Self-Efficacy Mediates The Relationship Between Social Support And Psychological Resilience In Patients With Lung Cancer: A Cross-Sectional Study

Abstract Purpose: The prognosis of patients with lung cancer might be influenced by mental health. Psychological resilience is one of the important indicators to reflect the psychological state. It has been shown that patients with higher social support and self-efficacy have better psychological resilience. The aim of this study was to determine whether or not self-efficacy mediates the relationship between social support and psychological resilience in patients with lung cancer.Methods: A cross-sectional study of 303 lung cancer patients was conducted. Participants completed questionnaires, including the Chinese version of the Perceived Social Support Seale Scale, the Chinese version of Strategies Used by People to Promote Health Scale, and the Chinese version of the Connor-Davidson Resilience Scale. Results: Mediation analysis indicated that self-efficacy had a partially mediating effect between social support and psychological resilience. Direct paths from social support to self-efficacy, self-efficacy to psychological resilience, and social support to psychological resilience were significant (p< 0.001). Moreover, indirect paths from social support to self-efficacy and self-efficacy to psychological resilience were also significant at the 95% level [0.120–0.550]; the mediating effect accounted for 38.16% of the total effect.Conclusions: Self-efficacy plays an important role in the relationships between social support and psychological resilience in cancer patients. Social support not only directly influenced the psychological resilience, but also indirectly influenced psychological resilience through self-efficacy.