Psychosocial Risk Factors and Perceived Well-Being in Survivors of Gastrointestinal Cancer.

IF 3.5 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-10-01 DOI:10.1002/pon.70302

Samuel D Butensky, Kurt S Schultz, Elizabeth L Godfrey, Jihoon Kim, Tara Sanft, Caroline H Johnson, Ira L Leeds, Sajid A Khan

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引用次数: 0

Abstract

Background: There are 18 million cancer survivors in the United States; 10% have gastrointestinal (GI) cancer. Psychosocial risk factors (PSRF) and perceived health (PH) are important to their well-being.

Aims: This study examines PSRF among survivors of GI cancer and evaluates their association with PH.

Methods: A cross-sectional analysis of the All of Us Research Program included survivors of GI cancer who completed Social Determinants of Health and Overall Health surveys. PSRF were assessed using validated scales. Regression models evaluated associations between PSRF and PH.

Results: 13,813 patients with GI cancer were included. Female patients were more likely to perceive good physical health (OR 1.52 [95% CI: 1.30-1.79]) than male patients. Black patients reported higher discrimination (β 0.25 [95% CI: 0.20-0.31]) compared to white patients. Increased loneliness and stress decreased the odds of reporting good mental health by 53% (OR 0.47 [95% CI: 0.39-0.56]) and 39% (OR 0.61 [95% CI: 0.50-0.74]), respectively. Increased spirituality was associated with improved perceived mental health (OR 1.12 [95% CI: 1.06-1.17]). Healthcare discrimination (OR 0.87 [95% CI: 0.79-0.97]) and loneliness (OR 0.84 [95% CI: 0.73-0.97]) were negatively associated with perceived physical health. Social support (OR 1.16 [95% CI: 1.06-1.26]) and spirituality (OR 1.08 [95% CI: 1.02-1.14]) were positively associated with quality of life.

Conclusion: Protective PSRF such as social support and spirituality are correlated with better perceived health in survivors of GI cancer. Tailoring supportive services based on patient-reported experience may help improve quality of life in cancer survivorship.

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胃肠癌幸存者的心理社会风险因素和感知幸福感。

背景：美国有1800万癌症幸存者；10%患有胃肠道（GI）癌。心理社会风险因素（PSRF）和感知健康（PH）对他们的福祉很重要。目的：本研究考察了GI癌症幸存者的PSRF，并评估其与ph的关系。方法：对“我们所有人”研究项目的横断面分析，包括完成健康社会决定因素和整体健康调查的GI癌症幸存者。PSRF采用经验证的量表进行评估。回归模型评估PSRF与ph之间的关系。结果：纳入13813例胃肠道肿瘤患者。女性患者比男性患者更有可能感觉身体健康（OR: 1.52 [95% CI: 1.30-1.79]）。与白人患者相比，黑人患者报告更高的歧视（β 0.25 [95% CI: 0.20-0.31]）。孤独感和压力的增加使报告良好心理健康的几率分别降低了53% （OR 0.47 [95% CI: 0.39-0.56]）和39% （OR 0.61 [95% CI: 0.50-0.74]）。增加的灵性与改善的感知心理健康相关（OR 1.12 [95% CI: 1.06-1.17]）。保健歧视（OR 0.87 [95% CI: 0.79-0.97]）和孤独（OR 0.84 [95% CI: 0.73-0.97]）与感知身体健康呈负相关。社会支持（OR 1.16 [95% CI: 1.06-1.26]）和精神（OR 1.08 [95% CI: 1.02-1.14]）与生活质量呈正相关。结论：社会支持和灵性等保护性PSRF与胃肠道癌症幸存者更好的健康感知相关。根据患者报告的经验量身定制支持服务可能有助于提高癌症幸存者的生活质量。

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

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.