Social correlates of mental health in gastrointestinal cancer patients and their family caregivers

Exploring the role of loneliness

Ekin Secinti, Kevin L. Rand, Shelley Johns, Bert H. O’Neil, Paul Helft, Safi Shahda, Shadia Jalal, Catherine E. Mosher

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: The present study examined the degree to which loneliness mediated the influence of negative (social constraints) and positive (emotional support) relationship qualities on the global mental health of advanced gastrointestinal (GI) cancer patients and their family caregivers. Methods: Fifty patient-caregiver dyads completed measures assessing social constraints (e.g., avoidance, criticism) from the other dyad members, emotional support from others, loneliness, and global mental health. Structural equation modeling was used to examine individual models, and Actor-Partner Interdependence Mediation Modeling was used to examine dyadic associations. Results: Individual path analyses for patients and caregivers demonstrated that emotional support had a significant indirect effect on mental health through loneliness (Bs = 0.32 and 0.30, respectively), but no associations were found between social constraints and mental health. In dyadic analyses, participants’ loneliness and mental health were not significantly related to their partner’s emotional support, loneliness, or mental health (Bs = − 0.18 to 0.18). Conclusions: Findings suggest that for advanced GI cancer patients and caregivers, emotional support from others alleviates feelings of loneliness, which may lead to better mental health. However, the benefits of emotional support appear to be primarily intrapersonal rather than interpersonal in nature. Additionally, participants endorsed low levels of social constraints, which might explain their lack of relation to loneliness and mental health. Continued examination of interdependence in social processes between cancer patients and caregivers will inform intervention development.

Original languageEnglish (US)
JournalSupportive Care in Cancer
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Loneliness
Gastrointestinal Neoplasms
Caregivers
Mental Health
Emotions

Keywords

  • Emotional support
  • Family caregivers
  • Gastrointestinal cancer
  • Loneliness
  • Mental health
  • Social constraints

ASJC Scopus subject areas

  • Oncology

Cite this

Social correlates of mental health in gastrointestinal cancer patients and their family caregivers : Exploring the role of loneliness. / Secinti, Ekin; Rand, Kevin L.; Johns, Shelley; O’Neil, Bert H.; Helft, Paul; Shahda, Safi; Jalal, Shadia; Mosher, Catherine E.

In: Supportive Care in Cancer, 01.01.2018.

Research output: Contribution to journalArticle

@article{698bdf4d252a4443aed9a6b82e64b5b4,
title = "Social correlates of mental health in gastrointestinal cancer patients and their family caregivers: Exploring the role of loneliness",
abstract = "Purpose: The present study examined the degree to which loneliness mediated the influence of negative (social constraints) and positive (emotional support) relationship qualities on the global mental health of advanced gastrointestinal (GI) cancer patients and their family caregivers. Methods: Fifty patient-caregiver dyads completed measures assessing social constraints (e.g., avoidance, criticism) from the other dyad members, emotional support from others, loneliness, and global mental health. Structural equation modeling was used to examine individual models, and Actor-Partner Interdependence Mediation Modeling was used to examine dyadic associations. Results: Individual path analyses for patients and caregivers demonstrated that emotional support had a significant indirect effect on mental health through loneliness (Bs = 0.32 and 0.30, respectively), but no associations were found between social constraints and mental health. In dyadic analyses, participants’ loneliness and mental health were not significantly related to their partner’s emotional support, loneliness, or mental health (Bs = − 0.18 to 0.18). Conclusions: Findings suggest that for advanced GI cancer patients and caregivers, emotional support from others alleviates feelings of loneliness, which may lead to better mental health. However, the benefits of emotional support appear to be primarily intrapersonal rather than interpersonal in nature. Additionally, participants endorsed low levels of social constraints, which might explain their lack of relation to loneliness and mental health. Continued examination of interdependence in social processes between cancer patients and caregivers will inform intervention development.",
keywords = "Emotional support, Family caregivers, Gastrointestinal cancer, Loneliness, Mental health, Social constraints",
author = "Ekin Secinti and Rand, {Kevin L.} and Shelley Johns and O’Neil, {Bert H.} and Paul Helft and Safi Shahda and Shadia Jalal and Mosher, {Catherine E.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1007/s00520-018-4467-8",
language = "English (US)",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - Social correlates of mental health in gastrointestinal cancer patients and their family caregivers

T2 - Exploring the role of loneliness

AU - Secinti, Ekin

AU - Rand, Kevin L.

AU - Johns, Shelley

AU - O’Neil, Bert H.

AU - Helft, Paul

AU - Shahda, Safi

AU - Jalal, Shadia

AU - Mosher, Catherine E.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Purpose: The present study examined the degree to which loneliness mediated the influence of negative (social constraints) and positive (emotional support) relationship qualities on the global mental health of advanced gastrointestinal (GI) cancer patients and their family caregivers. Methods: Fifty patient-caregiver dyads completed measures assessing social constraints (e.g., avoidance, criticism) from the other dyad members, emotional support from others, loneliness, and global mental health. Structural equation modeling was used to examine individual models, and Actor-Partner Interdependence Mediation Modeling was used to examine dyadic associations. Results: Individual path analyses for patients and caregivers demonstrated that emotional support had a significant indirect effect on mental health through loneliness (Bs = 0.32 and 0.30, respectively), but no associations were found between social constraints and mental health. In dyadic analyses, participants’ loneliness and mental health were not significantly related to their partner’s emotional support, loneliness, or mental health (Bs = − 0.18 to 0.18). Conclusions: Findings suggest that for advanced GI cancer patients and caregivers, emotional support from others alleviates feelings of loneliness, which may lead to better mental health. However, the benefits of emotional support appear to be primarily intrapersonal rather than interpersonal in nature. Additionally, participants endorsed low levels of social constraints, which might explain their lack of relation to loneliness and mental health. Continued examination of interdependence in social processes between cancer patients and caregivers will inform intervention development.

AB - Purpose: The present study examined the degree to which loneliness mediated the influence of negative (social constraints) and positive (emotional support) relationship qualities on the global mental health of advanced gastrointestinal (GI) cancer patients and their family caregivers. Methods: Fifty patient-caregiver dyads completed measures assessing social constraints (e.g., avoidance, criticism) from the other dyad members, emotional support from others, loneliness, and global mental health. Structural equation modeling was used to examine individual models, and Actor-Partner Interdependence Mediation Modeling was used to examine dyadic associations. Results: Individual path analyses for patients and caregivers demonstrated that emotional support had a significant indirect effect on mental health through loneliness (Bs = 0.32 and 0.30, respectively), but no associations were found between social constraints and mental health. In dyadic analyses, participants’ loneliness and mental health were not significantly related to their partner’s emotional support, loneliness, or mental health (Bs = − 0.18 to 0.18). Conclusions: Findings suggest that for advanced GI cancer patients and caregivers, emotional support from others alleviates feelings of loneliness, which may lead to better mental health. However, the benefits of emotional support appear to be primarily intrapersonal rather than interpersonal in nature. Additionally, participants endorsed low levels of social constraints, which might explain their lack of relation to loneliness and mental health. Continued examination of interdependence in social processes between cancer patients and caregivers will inform intervention development.

KW - Emotional support

KW - Family caregivers

KW - Gastrointestinal cancer

KW - Loneliness

KW - Mental health

KW - Social constraints

UR - http://www.scopus.com/inward/record.url?scp=85053607553&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053607553&partnerID=8YFLogxK

U2 - 10.1007/s00520-018-4467-8

DO - 10.1007/s00520-018-4467-8

M3 - Article

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

ER -