Exploring the developmental changes in and the relationship between resilience and anxiety and depression in older gastric cancer survivors: A latent growth mixture model and random intercept cross-lagged panel model analysis

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-10-30 DOI:10.1111/bjhp.12762

Yinning Guo, Ting Wang, Xueyi Miao, Lingyu Ding, Hanfei Zhu, Kang Zhao, Ting Xu, Chulei Tang, Xinyi Xu, Qin Xu

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引用次数: 0

Abstract

Objectives

This study aims to investigate the independent and joint trajectories of resilience, anxiety, and depression symptoms and research the interaction between older gastric cancer survivors' resilience and anxiety–depression during the period of 1 year after surgery.

Methods

The participants were 381 older gastric cancer survivors, with a mean age of 69 years. Resilience, anxiety, and depression symptoms were assessed immediately after surgery, and at 3, 6, and 12 months post-surgery, respectively. A longitudinal design was employed to capture the dynamic changes in resilience, anxiety, and depression levels among older gastric cancer survivors post-surgery. Latent growth mixture model and random intercept cross-lagged panel model were used to analyse the trajectories of resilience and anxiety–depression and the interaction between them.

Results

Two latent trajectories were identified for the resilience, four latent trajectories were identified for the anxiety, and five latent trajectories were identified for the depression, respectively, with three joint trajectories identified: gradual-increasing resilience, gradual-decreasing anxiety, and depression group (10.0%); gradual-decreasing resilience, gradual-increasing anxiety, and depression group (21.2%); and rapid-growth resilience, rapid-decline anxiety, and depression group (68.8%). Resilience among older gastric cancer survivors exhibits significant bidirectional and negative predictive effects on anxiety and depression.

Conclusions

Individual differences in resilience, anxiety, and depression trajectories exist among older gastric cancer survivors, with heterogeneous joint progression patterns, and the relationship between resilience and anxiety–depression appears bidirectional. More sophisticated intervention programmes tailored to the unique characteristics of the relevant trajectories are necessary to enhance resilience and mitigate the risk of anxiety and depression.

查看原文本刊更多论文

探索老年胃癌幸存者复原力的发展变化及其与焦虑和抑郁之间的关系：潜在增长混合模型和随机截距交叉滞后面板模型分析。

研究目的本研究旨在调查老年胃癌幸存者在术后 1 年内的复原力、焦虑和抑郁症状的独立和联合轨迹，并研究复原力和焦虑抑郁之间的相互作用：研究对象为 381 名老年胃癌幸存者，平均年龄为 69 岁。分别在术后即刻、术后 3 个月、6 个月和 12 个月对复原力、焦虑和抑郁症状进行评估。研究采用纵向设计，以捕捉老年胃癌幸存者术后复原力、焦虑和抑郁水平的动态变化。采用潜在增长混合模型和随机截距交叉滞后面板模型分析复原力和焦虑抑郁的轨迹以及它们之间的交互作用：结果：复原力有两条潜轨迹，焦虑有四条潜轨迹，抑郁有五条潜轨迹，其中有三条共同轨迹：复原力逐渐增强、焦虑逐渐减弱、抑郁组（10.0%）；复原力逐渐减弱、焦虑逐渐增强、抑郁组（21.2%）；复原力迅速增强、焦虑迅速减弱、抑郁组（68.8%）。老年胃癌幸存者的复原力对焦虑和抑郁有显著的双向和负向预测作用：结论：老年胃癌幸存者在复原力、焦虑和抑郁的发展轨迹上存在个体差异，其共同发展模式也不尽相同，复原力与焦虑抑郁之间的关系似乎是双向的。有必要针对相关轨迹的独特特征制定更复杂的干预方案，以增强复原力并降低焦虑和抑郁的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.