A serial multiple mediator model of sense of coherence, coping strategies, depression, and quality of life among gynecologic cancer patients undergoing chemotherapy. (October 2021)

• Record Type: Journal Article
• Authors: Kim, Hee Sun; Nho, Ju-Hee; Nam, Joo-Hyun
• Is Part Of: European journal of oncology nursing. Volume 54(2021)
• Publication Date: 2021-10
• Subjects: Sense of coherence -- Coping -- Depression -- Quality of life -- Chemotherapy -- Gynecologic neoplasm -- Mediation; Cancer -- Nursing -- Periodicals; Cancer -- Research -- Periodicals; Oncology -- Periodicals; Oncology Nursing -- Periodicals; Neoplasms -- nursing -- Periodicals; Cancer -- Soins infirmiers -- Périodiques; Cancer -- Recherche -- Périodiques; Cancérologie -- Périodiques; Verpleegkunde; Kanker; Cancer -- Nursing; Cancer -- Research; Oncology; Electronic journals; Periodicals; Electronic journals; 616.9940231
• DOI: 10.1016/j.ejon.2021.102014
• Languages: English
• ISSNs: 1462-3889

Abstract

Abstract: Purpose: This study evaluated whether coping strategies (positive reframing, planning, and active coping) and depression mediate the relationship between sense of coherence (SOC) and quality of life (QoL) using a serial multiple mediator model in patients with gynecologic cancer who are undergoing chemotherapy. Methods: A sample of 148 participants, with a mean age of 52.17 years (range 20–75) and diagnosed with gynecological cancer (e.g., cervix, ovary and endometrium) was surveyed in a cross-sectional study. Data were collected using a structured self-reporting questionnaire. A serial multiple mediator model was analyzed to explain sequential causality among two mediators (coping strategy and depression) and to investigate the direct and indirect effects of the mediator model in SPSSWIN 26.0 and PROCESS macro program. Results: The conceptual serial mediation model of SOC, positive reframing, depression, and QoL revealed a significant positive total effect (coefficient c = 13.099, SE = 1.647, p < 0.001). The path through single mediation of positive reframing (Effect = 0.925) and depression (Effect = 5.942) and that through both mediators (Effect = 1.161) were statistically significant. The total indirect effect was also statistically significant (Effect = 8.028). Moreover, the conceptual serial mediation model on SOC, planning, depression, and QoL revealed a significant positive total effect (coefficient c = 13.099, SE = 1.647, p < 0.001). The path through both mediation of planning and depression (Effect = 1.162) and the total indirect effect were statistically significant (Effect = 8.172). Conclusions: Helping patients with gynecologic cancer undergoing chemotherapy to strengthen SOC may improve QoL by equipping them with efficient positive reframing or planning strategies to reduce depression. Highlights: Quality of life (QoL) in Korean gynecologic cancer patients undergoing chemotherapy was understudied. We examined how sense of coherence (SOC), coping strategies, and depression effect on QoL. Sense of coherence affects directly QoL. Positive reframing and depression mediate in serial between SOC and QoL. Planning and depression mediate in serial between SOC and QoL.