Ohio State University Comprehensive Cancer Center-James, Columbus, Ohio, United States of America.
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, United States of America.
PLoS One. 2022 Aug 8;17(8):e0272649. doi: 10.1371/journal.pone.0272649. eCollection 2022.
Problems in affective and cognitive functioning are among the most common concurrent symptoms that breast cancer patients report. Social relationships may provide some explanations of the clinical variability in affective-cognitive symptoms. Evidence suggests that social relationships (functional and structural aspects) can be associated with patients' affective-cognitive symptoms; however, such an association has not been well studied in the context of breast cancer.
The purpose of this scoping review was to address the following question: What social relationships are associated with affective-cognitive symptoms of women with breast cancer?
This scoping review used the framework proposed by Arksey and O'Malley and PRISMA-Sc. Studies published by February 2022 were searched using four databases: MEDLINE (PubMed), Embase (Elsevier), PsycINFO (EBSCOhost), and Web of Science (Clarivate). All retrieved citations were independently screened and eligibility for inclusion was determined by study team members. Extracted data included research aims, design, sample, type and measures of social relationships (functional and structural), and the association between social relationships and affective-cognitive symptoms.
A total of 70 studies were included. Affective symptoms were positively associated with social support, family functioning, quality of relationships, social networks, and social integration, whereas the negative association was found with social constraints.
Our findings suggest positive social relationships may mitigate affective symptoms of women with breast cancer. Thus, health care providers need to educate patients about the importance of building solid social relationships and encourage them to participate in a supportive network of friends and family members.
情感和认知功能障碍是乳腺癌患者报告的最常见的并存症状之一。社会关系可能为情感认知症状的临床变异性提供一些解释。有证据表明，社会关系（功能和结构方面）与患者的情感认知症状有关；然而，在乳腺癌背景下，这种关联尚未得到很好的研究。
本范围综述的目的是回答以下问题：哪些社会关系与乳腺癌女性的情感认知症状有关？
本范围综述使用了 Arksey 和 O'Malley 提出的框架和 PRISMA-Sc。通过四个数据库：MEDLINE（PubMed）、Embase（Elsevier）、PsycINFO（EBSCOhost）和 Web of Science（Clarivate），于 2022 年 2 月前搜索发表的研究。由研究团队成员独立筛选检索到的所有引文，并确定其纳入资格。提取的数据包括研究目的、设计、样本、社会关系（功能和结构）的类型和测量方法，以及社会关系与情感认知症状之间的关联。
共纳入 70 项研究。情感症状与社会支持、家庭功能、关系质量、社交网络和社会融合呈正相关，而与社会约束呈负相关。
我们的研究结果表明，积极的社会关系可能减轻乳腺癌女性的情感症状。因此，医疗保健提供者需要教育患者建立牢固的社会关系的重要性，并鼓励他们参与朋友和家人的支持网络。
