The Role of Social Support on Quality of Life in Breast Cancer Patients: A Systematic Review

Document Type : Review Article

Authors

1 PhD Student in Health Education and Health Promotion, Department of Health Education, School of Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 Professor, Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

10.48305/jims.v42.i761.0227

Abstract

Background: Social support plays an influential role in the quality of life of breast cancer patients. To address this research gap and provide researchers with a more comprehensive understanding of social support, we conducted a systematic review. Our goal is to contribute to the existing knowledge and improve the quality of life of breast cancer patients.
Methods: A systematic search of original observational research articles written in Persian and English from January 8, 2001, to May 18, 2023, was conducted using Scopus, PubMed, Web of Science, BIO ONE, SSRN, and Google Scholar databases. The keywords were Breast Cancer, "Social Support, and Quality of Life. After excluding duplicate and irrelevant studies, 19 were included in the analysis. The Newcastle-Ottawa scale was utilized to assess the quality of the included studies, and the findings were presented in a narrative format.
Findings: Studies conducted in different countries consistently show the meaningful role of social support, especially positive social interaction, in reducing the negative impact of cancer-related thoughts on quality of life. Furthermore, perceived social support was positively correlated with psychological quality of life. Also, the findings highlighted the mediating role of social support in the relationship between factors such as resilience, coping style, stigma, and fear of progress and their impact on quality of life.
Conclusion: This systematic review study provided comprehensive insights into the multifaceted relationship between social support and quality of life among breast cancer patients. It emphasized the importance of social support in reducing the psychological impact of cancer and increasing overall well-being.

Highlights

Vahid Nohtani: Google Scholar, PubMed

Nooshin Peyman: Google Scholar, PubMed

Keywords

Main Subjects

References

  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021; 71(3): 209-49.
  2. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023 Jan; 73(1): 17-48.
  3. Soerjomataram I, Bray F. Planning for tomorrow: global cancer incidence and the role of prevention 2020-2070. Nat Rev Clin Oncol 2021; 18(10): 663-72.
  4. Iliescu MG, Stanciu LE, Uzun AB, Cristea AE, Motoască I, Irsay L, Iliescu DM, Vari T, Ciubean AD, Caraban BM, Ciufu N. Assessment of Integrative Therapeutic Methods for Improving the Quality of Life and Functioning in Cancer Patients—A Systematic Review. J Clin Med 2024; 13(5): 1190.
  5. Davis SC, Snyder E. Factors impacting quality of life for breast cancer survivors. Nurse Pract 2024; 49(5): 17-23.
  6. Javan Biparva A, Raoofi S, Rafiei S, Pashazadeh Kan F, Kazerooni M, Bagheribayati F, et al. Global quality of life in breast cancer: systematic review and meta-analysis. BMJ Support Palliat Care 2024; 13(e3): e528-e536.
  7. Iioka Y, Iwata T, Yamauchi H. Symptoms and QOL in breast cancer patients receiving hormone therapy in Japan. Breast Cancer 2020; 27(1): 62-9.
  8. Leung J, Pachana NA, McLaughlin D. Social support and health-related quality of life in women with breast cancer: a longitudinal study. Psychooncology 2014; 23(9): 1014-20.
  9. Dura-Ferrandis E, Mandelblatt JS, Clapp J, Luta G, Faul L, Kimmick G, et al. Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance). Psychooncology 2017; 26(11): 1914-21.
  10. Nejat N, Jadidi A, Hezave AK, Pour SMA. Prevention and Treatment of COVID-19 Using Traditional and Folk Medicine: A Content Analysis Study. Ethiop J Health Sci 2021; 31(6): 1089-98.
  11. Jolly PM, Kong DT, Kim KY. Social support at work: An integrative review. J Organ Behav 2021; 42(2): 229-51.
  12. Ashtiani AR, Jadidi A, Hezave AK, Safarabadi M, Pour SMA, Ghassami K, et al. An analgesic effect of Stachys lavandulifolia in patients with migraine: A double-blind randomised clinical trial study. Advances in Human Biology 2019; 9(1): 76-9.
  13. Harorani M, Noruzi Zamenjani M, Golitaleb M, Davodabady F, Zahedi S, Jadidi A, et al. Effects of relaxation on self-esteem of patients with cancer: a randomized clinical trial. Support Care Cancer 2020; 28(1): 405-11.
  14. Coughtrey A, Millington A, Bennett S, Christie D, Hough R, Su MT, et al. The effectiveness of psychosocial interventions for psychological outcomes in pediatric oncology: a systematic review. J Pain Symptom Manage 2018; 55(3): 1004-17.
  15. Walker E, Martins A, Aldiss S, Gibson F, Taylor RM. Psychosocial Interventions for Adolescents and Young Adults Diagnosed with Cancer During Adolescence: A Critical Review. J Adolesc Young Adult Oncol 2016; 5(4): 310-21.
  16. Richter D, Koehler M, Friedrich M, Hilgendorf I, Mehnert A, Weissflog G. Psychosocial interventions for adolescents and young adult cancer patients: A systematic review and meta-analysis. Crit Rev Oncol Hematol 2015; 95(3): 370-86.
  17. Kim Y, Carver CS. Unmet needs of family cancer caregivers predict quality of life in long-term cancer survivorship. J Cancer Surviv 2019; 13(5): 749-58.
  18. Lo CK, Mertz D, Loeb M. Newcastle-Ottawa Scale: comparing reviewers' to authors' assessments. BMC Med Res Methodol 2014; 14(1): 45.
  19. Salonen P, Rantanen A, Kellokumpu-Lehtinen PL, Huhtala H, Kaunonen M. The quality of life and social support in significant others of patients with breast cancer--a longitudinal study. Eur J Cancer Care (Engl) 2014; 23(2): 274-83.
  20. Lewis JA, Manne SL, DuHamel KN, Vickburg SM, Bovbjerg DH, Currie V, et al. Social support, intrusive thoughts, and quality of life in breast cancer survivors. J Behav Med 2001; 24(3): 231-45.
  21. Huang CY, Hsu MC. Social support as a moderator between depressive symptoms and quality of life outcomes of breast cancer survivors. Eur J Oncol Nurs 2013; 17(6): 767-74.
  22. Bozo Ö, Tathan E, Yılmaz T. Does perceived social support buffer the negative effects of type c personality on quality of life of breast cancer patients? Soc Indic Res 2013; 119(2): 791-801.
  23. Spatuzzi R, Vespa A, Lorenzi P, Miccinesi G, Ricciuti M, Cifarelli W, et al. Evaluation of social support, quality of life, and body image in women with breast cancer. Breast Care (Basel) 2016; 11(1): 28-32.
  24. Finck C, Barradas S, Zenger M, Hinz A. Quality of life in breast cancer patients: Associations with optimism and social support. Int J Clin Health Psychol 2018; 18(1): 27-34.
  25. Ng CG, Mohamed S, See MH, Harun F, Dahlui M, Sulaiman AH, et al. Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: a 1-year prospective study. Health Qual Life Outcomes 2015; 13: 205.
  26. Firouzbakht M, Hajian-Tilaki K, Moslemi D. Analysis of quality of life in breast cancer survivors using structural equation modelling: the role of spirituality, social support and psychological well-being. Int Health 2020; 12(4): 354-63.
  27. Faller H, Brahler E, Harter M, Keller M, Schulz H, Wegscheider K, et al. Unmet needs for information and psychosocial support in relation to quality of life and emotional distress: A comparison between gynecological and breast cancer patients. Patient Educ Couns 2017; 100(10): 1934-42.
  28. Strayhorn SM, Bergeron NQ, Strahan DC, Villines D, Fitzpatrick V, Watson KS, et al. Understanding the relationship between positive and negative social support and the quality of life among African American breast cancer survivors. Support Care Cancer 2021; 29(9): 5219-26.
  29. Bu L, Chen X, Zheng S, Fan G. Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery-a multicenter study. Front Oncol 2023; 13: 1142728.
  30. Hurtado-de-Mendoza A, Gonzales F, Song M, Holmes EJ, Graves KD, Retnam R, et al. Association between aspects of social support and health-related quality of life domains among African American and White breast cancer survivors. J Cancer Surviv 2022; 16(6): 1379-89.
  31. Zhou K, Ning F, Wang X, Wang W, Han D, Li X. Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study. BMC Womens Health 2022; 22(1): 198.
  32. Zamanian H, Daryaafzoon M, Foroozanfar S, Fakhri Z, Jalali T, Ghotbi A, et al. Which domains of social support better predict quality of life of women with breast cancer? A Cross-Sectional Study. Asia Pac J Oncol Nurs 2021; 8(2): 211-7.
  33. Zamanian H, Amini-Tehrani M, Jalali Z, Daryaafzoon M, Ramezani F, Malek N, et al. Stigma and quality of life in women with breast cancer: mediation and moderation model of social support, sense of coherence, and coping strategies. Front Psychol 2022; 13: 657992.
  34. So WK, Leung DY, Ho SS, Lai ET, Sit JW, Chan CW. Associations between social support, prevalent symptoms and health-related quality of life in Chinese women undergoing treatment for breast cancer: a cross-sectional study using structural equation modelling. Eur J Oncol Nurs 2013; 17(4): 442-8.
  35. Celik GK, Cakir H, Kut E. Mediating role of social support in resilience and quality of life in patients with breast cancer: structural equation model analysis. Asia Pac J Oncol Nurs 2021; 8(1): 86-93.
  36. Ban Y, Li M, Yu M, Wu H. The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support. Health Qual Life Outcomes 2021; 19(1): 178.
  37. Chang HA, Barreto N, Davtyan A, Beier E, Cangin MA, Salman J, et al. Depression predicts longitudinal declines in social support among women with newly diagnosed breast cancer. Psychooncology 2019; 28(3): 635-42.
  38. Zamanian H, Amini-Tehrani M, Jalali Z, Daryaafzoon M, Ala S, Tabrizian S, et al. Perceived social support, coping strategies, anxiety and depression among women with breast cancer: Evaluation of a mediation model. Eur J Oncol Nurs 2021; 50: 101892.
  39. Sun FK, Lu CY, Yao Y, Chiang CY. Social functioning, depression, and quality of life among breast cancer patients: A path analysis. Eur J Oncol Nurs 2023; 62: 102237.
  40. Purkayastha D, Venkateswaran C, Nayar K, Unnikrishnan UG. Prevalence of depression in breast cancer patients and its association with their quality of life: a cross-sectional observational study. Indian J Palliat Care 2017; 23(3): 268-73.
  41. Sebri V, Mazzoni D, Triberti S, Pravettoni G. The impact of unsupportive social support on the injured self in breast cancer patients. Front Psychol 2021; 12: 722211.
  42. Kyriazidou E, Alevizopoulos N, Dokutsidou E, Kavga A, Kalemikerakis I, Konstantinidis T, et al. Health-related quality of life and social support of elderly lung and gastrointestinal cancer patients undergoing chemotherapy. SAGE Open Nurs 2022; 8: 23779608221106444.
  43. Adam A, Koranteng F. Availability, accessibility, and impact of social support on breast cancer treatment among breast cancer patients in Kumasi, Ghana: A qualitative study. PLoS One 2020; 15(4): e0231691.
  44. Jadidi A, Ameri F. Social support and meaning of life in women with breast cancer. Ethiop J Health Sci 2022; 32(4): 709-14.
  45. Hofman A, Zajdel N, Klekowski J, Chabowski M. Improving social support to increase qol in lung cancer patients. Cancer Manag Res 2021; 13: 2319-27.
  46. Echezarraga A, Las Hayas C, López de Arroyabe E, Jones SH. Resilience and recovery in the context of psychological disorders. Journal of Humanistic Psychology 2024; 64(3): 465-88.
  47. Jabali O, Ayyoub AA, Jabali S. Navigating health challenges: the interplay between occupation-imposed movement restrictions, healthcare access, and community resilience. BMC Public Health 2024; 24(1): 1297.
  48. Yin Y, Lyu M, Chen Y, Zhang J, Li H, Li H, Xia G, Zhang J. Self-efficacy and positive coping mediate the relationship between social support and resilience in patients undergoing lung cancer treatment: a cross-sectional study. Front Psychol 2022; 13: 953491.
  49. Ungar M, Theron L. Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry 2020; 7(5): 441-8.
  50. Aizpurua-Perez I, Perez-Tejada J. Resilience in women with breast cancer: A systematic review. Eur J Oncol Nurs 2020; 49: 101854.
Journal of Isfahan Medical School
Volume 42, Issue 761
1st Week, June
May and June 2024
Pages 227-247

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History

  • Receive Date: 29 March 2024
  • Revise Date: 21 July 2024
  • Accept Date: 07 July 2024

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