结直肠癌患者肿瘤复发恐惧的串联多重中介模型

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
{"title":"结直肠癌患者肿瘤复发恐惧的串联多重中介模型","authors":"Yun-Jen Chou, Yun-Hsiang Lee, Been-Ren Lin, Jeng-Kai Jiang, Hui-Ying Yang, Hsiang-Ying Lin, Shiow-Ching Shun","doi":"10.1037/hea0001483","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The present study investigated the interrelationships among fatigue, depressive symptoms, resilience, and fear of cancer recurrence in patients with colorectal cancer.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"955-962"},"PeriodicalIF":3.2000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Serial multiple mediation model of fear of cancer recurrence in patients with colorectal cancer.\",\"authors\":\"Yun-Jen Chou, Yun-Hsiang Lee, Been-Ren Lin, Jeng-Kai Jiang, Hui-Ying Yang, Hsiang-Ying Lin, Shiow-Ching Shun\",\"doi\":\"10.1037/hea0001483\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The present study investigated the interrelationships among fatigue, depressive symptoms, resilience, and fear of cancer recurrence in patients with colorectal cancer.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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).</p>\",\"PeriodicalId\":55066,\"journal\":{\"name\":\"Health Psychology\",\"volume\":\" \",\"pages\":\"955-962\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/hea0001483\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/hea0001483","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/14 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

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

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).

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Health Psychology
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信