Social support, hope, resilience tied to reduced PTSD symptoms in ovarian cancer
In ovarian cancer patients, social support was negatively associated with symptoms of post-traumatic stress disorder (PTSD) and could explain variations in the symptoms, a new study shows.
The study included 201 adult ovarian cancer patients (mean age 55.28±9.65 years) with clear cognition and consciousness. Those diagnosed with psychiatric problems prior to cancer, with intellectual defects and with other types of cancers were excluded.
PTSD symptoms were evaluated using the PTSD Checklist-Civilian Version (PCL-C), while the Duke-UNC Functional Social Support Questionnaire was used to determine the level of social support. Hope and resilience were assessed using the Herth Hope Index (HHI) and Resilience Scale-14 (RS-14), respectively.
Of the 201 participants, 91.0 percent were either married or living with a partner, and 72.6 percent had stage 3 or 4 cancers with 93.0 percent testing negative for metastasis. Combination treatment was administered to 57.2 percent of the participants, and the prevalence of PTSD symptoms was 21.9 percent.
There were significantly more PTSD symptoms in those with low monthly income compared with the higher income brackets (p=0.024). Similarly, PTSD symptoms were significantly greater in stage 3 and 4 cancer patients compared with stage 1 and 2 cancer patients (p=0.010).
PTSD symptoms were significantly negatively correlated with social support (p<0.01), hope (p<0.01) and resilience (p<0.01). Among the three psychological variables, social support showed significant positive correlations with hope (p<0.01) and resilience (p<0.01); hope and resilience were significantly correlated with each other (p<0.01).
Finally, hierarchical regression analysis showed that social support (p<0.01), hope (p<0.01) and resilience (p<0.05) were all significantly negatively associated with PTSD symptoms. Social support and hope/resilience explained 14.7 and 17.0 percent, respectively, of the variance in symptoms.