Depression, anxiety and quality of life among women living with breast cancer in Ghana: mediating roles of social support and religiosity.

Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Volume: 28

Issue: 6

Year of Publication: 2020

Affiliated Institutions:  Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Volta Region, Ghana. nkugbey@gmail.com. Department of Psychology, School of Social Sciences, University of Ghana, Legon, Accra, Ghana. Discipline of Psychology, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa.

Abstract summary 

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.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.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.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.

Authors & Co-authors:  Kugbey Nuworza N Oppong Asante Kwaku K Meyer-Weitz Anna A

Study Outcome 

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Statistics
Citations :  Stewart BW, Wild C (2014) World cancer report 2014. international agency for research on cancer. World Health Organization, 505
Authors :  3
Identifiers
Doi : 10.1007/s00520-019-05027-1
SSN : 1433-7339
Study Population
Women
Mesh Terms
Adult
Other Terms
Anxiety;Breast cancer;Depression;Ghana;Quality of life;Religiosity;Social support
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
Germany