OpenLB
Open Library of Bioscience
Advanced Search
BMC psychology
Aug 31, 2024;12 (1): 463.

The links between symptom burden, illness perception, psychological resilience, social support, coping modes, and cancer-related worry in Chinese early-stage lung cancer patients after surgery: a cross-sectional study.

Yingzi Yang, Xiaolan Qian, Xuefeng Tang, Chen Shen, Yujing Zhou, Xiaoting Pan, Yumei Li
Author Information
  1. Yingzi Yang: Department of Health Care, Shanghai Health and Medical Center, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214063, People's Republic of China. ORCID
  2. Xiaolan Qian: Department of Health Care, Shanghai Health and Medical Center, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214063, People's Republic of China.
  3. Xuefeng Tang: Department of Health Care, Shanghai Health and Medical Center, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214063, People's Republic of China. 978665164@qq.com.
  4. Chen Shen: School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China.
  5. Yujing Zhou: Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, No.507, Zhengmin Road, Shanghai, 200433, People's Republic of China.
  6. Xiaoting Pan: School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China.
  7. Yumei Li: Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, No.507, Zhengmin Road, Shanghai, 200433, People's Republic of China. 13917922290@163.com.
PMID: 39217397 DOI: 10.1186/s40359-024-01946-9

Abstract

OBJECTIVES: This study aims to investigate the links between the clinical, demographic, and psychosocial factors and cancer-related worry in patients with early-stage lung cancer after surgery.
METHODS: The study utilized a descriptive cross-sectional design. Questionnaires, including assessments of cancer-related worry, symptom burden, illness perception, psychological resilience, coping modes, social support and participant characteristics, were distributed to 302 individuals in early-stage lung cancer patients after surgery. The data collection period spanned from January and October 2023. Analytical procedures encompassed descriptive statistics, independent Wilcoxon Rank Sum test, Kruskal-Wallis- H- test, Spearman correlation analysis, and hierarchical multiple regression.
RESULTS: After surgery, 89.07% had cancer-related worries, with a median (interquartile range, IQR) CRW score of 380.00 (130.00, 720.00). The most frequently cited concern was the cancer itself (80.46%), while sexual issues were the least worrisome (44.37%). Regression analyses controlling for demographic variables showed that higher levels of cancer-related worry (CRW) were associated with increased symptom burden, illness perceptions, and acceptance-rejection coping modes, whereas they had lower levels of psychological resilience, social support and confrontation coping modes, and were more willing to obtain information about the disease from the Internet or applications. Among these factors, the greatest explanatory power in the regression was observed for symptom burden, illness perceptions, social support, and sources of illness information (from the Internet or applications), which collectively explained 52.00% of the variance.
CONCLUSIONS: Healthcare providers should be aware that worry is a common issue for early stage lung cancer survivors with a favorable prognosis. During post-operative recovery, physicians should identify patient concerns and address unmet needs to improve patients' emotional state and quality of life through psychological support and disease education.

Keywords

Lung cancer Psychological distress Surgery Uncertainty Worry

References

  1. Psychooncology. 2020 Nov;29(11):1815-1822 [PMID: 33459436]
  2. Zhonghua Zhong Liu Za Zhi. 2023 Jul 23;45(7):539-574 [PMID: 37460438]
  3. Ann Oncol. 2017 Jul 1;28(suppl_4):iv1-iv21 [PMID: 28881918]
  4. Melanoma Res. 2016 Oct;26(5):497-504 [PMID: 27196629]
  5. Thyroid. 2019 Aug;29(8):1080-1088 [PMID: 31232194]
  6. Support Care Cancer. 2022 Jun;30(6):4797-4806 [PMID: 35142911]
  7. J Psychosom Res. 2006 Jun;60(6):631-7 [PMID: 16731240]
  8. Health Qual Life Outcomes. 2007 Mar 13;5:15 [PMID: 17352831]
  9. J Thorac Cardiovasc Surg. 2023 May;165(5):1731-1740.e5 [PMID: 36404141]
  10. Transl Lung Cancer Res. 2021 Nov;10(11):4141-4151 [PMID: 35004245]
  11. Image J Nurs Sch. 1988 Winter;20(4):225-32 [PMID: 3203947]
  12. Psychooncology. 2013 Jul;22(7):1630-8 [PMID: 23060271]
  13. J Thorac Dis. 2018 Apr;10(4):2331-2337 [PMID: 29850138]
  14. Cancer. 2021 Aug 1;127(15):2743-2751 [PMID: 33844273]
  15. Behav Res Methods. 2009 Nov;41(4):1149-60 [PMID: 19897823]
  16. J Am Acad Dermatol. 2020 Aug;83(2):626-628 [PMID: 31585145]
  17. BMJ Open. 2022 Aug 23;12(8):e064416 [PMID: 35998958]
  18. Lung Cancer Manag. 2023 Jul 12;12(3):LMT60 [PMID: 37693293]
  19. Cancer. 2000 Oct 1;89(7):1634-46 [PMID: 11013380]
  20. Asia Pac J Oncol Nurs. 2021 Jan 29;8(2):172-179 [PMID: 33688566]
  21. Psychol Health. 2023 Jan;38(1):55-72 [PMID: 34311645]
  22. J Thorac Oncol. 2023 Oct;18(10):1386-1398 [PMID: 37702630]
  23. Asia Pac J Oncol Nurs. 2019 Oct-Dec;6(4):363-371 [PMID: 31572756]
  24. Psychooncology. 2008 Dec;17(12):1172-9 [PMID: 18457339]
  25. Qual Life Res. 2013 Aug;22(6):1441-9 [PMID: 22903634]
  26. Mol Psychiatry. 2020 Jul;25(7):1487-1499 [PMID: 31745237]
  27. Psychooncology. 2019 Feb;28(2):271-277 [PMID: 30380589]
  28. Genes (Basel). 2021 May 14;12(5): [PMID: 34069035]
  29. Support Care Cancer. 2023 Nov 7;31(12):677 [PMID: 37934256]
  30. Healthcare (Basel). 2023 Jul 12;11(14): [PMID: 37510453]
  31. Cancer Epidemiol Biomarkers Prev. 2003 Apr;12(4):314-20 [PMID: 12692105]
  32. JAMA. 2021 Mar 9;325(10):971-987 [PMID: 33687468]
  33. Psychooncology. 2022 Feb;31(2):198-206 [PMID: 34529295]
  34. Med Sci Sports Exerc. 2023 Sep 1;55(9):1584-1591 [PMID: 37093894]
  35. Minerva Med. 2023 Feb;114(1):43-48 [PMID: 32538589]
  36. Support Care Cancer. 2011 Jan;19(1):161-5 [PMID: 20820818]
  37. Depress Anxiety. 2003;18(2):76-82 [PMID: 12964174]
  38. J Thorac Oncol. 2016 Jan;11(1):39-51 [PMID: 26762738]
  39. J Pers Assess. 1990 Winter;55(3-4):610-7 [PMID: 2280326]
  40. Support Care Cancer. 2017 May;25(5):1417-1422 [PMID: 27981365]
  41. Nurs Res. 1988 Mar-Apr;37(2):98-103, 127 [PMID: 3347527]
  42. BMJ Open Respir Res. 2017 Jun 12;4(1):e000175 [PMID: 28883923]
  43. Behav Res Ther. 1990;28(6):455-68 [PMID: 2076083]
  44. Clin Lung Cancer. 2017 Sep;18(5):497-503 [PMID: 28412094]
  45. J Psychosom Res. 1987;31(1):91-9 [PMID: 3820150]
  46. J Cancer Surviv. 2022 Aug;16(4):844-852 [PMID: 34633638]

Grants

  1. GWVI-11.1-28/Key disciplines of Shanghai's Three-Year Action Plan to Strengthen Public Health System Construction (2023-2025)
  2. 2022YFC3600903/National Key Research and Development Program of China
  3. JS2210319/Scientific clinical research project of Tongji University

MeSH Term

Humans
Male
Cross-Sectional Studies
Resilience, Psychological
Adaptation, Psychological
Female
Social Support
Lung Neoplasms
Middle Aged
Anxiety
Aged
China
Surveys and Questionnaires
Cost of Illness
Adult
Symptom Burden
East Asian People
Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0cancercancer-relatedworryillnesssupportlungsymptomburdenpsychologicalcopingmodessocialstudypatientsearly-stagesurgeryresilience00linksdemographicfactorsdescriptivecross-sectionalperceptiontestregressionCRWlevelsperceptionsinformationdiseaseInternetapplicationsOBJECTIVES:aimsinvestigateclinicalpsychosocialMETHODS:utilizeddesignQuestionnairesincludingassessmentsparticipantcharacteristicsdistributed302individualsdatacollectionperiodspannedJanuaryOctober2023AnalyticalproceduresencompassedstatisticsindependentWilcoxonRankSumKruskal-Wallis-H-SpearmancorrelationanalysishierarchicalmultipleRESULTS:8907%worriesmedianinterquartilerangeIQRscore380130720frequentlycitedconcern8046%sexualissuesleastworrisome4437%Regressionanalysescontrollingvariablesshowedhigherassociatedincreasedacceptance-rejectionwhereaslowerconfrontationwillingobtainAmonggreatestexplanatorypowerobservedsourcescollectivelyexplained5200%varianceCONCLUSIONS:Healthcareprovidersawarecommonissueearlystagesurvivorsfavorableprognosispost-operativerecoveryphysiciansidentifypatientconcernsaddressunmetneedsimprovepatients'emotionalstatequalitylifeeducationChinesesurgery:LungPsychologicaldistressSurgeryUncertaintyWorry

Similar Articles

Cited By