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:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and c...Background:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and communication,there is a lack of research on the relationship between adult attachment,self-disclosure and FCR in patients.This study investigated the current situation of FCR in young breast cancer patients,its correlation with adult attachment and self-disclosure and its influencing factors,in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR.Methods:A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire(GIQ),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Experiences in Close Relationships inventory(ECR),and Distress Disclosure Index(DDI).The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure,along with its influencing factors.Results:Among the 126 young breast cancer patients,50 had a FoP-Q-SF score<34(normal group),while 76 had a FoP-Q-SF score≥34(FCR positive group),with an FCR incidence rate of 60.32%.Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score,ECR score,attachment anxiety score,attachment avoidance score,DDI score,age,educational level,employment status,per capita monthly income,and treatment method(p<0.05).Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score,attachment avoidance score,ECR scores and negatively correlated with DDI scores(p<0.05).Linear regression analysis indicated that age,per capita monthly income,treatment method,attachment anxiety,attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients(p<0.05).Conclusion:The incidence rate of FCR among young breast cancer patients is high.There is a positive correlation between adult attachment and the level of FCR,and a negative correlation between the level of self-disclosure and FCR.Patients with lower per capita monthly income,more complex treatment methods,higher level of attachment anxiety,higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores.展开更多
Introduction: One in two cardiac patients fear having another heart event or their heart condition getting worse. Research in other chronic illnesses demonstrates that screening for fear of progression and recurrence ...Introduction: One in two cardiac patients fear having another heart event or their heart condition getting worse. Research in other chronic illnesses demonstrates that screening for fear of progression and recurrence is vital for adequately addressing such concerns in clinical care. The current project aims to develop and validate a measure for fear of progression and recurrence in cardiac patients.Methods: The Fear of Cardiac Recurrence and Progression Scale (FCRP) will be developed through a multistep process. An initial item pool will be generated through a review of the literature and existing measures and consultation with and feedback from key informants. The item pool will be tested in a sample of over 250 adults who have ever had an acute coronary event, undergone cardiac surgery, or a chronic cardiac condition. Exploratory factor analysis will be used to identify the underlying factors, and Rasch analysis will be used to reduce the number of items. A short form version of the FCRP will be developed for use as a brief screening tool, informed by clinical relevance and Rasch psychometric indices.Discussion: While many cardiac patients experience fears related to the progression or recurrence of their illness, there remains the need for a validated tool with which these concerns can be identified and measured. It is expected that the design and validation of the FCRP will aid identification of cardiac patients suffering from clinically significant levels of fear of progression and recurrence and facilitate the design of tailored psychological interventions to target these fears.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:Although fear of cancer recurrence(FCR)is the most important factor affecting the life quality of young breast cancer patients,and it may be affected by the patient’s personality,marital relationship and communication,there is a lack of research on the relationship between adult attachment,self-disclosure and FCR in patients.This study investigated the current situation of FCR in young breast cancer patients,its correlation with adult attachment and self-disclosure and its influencing factors,in order to predict the impact of adult attachment and self-disclosure of patients to spouse on FCR.Methods:A survey was conducted on 126 breast cancer patients at our hospital using the General Information Questionnaire(GIQ),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Experiences in Close Relationships inventory(ECR),and Distress Disclosure Index(DDI).The study analyzed the status of FCR among young breast cancer patients and its correlation with adult attachment and self-disclosure,along with its influencing factors.Results:Among the 126 young breast cancer patients,50 had a FoP-Q-SF score<34(normal group),while 76 had a FoP-Q-SF score≥34(FCR positive group),with an FCR incidence rate of 60.32%.Univariate analysis showed statistically significant differences between the two groups in terms of FoP-Q-SF score,ECR score,attachment anxiety score,attachment avoidance score,DDI score,age,educational level,employment status,per capita monthly income,and treatment method(p<0.05).Correlation analysis revealed that FoP-Q-SF scores were positively correlated with attachment anxiety score,attachment avoidance score,ECR scores and negatively correlated with DDI scores(p<0.05).Linear regression analysis indicated that age,per capita monthly income,treatment method,attachment anxiety,attachment avoidance and self-disclosure level were negative predictors of FoP-Q-SF scores in young breast cancer patients(p<0.05).Conclusion:The incidence rate of FCR among young breast cancer patients is high.There is a positive correlation between adult attachment and the level of FCR,and a negative correlation between the level of self-disclosure and FCR.Patients with lower per capita monthly income,more complex treatment methods,higher level of attachment anxiety,higher level of attachment avoidance and lower DDI scores had higher FoP-Q-SF scores.
基金Australian Government, Research Training Program Scholarship。
文摘Introduction: One in two cardiac patients fear having another heart event or their heart condition getting worse. Research in other chronic illnesses demonstrates that screening for fear of progression and recurrence is vital for adequately addressing such concerns in clinical care. The current project aims to develop and validate a measure for fear of progression and recurrence in cardiac patients.Methods: The Fear of Cardiac Recurrence and Progression Scale (FCRP) will be developed through a multistep process. An initial item pool will be generated through a review of the literature and existing measures and consultation with and feedback from key informants. The item pool will be tested in a sample of over 250 adults who have ever had an acute coronary event, undergone cardiac surgery, or a chronic cardiac condition. Exploratory factor analysis will be used to identify the underlying factors, and Rasch analysis will be used to reduce the number of items. A short form version of the FCRP will be developed for use as a brief screening tool, informed by clinical relevance and Rasch psychometric indices.Discussion: While many cardiac patients experience fears related to the progression or recurrence of their illness, there remains the need for a validated tool with which these concerns can be identified and measured. It is expected that the design and validation of the FCRP will aid identification of cardiac patients suffering from clinically significant levels of fear of progression and recurrence and facilitate the design of tailored psychological interventions to target these fears.
