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Published in: Annals of Behavioral Medicine 1/2017

01-02-2017 | Original Article

Enabling, Not Cultivating: Received Social Support and Self-Efficacy Explain Quality of Life After Lung Cancer Surgery

Authors: Anna Banik, MA, Aleksandra Luszczynska, PhD, Izabela Pawlowska, PhD, Roman Cieslak, PhD, Nina Knoll, PhD, Urte Scholz, PhD

Published in: Annals of Behavioral Medicine | Issue 1/2017

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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.
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Metadata
Title
Enabling, Not Cultivating: Received Social Support and Self-Efficacy Explain Quality of Life After Lung Cancer Surgery
Authors
Anna Banik, MA
Aleksandra Luszczynska, PhD
Izabela Pawlowska, PhD
Roman Cieslak, PhD
Nina Knoll, PhD
Urte Scholz, PhD
Publication date
01-02-2017
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2017
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9821-9

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