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Quality of life and death anxiety among caregivers of patients with advanced cancer: the mediating effect of trait anxious personality and the moderating effect of social support.
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- Author(s): Ying L;Ying L;Ying L;Ying L; Yuyu D; Yuyu D; Yuyu D; Yuyu D; Qinqin Z; Qinqin Z; Qinqin Z; Qinqin Z; Zhihuan Z; Zhihuan Z; Zhihuan Z; Zhihuan Z
- Source:
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2024 Jun 29; Vol. 32 (7), pp. 471. Date of Electronic Publication: 2024 Jun 29.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Springer International Country of Publication: Germany NLM ID: 9302957 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-7339 (Electronic) Linking ISSN: 09414355 NLM ISO Abbreviation: Support Care Cancer Subsets: MEDLINE
- Publication Information: Original Publication: Berlin : Springer International, c1993-
- Subject Terms:
- Abstract: Purpose: To explore the mediating role of trait anxious personality in the association between quality of life (QoL) and death anxiety (DA), as well as to test the moderating effect of social support in the mediation model.
Methods: The Death Anxiety Scale, Quality of Life Scale, State-Trait Anxiety Scale, and Social Support Rating Scale were used to measure 588 family caregivers of advanced cancer patients. We then constructed a moderated mediation model.
Results: The presence of QoL was negatively associated with DA (β = - 0.67, p < 0.01). Trait anxious personality partially mediated the relationship between QoL and DA (indirect effect β = - 0.08, p < 0.01). Social support moderated both the antecedent and subsequent segments of the mediating paths of "QoL → trait anxious personality → DA" and the direct relationship between QoL and DA. Among caregivers with a low level of social support, the mediating effect coefficient of trait anxious personality was higher at 0.25 (95% confidence interval (CI): 0.059-0.182), in contrast to caregivers with a high level of social support, where the mediating effect coefficient of trait anxious personality was 0.11 (95% CI: 0.029-0.072).
Conclusion: QoL is directly associated with an increased risk of DA and indirectly related to DA by increasing the risk of trait anxious personality among caregivers. Social support can moderate the mediating effect of trait anxious personality and the relationship between QoL and DA. The intervention strategy for preventing DA among caregivers who have encountered QoL reduction should focus on reducing trait anxious personality and social support.
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- Contributed Indexing: Keywords: Caregivers; Death anxiety; Moderated mediation model; Quality of life; Social support; Trait anxious personality
- Publication Date: Date Created: 20240701 Date Completed: 20240701 Latest Revision: 20240715
- Publication Date: 20240715
- Accession Number: 10.1007/s00520-024-08653-6
- Accession Number: 38949725
- Source:
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