59049952018-04-24 Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors Fischbeck, Sabine Weyer-Elberich, Veronika Zeissig, Sylke R. Imruck, Barbara H. Blettner, Maria Binder, Harald Beutel, Manfred E. BMC Public Health Research Article BACKGROUND: Social support is considered to be one of the most important resources for coping with cancer. However, social interactions may also be detrimental, e. g. disappointing or discouraging. The present study explored: 1. the extent of illness-specific positive aspects of social support and detrimental interactions in melanoma survivors, 2. their relationships to mental health characteristics (e. g. distress, quality of life, fatigue, coping processes, and dispositional optimism) and 3. Combinations of positive social support and detrimental interactions in relation to depression and anxiety. METHODS: Based on the cancer registry of Rhineland-Palatinate, Germany, melanoma patients diagnosed at least 5 years before the survey were contacted by their physicians. N = 689 melanoma patients filled out the Illness-specific Social Support Scale ISSS (German version) and standardised instruments measuring potential psychosocial determinants of social support. RESULTS: Using principal component analysis, the two factor structure of the ISSS could be reproduced with acceptable reliability; subscales were “Positive Support” (PS) and “Detrimental Interactions” (DI); Cronbach’s α = .95/.72. PS was rated higher than DI. Multivariable linear regressions identified different associations with psychosocial determinants. Survivors living in a partnership and those actively seeking out support had a higher probability of receiving PS, but not DI. PS and DI interacted regarding their association with distress: Survivors reporting high DI but low PS were the most depressed and anxious. High DI was partly buffered by PS. When DI was low, high or low PS made no difference regarding distress. CONCLUSION: Psycho-oncologic interventions should take into account both positive and negative aspects of support in order to promote coping with the disease. BioMed Central 2018-04-17 /pmc/articles/PMC5904995/ /pubmed/29665805 http://dx.doi.org/10.1186/s12889-018-5401-1 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Fischbeck, Sabine
Weyer-Elberich, Veronika
Zeissig, Sylke R.
Imruck, Barbara H.
Blettner, Maria
Binder, Harald
Beutel, Manfred E.
Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title_full Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title_fullStr Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title_full_unstemmed Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title_short Determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
title_sort determinants of illness-specific social support and its relation to distress in long-term melanoma survivors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904995/
https://www.ncbi.nlm.nih.gov/pubmed/29665805
http://dx.doi.org/10.1186/s12889-018-5401-1
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