The mediating role of social support between anxiety and cancer pain behavior in radiotherapy patients with advanced colorectal cancer
10.3760/cma.j.cn371468-20241113-00542
- VernacularTitle:社会支持在晚期结直肠癌放疗患者焦虑与癌痛行为间的中介作用
- Author:
Yunxia ZHANG
1
;
Jialiang ZHOU
1
;
Teng WANG
1
;
Fuzheng ZHANG
1
;
Jing WANG
1
;
Jian ZHANG
1
Author Information
1. 江南大学附属医院肿瘤放疗科，无锡 214000
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Social support;
Anxiety;
Cancer pain behavior;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(5):433-437
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship among social support, anxiety and cancer pain behavior in patients undergoing radiotherapy for advanced colorectal cancer, and to explore the mediating role of social support between anxiety and cancer pain behavior.Methods:A sample of 100 patients with advanced colorectal cancer admitted to the Oncology Radiotherapy Department of the Affiliated Hospital of Jiangnan University was recruited from March 2021 to March 2023. The hospital anxiety and depression scale (HADS), perceived social support scale (PSSS) and visual analogue scale (VAS) were utilized to assess patients' anxiety levels, individually perceived levels of social support and cancer pain intensity.The SPSS 25.0 software and AMOS 26.0 software were used for data analysis.Pearson correlation analysis was conducted to examine the relationships between these variables, and the Bootstrap method was employed to investigate the mediating role of social support in the relationship between anxiety and cancer pain behavior.Results:The patients' HADS anxiety score was (10.63±2.56), VAS pain score was (5.31±1.92), and PSSS social support score was (56.19±6.28). Pearson correlation analysis showed that anxiety was positively correlated with cancer pain behavior ( r=0.785, P<0.001), and social support was significantly correlated with both anxiety ( r=0.671) and cancer pain behavior ( r=0.672) (both P<0.001). Structural equation modeling indicated that social support partially mediated the relationship between anxiety and cancer pain behavior, with an indirect effect value of 0.177 (95% CI=0.033-0.287), accounting for 22.55%(0.177/0.785) of the total effect and the direct effect value was 0.608 (95% CI=0.287-0.642), accounting for 77.45%(0.608/0.785) of the total effect. Conclusion:Social support plays a mediating role in the effect of anxiety on cancer pain behavior in patients with advanced colorectal cancer undergoing radiotherapy. Enhancing social support can effectively alleviate anxiety in patients with advanced colorectal cancer undergoing radiotherapy, thereby alleviating cancer pain behavior, providing a theoretical basis for clinical comprehensive interventions.
