Objectives:Fear of recurrence(FoR)is a common psychological burden in cerebral glioma patients.Spousal emotional support and self-disclosure may help mitigate FoR,yet their roles in this population are unclear.This st...Objectives:Fear of recurrence(FoR)is a common psychological burden in cerebral glioma patients.Spousal emotional support and self-disclosure may help mitigate FoR,yet their roles in this population are unclear.This study aimed to explore the association between FoR,spousal emotional support,and self-disclosure in patients with cerebral glioma.Methods:Patients with cerebral glioma were assessed using the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Perceived Social Support Scale(PSSS),Distress Disclosure Index(DDI),and Acceptance and Action Questionnaire(AAQ).Pearson correlation analysis was conducted to examine the relationships among the scale scores,while multiple linear regression analysis was performed to identify factors influencing FoR in these patients.A structural equation model(SEM)was constructed to analyze the pathways of influence among FoR,spousal emotional support,and self-disclosure.Results:FoR was significantly negatively correlated with spousal emotional support,self-disclosure,and psychological flexibility(r=−0.3986,−0.3206,−0.4547,respectively;all p<0.05),while spousal emotional support and self-disclosure were significantly positively correlated with psychological flexibility(r=0.2457,0.2776,respectively;all p<0.05).Regression analysis revealed that self-funded medical insurance,unmarried/other marital status,lack of religious belief,and lower scores of spousal emotional support,self-disclosure,and psychological flexibility were risk factors for increased FoR.The SEM demonstrated an acceptable model fit.Psychological flexibility was found to mediate the relationship between self-disclosure and FoR,indicating that self-disclosure not only had a direct negative effect on FoR but also exerted an indirect negative effect through its positive influence on psychological flexibility.Conclusion:FoR is prevalent among patients with cerebral glioma.Spousal emotional support and self-disclosure were identified as independent influencing factors of FoR.While spousal emotional support directly affected FoR,self-disclosure influenced it both directly and indirectly through the mediation of psychological flexibility.展开更多
Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the assoc...Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.展开更多
文摘Objectives:Fear of recurrence(FoR)is a common psychological burden in cerebral glioma patients.Spousal emotional support and self-disclosure may help mitigate FoR,yet their roles in this population are unclear.This study aimed to explore the association between FoR,spousal emotional support,and self-disclosure in patients with cerebral glioma.Methods:Patients with cerebral glioma were assessed using the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Perceived Social Support Scale(PSSS),Distress Disclosure Index(DDI),and Acceptance and Action Questionnaire(AAQ).Pearson correlation analysis was conducted to examine the relationships among the scale scores,while multiple linear regression analysis was performed to identify factors influencing FoR in these patients.A structural equation model(SEM)was constructed to analyze the pathways of influence among FoR,spousal emotional support,and self-disclosure.Results:FoR was significantly negatively correlated with spousal emotional support,self-disclosure,and psychological flexibility(r=−0.3986,−0.3206,−0.4547,respectively;all p<0.05),while spousal emotional support and self-disclosure were significantly positively correlated with psychological flexibility(r=0.2457,0.2776,respectively;all p<0.05).Regression analysis revealed that self-funded medical insurance,unmarried/other marital status,lack of religious belief,and lower scores of spousal emotional support,self-disclosure,and psychological flexibility were risk factors for increased FoR.The SEM demonstrated an acceptable model fit.Psychological flexibility was found to mediate the relationship between self-disclosure and FoR,indicating that self-disclosure not only had a direct negative effect on FoR but also exerted an indirect negative effect through its positive influence on psychological flexibility.Conclusion:FoR is prevalent among patients with cerebral glioma.Spousal emotional support and self-disclosure were identified as independent influencing factors of FoR.While spousal emotional support directly affected FoR,self-disclosure influenced it both directly and indirectly through the mediation of psychological flexibility.
文摘Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.
