癌症患者社会支持与自杀意念的关系：系统评价和荟萃分析。

Association between social support and suicidal ideation in patients with cancer: A systematic review and meta-analysis.

机构信息

School of Medicine, Nantong University, Nantong, China.

Department of Thoracic Oncology, Rugao People's Hospital, Nantong, China.

出版信息

Eur J Cancer Care (Engl). 2021 Mar;30(2):e13382. doi: 10.1111/ecc.13382. Epub 2020 Dec 4.

DOI:10.1111/ecc.13382

PMID:33277772

Abstract

OBJECTIVE

To quantitatively examine the relationship between social support and suicidal ideation (SI) among patients with cancer and identify the moderators that influence the magnitude of this association.

METHODS

Publications were searched in PubMed, PsycINFO, EMBASE, Cochrane Library and Chinese National Knowledge Infrastructure from database inception to May, 2020. Correlation coefficients (r) were chosen as the effect size with a random model to evaluate the overall effect size between social support and SI in patients with cancer. To assess statistical heterogeneity, we examined potential moderator variables on the social support and SI.

RESULTS

A total of 881 studies were identified in initial search, and twelve studies were eligible. A negative, small but significant correlation (r = -0.22, 95% CIs: -0.30,-0.14, p < 0.001) was observed between social support and SI in patients with cancer, with a significant heterogeneity (I = 95.24%, Q = 231.27, p < 0.001). Moderator analyses indicated that race/ethnicity (Q(1) = 8.4, p < 0.05) and measurements of social support (Q(3) = 9.78, p < 0.05) and SI (Q(3) = 9.69, p < 0.05) significantly moderate the effect size between social support and SI.

CONCLUSION

Taken together, we found a negative yet significant association between social support and SI in patients with cancer, which supported the importance of social support for the prevention of SI in patients with cancer.

摘要

目的

定量研究癌症患者社会支持与自杀意念（SI）之间的关系，并确定影响这种关联程度的调节因素。

方法

从数据库建立到 2020 年 5 月，在 PubMed、PsycINFO、EMBASE、Cochrane 图书馆和中国国家知识基础设施中搜索出版物。选择相关系数（r）作为效应量，采用随机模型评估癌症患者社会支持与 SI 之间的总体效应量。为了评估统计异质性，我们对社会支持和 SI 上的潜在调节变量进行了评估。

结果

初步搜索共确定了 881 项研究，其中 12 项研究符合纳入标准。癌症患者的社会支持与 SI 之间存在负相关，虽然相关程度较小但具有统计学意义（r=-0.22，95%置信区间：-0.30，-0.14，p<0.001），且存在显著的异质性（I=95.24%，Q=231.27，p<0.001）。调节分析表明，种族/民族（Q（1）=8.4，p<0.05）以及社会支持（Q（3）=9.78，p<0.05）和 SI（Q（3）=9.69，p<0.05）的测量方法显著调节了社会支持与 SI 之间的效应量。