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Is the relationship between social support and depressive symptoms mediated by hope among Chinese central nervous system tumor patients?

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机构: [1]Department of Neurosurgery, The First Hospital of China Medical University, No. 155, Nanjingbei Street, Heping, Shenyang 110001, Liaoning, People’s Republic of China [2]Department of Emergency Medicine, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng, Beijing 100053, People’s Republic of China [3]Department of Psychiatry, The First Hospital of China Medical University, No. 155, Nanjingbei Street, Heping, Shenyang 110001, Liaoning, People’s Republic of China [4]Key Laboratory of Medical Cell Biology, College of Translational Medicine, China Medical University, No. 77, Puhe Road, Shenbei New Distinct, Shenyang 110122, People’s Republic of China
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关键词: Depressive symptoms Social support Hope Tumor

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BackgroundIt is common for central nervous system (CNS) tumor patients to suffer from depressive symptoms. If unrecognized or untreated, CNS tumors may lead to many serious problems in these patients. This study examines the association of social support with depressive symptoms in CNS tumor patients and explores the extent to which hope mediates this relationship.MethodsA total of 269 CNS tumor patients in China were included in this study. We assessed depressive symptoms using the Epidemiologic Studies Depression Scale (CES-D), social support using the Perceived Social Support Scale (PSSS), and hope using the Herth Hope Index (HHI). Questionnaires were distributed to collect these data. Hierarchical linear regression analyses explored the interrelationship between social support, hope, and depressive symptoms.ResultsAfter adjustment for demographic characteristics, patients with less social support exhibited more depressive symptoms (=-0.452, P<0.01). Social support explained 19.1% of the variance in depressive symptoms. After adding hope to the regression model, the effect size for social support was reduced by over half but remained significant (from =-0.452 to =-0.218, P<0.01). In addition, a lower level of hope (=-0.386, P<0.01) was associated with more depressive symptoms, and this measure explained an additional 9.3% of the variance in depressive symptoms.ConclusionsMuch of the relationship between social support and depressive symptoms is explained by hope. Thus, interventions boosting both social support and hope help to reduce depressive symptoms in patients with CNS tumors.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 2 区 康复医学 3 区 卫生保健与服务 4 区 肿瘤学
最新[2023]版:
大类 | 3 区 医学
小类 | 2 区 康复医学 3 区 卫生保健与服务 3 区 肿瘤学
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出版当年[2017]版:
Q1 HEALTH CARE SCIENCES & SERVICES Q1 REHABILITATION Q3 ONCOLOGY
最新[2023]版:
Q1 REHABILITATION Q2 HEALTH CARE SCIENCES & SERVICES Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Department of Neurosurgery, The First Hospital of China Medical University, No. 155, Nanjingbei Street, Heping, Shenyang 110001, Liaoning, People’s Republic of China
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通讯机构: [1]Department of Neurosurgery, The First Hospital of China Medical University, No. 155, Nanjingbei Street, Heping, Shenyang 110001, Liaoning, People’s Republic of China [4]Key Laboratory of Medical Cell Biology, College of Translational Medicine, China Medical University, No. 77, Puhe Road, Shenbei New Distinct, Shenyang 110122, People’s Republic of China
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