Exploring psychological distress among lung cancer patients through the stress system model.

IF 3.9 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-07-26 DOI:10.1038/s41598-025-09847-6

Yuxiu Liu, Wei Wu, Shuzhen Li, Xin Wang, Lan Zhang

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引用次数: 0

Abstract

Lung cancer, a leading cause of cancer-related mortality globally, often leads to anxiety, fear and other psychological distress due to its poor prognosis, treatment challenges, and financial burden. Prolonged distress may progress to depression or other mental health disorders, adversely affecting patients' quality of life and treatment outcomes. This study examines the prevalence and determinants of psychological distress in lung cancer patients, offering a theoretical basis for timely clinical interventions. This cross-sectional study applied the stress system model to analyze 435 conveniently sampled lung cancer patients in three Chinese tertiary hospitals from September 2023 to February 2024. Data were collected using the Distress Thermometer (DT), Medical Coping Modes Questionnaire (MCMQ), Brief Illness Perception Questionnaire (BIPQ), Edmonton Symptom Assessment Scale (ESAS), Perceived Social Support Scale (PSSS), and Type D Personality Scale (DS14). Statistical analysis, conducted with SPSS 25.0, utilized univariate, correlation, and binary logistic regression analyses to systematically explore the interrelationships and influence mechanisms of these factors on psychological distress from a holistic stress system model perspective. Among 435 lung cancer patients, 52.87% experienced psychological distress (DT = 4.24 ± 2.356). Significant risk factors (P < 0.05) included age, occupational status, family monthly income, payment method, avoidance coping style, symptoms and type D personality. As the detection rate of psychological distress in lung cancer patients is high, clinical staff should dynamically observe the psychological changes of lung cancer patients, do a good job in screening and stratified management of psychological distress, and provide interpersonal psychological guidance to establish a positive mindset, so as to reduce the negative emotions of patients, and to improve the quality of life of patients' health-related issues.

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通过应激系统模型探讨肺癌患者的心理困扰。

肺癌是全球癌症相关死亡的主要原因，由于预后不良、治疗挑战和经济负担，常常导致焦虑、恐惧和其他心理困扰。长期的痛苦可能发展为抑郁症或其他精神健康障碍，对患者的生活质量和治疗结果产生不利影响。本研究旨在探讨肺癌患者心理困扰的患病率及影响因素，为临床及时干预提供理论依据。本横断面研究采用应激系统模型对2023年9月至2024年2月在中国三家三级医院方便抽样的435例肺癌患者进行分析。采用痛苦温度计（DT）、医疗应对方式问卷（MCMQ）、简短疾病感知问卷（BIPQ）、埃德蒙顿症状评估量表（ESAS）、感知社会支持量表（PSSS）和D型人格量表（DS14）收集数据。统计分析采用SPSS 25.0软件，采用单变量、相关、二元logistic回归分析，从整体应激系统模型的角度系统探讨各因素对心理困扰的相互关系及影响机制。435例肺癌患者中，有52.87%的患者存在心理困扰（DT = 4.24±2.356）。显著危险因素(P

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来源期刊

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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