Social Support Mediates the Relationship between Body Image Distress and Depressive Symptoms in Prostate Cancer Patients

Int J Environ Res Public Health. 2022 Apr 15;19(8):4825. doi: 10.3390/ijerph19084825.

Abstract

Treatments for prostate cancer (PCa), the second most common cancer in men, may affect the body image (BI) of patients, increasing the risk of negative mental health outcomes. However, an enabling social support network may be a protective factor against the effects of BI distress on health. Therefore, the present study examined the mediating role of social support in the relationship between BI distress and depressive symptoms. Data were retrospectively collected from 197 PCa patients aged from 48 to 79 years (M = 67.19; SD = 6.83). The statistical package for the social sciences with PROCESS Macro was used to assess the direct and mediating effects with bias-corrected bootstrapping (10,000 samples). Results showed that BI distress was positively associated with depressive symptoms and that social support partially mediated this relationship. Moreover, among the different sources of social support, only friend support significantly mediated the association between BI distress and depressive symptoms. This study sheds light on the crucial role of social support as a dimension that can promote health in PCa patients.

Keywords: body image; depressive symptoms; mediation; prostate cancer; social support.

MeSH terms

  • Body Image
  • Depression* / epidemiology
  • Depression* / psychology
  • Health Promotion
  • Humans
  • Male
  • Prostatic Neoplasms*
  • Retrospective Studies
  • Social Support