Psychosocial adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis

Abstract

Purpose

To identify subgroups of psychosocial adjustment among patients with newly diagnosed colorectal cancer, and to examine the inflencing factors of different subgroups.

Methods

The study surveyed 490 participants in Guangzhou from July 2022 to June 2023 using face-to-face method. The scales measured psychosocial adjustment, resilience, and coping styles. Statistical analysis included latent profile analysis and multinomial logistic regression. The STROBE guidelines were followed in this study.

Results

Three subgroups of psychosocial adjustment were identified: the low adjustment (23.7%), the moderate adjustment (44.5%), and the high adjustment (31.8%). Factors influencing psychosocial adjustment included optimism, resignation coping style, household per capita monthly income, and tumor metastasis.

Conclusions

This study employed a human-centered approach to identify three types of psychosocial adjustment in newly diagnosed colorectal cancer patients. Variations were observed in optimism, resignation coping, tumor metastasis, and household income. Prompt identification of high-risk groups and tailored interventions are essential for improving psychosocial adjustment.