AUTHOR=Zhang Lating , Cheng Na , Zhang Shan , Liang Xinhui , Jia Yao , Jiang Xue TITLE=Social support and psychological distress of patients with pituitary adenomas: chain-mediated effects of self-efficacy and rumination JOURNAL=Frontiers in Psychology VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1564736 DOI=10.3389/fpsyg.2025.1564736 ISSN=1664-1078