Author, as appears in the article.: Lei, Hui; Tian, Xu; Jin, Yan-Fei; Tang, Ling; Chen, Wei-Qing; Jimenez-Herrera, Maria F.;
Department: Infermeria
URV's Author/s: Jiménez Herrera, María Francisca / Tian, Xu
Keywords: Structural equation modeling Structural equation model Stress, psychological Stress reduction Social support Social stigma Quality-of-life Psychological distress Perceived stigma Partners Multidimensional scale of perceived social support Model Mindfulness Mental stress Marriage Male Major clinical study Lung tumor Lung neoplasms Lung cancer Humans Human Health insurance Female Distress syndrome Depression Cross-sectional study Cross-sectional studies Correlational study Controlled study Comorbidity Chinese China Article Anxiety Adult
Abstract: Purpose Psychological distress greatly impaired the psychological and physical well-being of lung cancer patients. Identification of protective and risk factors is a prerequisite of developing effective psychological treatment protocol. The study aims to determine the relationship of mindfulness and psychological distress and further clarify the mechanism of mindfulness against psychological distress through perceived stigma and social support among Chinese lung cancer patients. Method A cross-sectional survey study involving 441 valid Chinese lung cancer patients was conducted from September 2018 to August 2019. After all validated questionnaires that measured psychological distress, level of mindfulness, social support, and perceived stigma were returned by patients, we firstly performed correlation analysis to assess the associations between mindfulness, social support, perceived stigma, and psychological distress. Then structural equation modelling analysis was conducted to further clarify the mediating effects of perceived stigma and social support on the relationship between mindfulness and psychological distress. Results According to our hypothesis and further modification, our revised model adequately fits to data. Mindfulness (beta = - 0.107, p = 0.008) and social support (beta = - 0.513, p < 0.001) had a direct effect on psychological distress. Meanwhile, mindfulness had a direct effect on perceived stigma (beta = - 0.185, p < 0.001), and perceived stigma had a direct effect on social support (beta = - 0.373, p < 0.001). Furthermore, mindfulness had also the indirect effect on psychological distress through the chain mediating role of stigma and social support among lung cancer patients. Conclusions Mindfulness has direct negative effect on psychological distress and has also indirectly negative psychological distress through impacting social support and perceived stigma.
Thematic Areas: Saúde coletiva Rehabilitation Oncology (nursing) Oncology Odontología Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Health care sciences & services General medicine Farmacia Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Biodiversidade Astronomia / física
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: xu.tian@estudiants.urv.cat maria.jimenez@urv.cat
Author identifier: 0000-0003-2599-3742
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/acceptedVersion
Link to the original source: https://link.springer.com/article/10.1007/s00520-021-06278-7
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Supportive Care In Cancer. 29 (11): 6761-6770
APA: Lei, Hui; Tian, Xu; Jin, Yan-Fei; Tang, Ling; Chen, Wei-Qing; Jimenez-Herrera, Maria F.; (2021). The chain mediating role of social support and stigma in the relationship between mindfulness and psychological distress among Chinese lung cancer patients. Supportive Care In Cancer, 29(11), 6761-6770. DOI: 10.1007/s00520-021-06278-7
Article's DOI: 10.1007/s00520-021-06278-7
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV