青少年癌症患者的性格强度模式、社会支持和心理困扰：一项多中心横断面研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-10-20 DOI:10.1016/j.apjon.2024.100609

Ning Qin , Yinglong Duan , Yi Zhou , Yuxuan Li , Juan Luo , Yue Kang , Jian Zhou , Jianfei Xie , Andy S.K. Cheng

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引用次数: 0

摘要

目的全世界的青少年癌症患者（AYAC）都经历过严重的心理困扰。社会支持与减轻癌症患者的心理压力有关，但性格力量模式在这种关联中的作用尚未得到探讨。本研究探讨了性格强度模式是否会影响社会支持与青少年癌症患者心理困扰之间的关联。参与者填写了评估社会人口学、心理困扰、社会支持和性格力量的问卷。潜在特征分析确定了性格强度模式，多元线性回归模型检验了两者之间的关联。在 728 名参与者中，出现了三种性格强度模式：低（LCS）、中（MCS）和高（HCS）。在所有模式中，较高的社会支持与较低的 AYAC 痛苦显著相关（女性：β = -0.124，95% CI = -0.051 至 -0.015；男性：β = -0.180，95% CI = -0.080 至 -0.030；P <0.001）。无论男女，具有 MCS 和 HCS 的青少亚博app客服生经历的痛苦明显少于具有 LCS 的青少亚博app客服生。然而，与女性（MCS：β = -0.284，95% CI = -1.898 至 -1.033; HCS：β = -0.777，95% CI = -3.420 至 -2.495；P < 0.001）相比，男性（MCS：β = -0.284，95% CI = -1.215 至 -0.结论性格强度模式并没有缓和或混淆社会支持与心理困扰之间的关系，但与社会支持相比，性格强度模式对心理困扰具有更强的保护作用。较高的性格强度模式与较低的心理压力有更强的关联，尤其是对男性而言。

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Character strength patterns, social support and psychological distress in adolescents and young adults with cancer: A multicenter cross-sectional study

Objective

Adolescents and young adults with cancer (AYAC) experience severe psychological distress worldwide. Social support was associated with reduced distress among cancer patients, but the role of character strength patterns in this association is unexplored. This study explored whether character strength patterns influence the association between social support and psychological distress in AYAC.

Methods

A multicenter cross-sectional study was conducted at four hospitals in Changsha, China. Participants completed questionnaires assessing sociodemographic, distress, social support, and character strengths. Latent profile analysis determined character strength patterns, and multiple linear regression models examined the association. Interaction terms tested moderation effects, and adjusted models examined confounding, all stratified by gender.

Results

Among 728 participants, three character strength patterns emerged: low (LCS), moderate (MCS), and high (HCS). Across all patterns, higher social support was significantly associated with lower distress in AYAC (female: β = −0.124, 95% CI = −0.051 to −0.015; male: β = −0.180, 95% CI = −0.080 to −0.030; P < 0.001). AYAC with MCS and HCS experienced significantly less distress than those with LCS, across both genders. However, the association between character strength patterns and lower distress was stronger in males (MCS: β = −0.384, 95% CI = −1.898 to −1.033; HCS: β = −0.777, 95% CI = −3.420 to −2.495; P < 0.001) compared to females (MCS: β = −0.284, 95% CI = −1.215 to −0.700; HCS: β = −0.593, 95% CI = −2.776 to −2.102; P < 0.001).

Conclusions

Character strength patterns didn't moderate or confound the association between social support and psychological distress, but had stronger protective effects against psychological distress than social support. Higher character strength patterns showed a stronger association with lower psychological distress, especially for males.

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