Prediction of suicidal ideation and rumination based on illness perception and social support in cancer patients: A cross-sectional study.

IF 2.1 4区医学 Q3 ONCOLOGY

Cancer Causes & Control Pub Date : 2025-05-05 DOI:10.1007/s10552-025-02005-3

Mohammadsoroush Agah, Abdol-Azim Seddighi Pashaki, Zahra Taslimi, Behnaz Alafchi, Arya Haddadi, Saeid Yazdi-Ravandi

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引用次数: 0

Abstract

Purpose: According to the World Health Organization, cancer is the second leading cause of death globally after cardiovascular diseases and the third leading cause of death in Iran. It is generally accepted that suicidal thoughts and rumination affect the treatment process of cancer. As the rate of suicide in the first 6 months after cancer diagnosis has been reported seven times compared to the general population. On the other hand, it seems that patients' perception of their disease and social support are predictors of suicidal thoughts and rumination in these patients. In this study, we investigated the impact of disease perception and social support on the level of suicidal thoughts and rumination in cancer patients.

Methods: This descriptive-analytical cross-sectional study was conducted on the adult cancer patients of Hamadan city in 2024. A total of 250 patients were selected through convenience sampling. Data were collected using the Beck Scale for Suicidal Ideation (BSSI), the Nolen-Hoeksema and Morrow Rumination Questionnaire, the Brief Illness Perception Questionnaire (BIPQ), and the Social Support Questionnaire (SS-A). Data analysis was performed using Pearson correlation coefficient and regression analysis with the application of SPSS-26 software.

Results: The findings indicate that social support (β = - 0.458, p < 0.001 (and disease perception (β = 0.168, p = 0.003) are significant predictors of suicidal thoughts. Additionally, increased disease perception (β = 0.242, p = 0.000) can lead to increased rumination (β = - 0.379, p = 0.000), while social support (β = - 0.379, p = 0.000) plays a protective role in reducing rumination.

Discussion: The results of this study show that disease perception and social support can predict suicidal thoughts and rumination in cancer patients. Clinically, the findings emphasize the necessity of considering psychological factors such as disease perception and social support in the treatment process of cancer patients.

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基于疾病感知和社会支持的癌症患者自杀意念和反刍预测：一项横断面研究。

目的：据世界卫生组织称，癌症是仅次于心血管疾病的全球第二大死亡原因，也是伊朗第三大死亡原因。人们普遍认为，自杀念头和沉思会影响癌症的治疗过程。在癌症确诊后的前6个月自杀率是一般人群的7倍。另一方面，患者对疾病的感知和社会支持似乎是这些患者自杀念头和反思的预测因素。在本研究中，我们探讨了疾病知觉和社会支持对癌症患者自杀念头和反刍水平的影响。方法：对哈马丹市2024年成人癌症患者进行描述性横断面研究。采用方便抽样法，共选取250例患者。采用贝克自杀意念量表（BSSI）、Nolen-Hoeksema和Morrow反刍问卷、简短疾病知觉问卷（BIPQ）和社会支持问卷（SS-A）进行数据收集。数据分析采用Pearson相关系数法，应用SPSS-26软件进行回归分析。结果：社会支持（β = - 0.458, p）对癌症患者的自杀念头和反刍行为具有预测作用。在临床上，研究结果强调了在癌症患者的治疗过程中考虑疾病认知和社会支持等心理因素的必要性。

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

Cancer Causes & Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.90

自引率

4.30%

发文量

130

审稿时长

6.6 months

期刊介绍： Cancer Causes & Control is an international refereed journal that both reports and stimulates new avenues of investigation into the causes, control, and subsequent prevention of cancer. By drawing together related information published currently in a diverse range of biological and medical journals, it has a multidisciplinary and multinational approach. The scope of the journal includes: variation in cancer distribution within and between populations; factors associated with cancer risk; preventive and therapeutic interventions on a population scale; economic, demographic, and health-policy implications of cancer; and related methodological issues. The emphasis is on speed of publication. The journal will normally publish within 30 to 60 days of acceptance of manuscripts. Cancer Causes & Control publishes Original Articles, Reviews, Commentaries, Opinions, Short Communications and Letters to the Editor which will have direct relevance to researchers and practitioners working in epidemiology, medical statistics, cancer biology, health education, medical economics and related fields. The journal also contains significant information for government agencies concerned with cancer research, control and policy.