TY - JOUR
T1 - Depression, anxiety and quality of life among women living with breast cancer in Ghana
T2 - mediating roles of social support and religiosity
AU - Kugbey, Nuworza
AU - Oppong Asante, Kwaku
AU - Meyer-Weitz, Anna
N1 - Publisher Copyright:
© 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Purpose: Depression and anxiety are common mental health comorbidities found among women living with breast cancer. The presence of these mental health comorbidities results in decreased quality of life among patients. However, the indirect effects of depression and anxiety on quality of life have not been fully established. This study therefore examined the direct and indirect effects of depression and anxiety on quality of life through social support and religiosity. Methods: Using a cross-sectional survey, 205 purposively selected participants were administered measures of depression and anxiety, social support, religiosity and quality of life. The statistical package for the social sciences (SPSS) with PROCESS Macro was used for mediation analyses. Results: Findings showed that there were significant direct negative effects of depression and anxiety on quality of life. Whereas depression had a significant negative indirect effect on quality of life through social support (b = − 0.247, 95% CI = − 0.482 to − 0.071), anxiety had a significant positive indirect effect on quality of life through social support (b = 0.142, 95%CI = 0.011 to 0.324). However, depression and anxiety did not have any significant indirect effect on quality of life through religiosity. Conclusion: These findings suggest that there is the need to examine the mental health of women living with breast cancer as part of the routine healthcare, and social support ties should be strengthened to improve their quality of life.
AB - Purpose: Depression and anxiety are common mental health comorbidities found among women living with breast cancer. The presence of these mental health comorbidities results in decreased quality of life among patients. However, the indirect effects of depression and anxiety on quality of life have not been fully established. This study therefore examined the direct and indirect effects of depression and anxiety on quality of life through social support and religiosity. Methods: Using a cross-sectional survey, 205 purposively selected participants were administered measures of depression and anxiety, social support, religiosity and quality of life. The statistical package for the social sciences (SPSS) with PROCESS Macro was used for mediation analyses. Results: Findings showed that there were significant direct negative effects of depression and anxiety on quality of life. Whereas depression had a significant negative indirect effect on quality of life through social support (b = − 0.247, 95% CI = − 0.482 to − 0.071), anxiety had a significant positive indirect effect on quality of life through social support (b = 0.142, 95%CI = 0.011 to 0.324). However, depression and anxiety did not have any significant indirect effect on quality of life through religiosity. Conclusion: These findings suggest that there is the need to examine the mental health of women living with breast cancer as part of the routine healthcare, and social support ties should be strengthened to improve their quality of life.
KW - Anxiety
KW - Breast cancer
KW - Depression
KW - Ghana
KW - Quality of life
KW - Religiosity
KW - Social support
UR - http://www.scopus.com/inward/record.url?scp=85073970082&partnerID=8YFLogxK
U2 - 10.1007/s00520-019-05027-1
DO - 10.1007/s00520-019-05027-1
M3 - Article
C2 - 31520120
AN - SCOPUS:85073970082
SN - 0941-4355
VL - 28
SP - 2581
EP - 2588
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 6
ER -