Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients

Nkechi A Chukwuemeka, Tosin Yinka Akintunde*, Favour E Uzoigwe, Marvellous Okeke, Andrew Tassang, Stanley Oloji Isangha

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

1 Citation (Scopus)
11 Downloads (CityUHK Scholars)

Abstract

The interrelationships of suicidal ideation, psychological distress, and impaired health-related quality of life (HRQoL) in cancer patients are complex and multifaceted. Limited empirical evidence exists on the indirect effects of impaired HRQoL on suicidal ideation through psychological distress among cancer patients. To fill this research gap, 250 cancer patients were recruited through a cross-sectional hospital-based research design. Structural equation model (SEM) results indicated that impaired HRQoL is a predictor of psychological distress (β = 0.153; p < 0.05), and psychological distress positively predicts suicidal ideation (β = 0.647; p < 0.000). The study found no direct effects of impaired HRQoL on suicidal ideation (β = −0.05; p = 0.223). Indirect effects of HRQoL on suicidal ideation was confirmed, showing a full-mediation effect β = 0.099 (SE = 0.048, CI = [0.030, 0.189], p < 0.05) (i.e. the pathway impaired HRQoL predict suicidal ideation is through psychological distress). Cognitive-behavioral therapy and other emotional support programs should be considered for cancer patients to mitigate psychological vulnerabilities linking impaired HRQoL to suicidal ideation. © The Author(s) 2024.
Original languageEnglish
Pages (from-to)1061-1073
JournalJournal of Health Psychology
Volume29
Issue number10
Online published26 Jan 2024
DOIs
Publication statusPublished - Sept 2024

Bibliographical note

Information for this record is supplemented by the author(s) concerned.

Research Keywords

  • cancer
  • health-related quality of life
  • psychological distress
  • suicidal ideation

Publisher's Copyright Statement

  • This full text is made available under CC-BY 4.0. https://creativecommons.org/licenses/by/4.0/

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