Anna Banik1, Aleksandra Luszczynska2,3, Izabela Pawlowska1, Roman Cieslak4, Nina Knoll5, Urte Scholz6. 1. Department in Wroclaw, SWPS University of Social Sciences and Humanities, Wroclaw, Poland. 2. Department in Wroclaw, SWPS University of Social Sciences and Humanities, Wroclaw, Poland. aluszczy@uccs.edu. 3. Trauma, Health, and Hazards Center, University of Colorado at Colorado Springs, Colorado 1861 Austin Bluffs Pkwy, Colorado Springs, CO, 80918, USA. aluszczy@uccs.edu. 4. Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland. 5. Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany. 6. Department of Psychology, University of Zurich, Zurich, Switzerland.
Abstract
BACKGROUND: Although the effects of self-efficacy and social support on health outcomes are well established, it is crucial to find out if these predictors are chained in a specific way, with either self-efficacy prompting support receipt or with support receipt prompting self-efficacy. PURPOSE: In the context of adaptation after lung cancer surgery, this study investigated (1) the cultivation hypothesis, assuming that the relationship between self-efficacy and quality-of-life indices would be mediated by social support received from medical personnel, family, and friends, and (2) the enabling hypothesis, assuming that the association between received social support and quality-of-life indices would be mediated by self-efficacy. METHOD: Patients with the first onset of non-small-cell lung cancer (N = 102) filled in questionnaires at 3-4 days after segmentectomy or lobectomy (time 1), at 1-month follow-up (time 2), and at 4-month follow-up (time 3). RESULTS: Mediation analyses accounting for the effects of age, gender, marital status (all measured at time 1), and the mediator (measured at time 1 and time 2) yielded no support for the cultivation hypothesis. Indirect effects were observed for 0 out of 14 quality-of-life indices, measured at time 3. In contrast, the enabling hypothesis was confirmed for 11 out of 14 quality-of-life indices (physical, functional, cognitive, social, and emotional aspects; measured at time 3). CONCLUSIONS: Interventions for patients with lung cancer may focus on enhancing social support receipt within the first week after surgery, followed by a self-efficacy prompt 3 weeks later.
BACKGROUND: Although the effects of self-efficacy and social support on health outcomes are well established, it is crucial to find out if these predictors are chained in a specific way, with either self-efficacy prompting support receipt or with support receipt prompting self-efficacy. PURPOSE: In the context of adaptation after lung cancer surgery, this study investigated (1) the cultivation hypothesis, assuming that the relationship between self-efficacy and quality-of-life indices would be mediated by social support received from medical personnel, family, and friends, and (2) the enabling hypothesis, assuming that the association between received social support and quality-of-life indices would be mediated by self-efficacy. METHOD:Patients with the first onset of non-small-cell lung cancer (N = 102) filled in questionnaires at 3-4 days after segmentectomy or lobectomy (time 1), at 1-month follow-up (time 2), and at 4-month follow-up (time 3). RESULTS: Mediation analyses accounting for the effects of age, gender, marital status (all measured at time 1), and the mediator (measured at time 1 and time 2) yielded no support for the cultivation hypothesis. Indirect effects were observed for 0 out of 14 quality-of-life indices, measured at time 3. In contrast, the enabling hypothesis was confirmed for 11 out of 14 quality-of-life indices (physical, functional, cognitive, social, and emotional aspects; measured at time 3). CONCLUSIONS: Interventions for patients with lung cancer may focus on enhancing social support receipt within the first week after surgery, followed by a self-efficacy prompt 3 weeks later.
Entities:
Keywords:
Cultivation; Enabling; Non-small-cell lung cancer; Quality of life; Self-efficacy; Social support
Authors: Andrew J Smith; Kotaro Shoji; Brandon J Griffin; Lauren M Sippel; Emily R Dworkin; Hannah M Wright; Ellen Morrow; Amy Locke; Tiffany M Love; J Irene Harris; Krzysztof Kaniasty; Scott A Langenecker; Charles C Benight Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2022-02-26 Impact factor: 4.328