Psychological distress in biliary tract malignancy patients: influencing factors and development of a predictive nomogram model.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1450860
Zhennan Gou, Yuhua Liu, Wenjie Tang, Changming Zhou, Zhenqi Lu, Lu Wang, Wei Feng, Weiqi Xu, Jun Wang
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Abstract

Objective: This study aims to investigate the psychological distress and its influencing factors in patients with biliary tract malignant tumors, alongside the development of a predictive model.

Methods: A total of 219 patients diagnosed with biliary tract malignant tumors who were admitted to the Department of Liver Surgery at Fudan University Shanghai Cancer Center from July 2021 to May 2023, were selected using a convenience sampling method. Research tools involve psychological distress management screening tools, a demographic questionnaire, self-rating anxiety and depression scales, and the Chinese version of the Memorial Symptom Assessment Scale. Bootstrap method was utilized for repeated sampling to identify relevant factors influencing psychological distress in biliary tract cancer patients. The R software was employed to create a nomogram model, and the model's accuracy and predictive performance were assessed using the receiver operating characteristic curve (ROC) and the Hosmer-Lemeshow test.

Results: The average score of psychological distress among the 219 patients was (3.91 ± 2.44), with a psychological distress detection rate of 54.8%. Regression model results indicated that factors such as the presence of distant metastasis, comorbidity with other major diseases, poor sleep quality, anxiety, and severity of anxiety and depression were the primary influencers of psychological distress.

Conclusion: The detection rate of psychological distress in patients with biliary tract malignant tumors is notably high. The predictive model constructed in this study exhibits good predictive efficacy and clinical value, providing valuable reference for healthcare professionals in developing targeted intervention strategies.

胆道恶性肿瘤患者的心理困扰:影响因素及预测nomogram模型的建立。
目的:探讨胆道恶性肿瘤患者的心理困扰及其影响因素,并建立预测模型。方法:选择2021年7月至2023年5月复旦大学上海肿瘤中心肝脏外科收治的胆道恶性肿瘤患者219例,采用方便抽样法。研究工具包括心理困扰管理筛选工具、人口统计问卷、焦虑抑郁自评量表和中文版纪念症状评估量表。采用Bootstrap法反复抽样,探讨影响胆道肿瘤患者心理困扰的相关因素。采用R软件建立nomogram模型,采用受试者工作特征曲线(ROC)和Hosmer-Lemeshow检验对模型的准确性和预测性能进行评估。结果:219例患者心理困扰平均得分为(3.91±2.44)分,心理困扰检出率为54.8%。回归模型结果显示,存在远处转移、与其他重大疾病合并症、睡眠质量差、焦虑、焦虑和抑郁严重程度等因素是影响心理困扰的主要因素。结论:胆道恶性肿瘤患者心理困扰的检出率明显较高。本研究构建的预测模型具有良好的预测效果和临床价值,可为医护人员制定针对性的干预策略提供有价值的参考。
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
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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