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

Anna Banik , Aleksandra Łuszczyńska , Izabela Pawłowska , Roman Cieślak , Nina Knoll , Urte Scholz


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.

Author Anna Banik (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Anna Banik,,
- II Wydział Psychologii we Wrocławiu
, Aleksandra Łuszczyńska (Wydział Zamiejscowy we Wrocławiu)
Aleksandra Łuszczyńska,,
- Wydział Zamiejscowy we Wrocławiu
, Izabela Pawłowska
Izabela Pawłowska,,
, Roman Cieślak (Wydział Psychologii)
Roman Cieślak,,
- Wydział Psychologii
, Nina Knoll
Nina Knoll,,
, Urte Scholz
Urte Scholz,,
Journal seriesAnnals of Behavioral Medicine, ISSN 0883-6612, (A 40 pkt)
Issue year2017
Publication size in sheets0.55
Keywords in EnglishNon-small-cell lung cancer, Self-efficacy, Social support, Quality of life, Enabling, Cultivation
ASJC Classification2738 Psychiatry and Mental health; 3200 General Psychology
URL http://www.zora.uzh.ch/128216/
Languageen angielski
art%3A10.1007%2Fs12160-016-9821-9.pdf 503.42 KB
Additional file
2017-01-30-13-51-31-792-2.pdf 22.42 KB
Oświadczenie_publ Luszczynska styczen3 2017.docx 22.05 KB
Score (nominal)40
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 1.281; WoS Impact Factor: 2017 = 3.118 (2) - 2017=4.444 (5)
Citation count*24 (2021-03-07)
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