Serial multiple mediation model of fear of cancer recurrence in patients with colorectal cancer.

IF 3.2 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-10-01 Epub Date: 2025-04-14 DOI:10.1037/hea0001483

Yun-Jen Chou, Yun-Hsiang Lee, Been-Ren Lin, Jeng-Kai Jiang, Hui-Ying Yang, Hsiang-Ying Lin, Shiow-Ching Shun

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引用次数: 0

Abstract

Objective: The present study investigated the interrelationships among fatigue, depressive symptoms, resilience, and fear of cancer recurrence in patients with colorectal cancer.

Method: Patients were recruited from the colorectal cancer surgical outpatient departments of two medical centers in northern Taiwan. A total of 416 patients with colorectal cancer at Stages 0-III were recruited. The Fatigue Symptom Inventory, Resilience Scale, Center for Epidemiological Studies Depression Scale, and Fear of Cancer Recurrence Inventory-Short Form were adopted. The generated serial multiple mediation model was examined using the Hayes PROCESS macro V4.3 in SPSS.

Results: The patients had mild overall scores in fatigue, depressive symptoms, and fear of cancer recurrence but moderate scores in resilience. Notably, 46.6% of the patients had clinical-level scores in fear of cancer recurrence. Fear of cancer recurrence was negatively correlated with resilience and positively correlated with fatigue and depressive symptoms. Furthermore, resilience and depressive symptoms fully mediated the relationship between fatigue and fear of cancer recurrence.

Conclusions: The findings of this study underscore the pivotal roles of resilience and depressive symptoms in the relationship between fatigue and fear of cancer recurrence. Therefore, health care providers are encouraged to prioritize early assessment and the management of depressive symptoms in patients with colorectal cancer and incorporate resilience-focused interventions into their care plans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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结直肠癌患者肿瘤复发恐惧的串联多重中介模型

目的：探讨结直肠癌患者疲劳、抑郁症状、心理恢复力与癌症复发恐惧之间的相互关系。方法：选取台湾北部两所医疗中心大肠癌外科门诊患者。总共招募了416名0-III期结直肠癌患者。采用疲劳症状量表、心理弹性量表、流行病学研究中心抑郁量表、癌症复发恐惧量表简表。生成的串行多重中介模型使用SPSS中的Hayes PROCESS宏V4.3进行检验。结果：患者在疲劳、抑郁症状和对癌症复发的恐惧方面得分为轻度，而在恢复力方面得分为中等。值得注意的是，46.6%的患者有临床水平的癌症复发恐惧评分。对癌症复发的恐惧与恢复力呈负相关，与疲劳和抑郁症状呈正相关。此外，恢复力和抑郁症状完全介导了疲劳和癌症复发恐惧之间的关系。结论：本研究的结果强调了弹性和抑郁症状在疲劳和癌症复发恐惧之间的关系中的关键作用。因此，鼓励卫生保健提供者优先考虑结肠直肠癌患者抑郁症状的早期评估和管理，并将以恢复力为重点的干预措施纳入其护理计划。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.