Social phobia and its influencing factors in patients with gastrointestinal neoplasms_West China Medical Journal

Authors：

ZHOU Dan ¹ , YANG Jie ¹ , JIANG Lili ¹ , YANG Luo ² , SHI Fanfan ³ ,  WEN Jin ⁴

1. Colorectal Cancer Center Ward, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Hemodialysis Center, Department of Nephrology, West China Hospital / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Clinical Research Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WEN Jin, Email: huaxiwenjin@163.com

Keywords：

Gastrointestinal neoplasms; social phobia; influencing factors; preliminary study

DOI：

10.7507/1002-0179.202206092

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Objective To investigate the current situation and influencing factors of social phobia in patients with gastrointestinal neoplasms, and to provide evidence for psychological intervention and improving the quality life of patients with gastrointestinal neoplasms. Methods Gastrointestinal neoplasms patients admitted to the Colorectal Cancer Center Ward of West China Hospital, Sichuan University between December 2021 and March 2022 were continuously included. A self-made questionnaire, social phobia behavior professional test scale, and social support rating scale were used to investigate the included patients and analyze the possible influencing factors of social phobia in patients. Results A total of 483 patients were included. Among them, there were 299 males and 184 females. The median score of social support rating scale was 37 (31, 42), with 80.54% of patients received average levels of social support. The median score of social phobia behavior professional test scale was 14 (11, 17), with 98.34% of patients had mild social phobia symptoms and 1.66% had moderate social phobia symptoms. There were statistically significant differences in social phobia behavior professional test scale scores among patients with different levels of education and average monthly income. The results of multiple linear regression analysis showed that the average monthly income was a influencing factor for patients’ social phobia. Conclusions Generally, patients with gastrointestinal neoplasms have mild social phobia. However, patients with fixed income had a higher risk to suffer social phobia were compared to those without income. It is suggested that clinical workers should pay more attention to the mental health of gastrointestinal neoplasms patients and prevent the occurrence of anxiety and phobia.

Citation： ZHOU Dan, YANG Jie, JIANG Lili, YANG Luo, SHI Fanfan, WEN Jin. Social phobia and its influencing factors in patients with gastrointestinal neoplasms. West China Medical Journal, 2023, 38(11): 1714-1718. doi: 10.7507/1002-0179.202206092 Copy

1.	崔昊, 張珂誠, 曹博, 等. 進展期胃癌新輔助化療患者全胃切除術后并發癥影響因素分析. 中華胃腸外科雜志, 2021, 24(2): 153-159.
2.	劉寧, 梁寒, 郝希山. 進展期胃癌新輔助化療的現狀. 中國腫瘤臨床, 2008, 35(17): 1018-1020.
3.	程方方, 張歡, 李嘉寧, 等. 結直腸癌造口術后患者病恥感對心理彈性和生活質量及造口并發癥的影響. 中華腫瘤防治雜志, 2021, 28(11): 852-857.
4.	王雪, 卞惠娟, 欒蘭. 經腹會陰聯合直腸癌根治術后患者的心理特點及心理護理. 承德醫學院學報, 2016, 33(1): 44-46.
5.	Shin J, Shin DW, Lee J, et al. Exploring socio-demographic, physical, psychological, and quality of life-related factors related with fear of cancer recurrence in stomach cancer survivors: a cross-sectional study. BMC Cancer, 2022, 22(1): 414.
6.	劉瑾, 路娜, 張鳳娃, 等. 乳腺癌患者癌癥復發恐懼影響因素的 Meta 分析. 護理學報, 2021, 28(14): 1-7.
7.	邢春, 劉化俠. 癌癥復發恐懼的研究現狀. 護理研究, 2020, 34(11): 1939-1943.
8.	Thewes B, Brebach R, Dzidowska M, et al. Current approaches to managing fear of cancer recurrence; a descriptive survey of psychosocial and clinical health professionals. Psychooncology, 2014, 23(4): 390-396.
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10.	靳聰, 孫秉賦, 孫玉倩, 等. 胃腸道惡性腫瘤患者臨終階段創傷后成長與社會支持的相關性研究. 中華行為醫學與腦科學雜志, 2014, 23(7): 612-614.
11.	張妮娜, 吳蓓雯, 仇曉霞, 等. 胃腸道癌癥患者的希望水平與社會支持的相關性研究. 中華現代護理雜志, 2009, 15(5): 413-416.
12.	俞士卉, 胡少華, 祝青青, 等. 胃腸腫瘤術后患者社會支持與自我管理效能感的相關性分析. 中華現代護理雜志, 2018, 24(12): 1425-1428.
13.	張維霞, 李祥萍, 公連花. 乳腺癌乳房切除病人負面身體自我、負面評價恐懼、外表完美主義與社交外表焦慮的關系分析. 護理研究, 2022, 36(3): 511-516.
14.	Puigpinós-Riera R, Graells-Sans A, Serral G, et al. Anxiety and depression in women with breast cancer: social and clinical determinants and influence of the social network and social support (DAMA cohort). Cancer Epidemiol, 2018, 55: 123-129.
15.	柳桂紅, 張潔, 李冠霞, 等. 老年腦卒中患者社交恐懼現狀及影響因素. 河北醫藥, 2021, 43(24): 3745-3747, 3751.
16.	Ostroff JS, Riley KE, Shen MJ, et al. Lung cancer stigma and depression: validation of the lung cancer stigma inventory. Psychooncology, 2019, 28(5): 1011-1017.
17.	王飛鵬, 張新選, 姜曉春, 等. 婦科腫瘤住院患者負性情緒及其影響因素分析. 國際精神病學雜志, 2015, 42(3): 97-99.
18.	賈曉清, 孔曲, 李金梅, 等. 離退休老年患者抑郁狀況與社會支持相關性的調查研究. 現代護理, 2006, 12(28): 2647-2649.
19.	Han CJ, Yang GS, Syrjala K. Symptom experiences in colorectal cancer survivors after cancer treatments: a systematic review and meta-analysis. Cancer Nurs, 2020, 43(3): E132-E158.
20.	Secinti E, Rand KL, Johns SA, et al. Social correlates of mental health in gastrointestinal cancer patients and their family caregivers: exploring the role of loneliness. Support Care Cancer, 2019, 27(6): 2077-2086.
21.	Noruzi Zamenjani M, Masmouei B, Harorani M, et al. The effect of progressive muscle relaxation on cancer patients’ self-efficacy. Complement Ther Clin Pract, 2019, 34: 70-75.
22.	王乾沙, 魏清風, 鐘清玲, 等. 肺癌患者癌癥復發恐懼現狀及影響因素研究. 中國護理管理, 2020, 20(10): 1596-1600.
23.	van den Berg SW, Gielissen MF, Custers JA, et al. BREATH: web-based self-management for psychological adjustment after primary breast cancer--results of a multicenter randomized controlled trial. J Clin Oncol, 2015, 33(25): 2763-2771.
24.	Lengacher CA, Shelton MM, Reich RR, et al. Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (for) as a mediator of psychological and physical symptoms in a randomized control trial (RCT). J Behav Med, 2014, 37(2): 185-195.

1. 崔昊, 張珂誠, 曹博, 等. 進展期胃癌新輔助化療患者全胃切除術后并發癥影響因素分析. 中華胃腸外科雜志, 2021, 24(2): 153-159.
2. 劉寧, 梁寒, 郝希山. 進展期胃癌新輔助化療的現狀. 中國腫瘤臨床, 2008, 35(17): 1018-1020.
3. 程方方, 張歡, 李嘉寧, 等. 結直腸癌造口術后患者病恥感對心理彈性和生活質量及造口并發癥的影響. 中華腫瘤防治雜志, 2021, 28(11): 852-857.
4. 王雪, 卞惠娟, 欒蘭. 經腹會陰聯合直腸癌根治術后患者的心理特點及心理護理. 承德醫學院學報, 2016, 33(1): 44-46.
5. Shin J, Shin DW, Lee J, et al. Exploring socio-demographic, physical, psychological, and quality of life-related factors related with fear of cancer recurrence in stomach cancer survivors: a cross-sectional study. BMC Cancer, 2022, 22(1): 414.
6. 劉瑾, 路娜, 張鳳娃, 等. 乳腺癌患者癌癥復發恐懼影響因素的 Meta 分析. 護理學報, 2021, 28(14): 1-7.
7. 邢春, 劉化俠. 癌癥復發恐懼的研究現狀. 護理研究, 2020, 34(11): 1939-1943.
8. Thewes B, Brebach R, Dzidowska M, et al. Current approaches to managing fear of cancer recurrence; a descriptive survey of psychosocial and clinical health professionals. Psychooncology, 2014, 23(4): 390-396.
9. 吳暢. 個案工作緩解大學生社交恐懼問題研究——以 L 大學 Y 學生為例. 沈陽: 遼寧大學, 2020.
10. 靳聰, 孫秉賦, 孫玉倩, 等. 胃腸道惡性腫瘤患者臨終階段創傷后成長與社會支持的相關性研究. 中華行為醫學與腦科學雜志, 2014, 23(7): 612-614.
11. 張妮娜, 吳蓓雯, 仇曉霞, 等. 胃腸道癌癥患者的希望水平與社會支持的相關性研究. 中華現代護理雜志, 2009, 15(5): 413-416.
12. 俞士卉, 胡少華, 祝青青, 等. 胃腸腫瘤術后患者社會支持與自我管理效能感的相關性分析. 中華現代護理雜志, 2018, 24(12): 1425-1428.
13. 張維霞, 李祥萍, 公連花. 乳腺癌乳房切除病人負面身體自我、負面評價恐懼、外表完美主義與社交外表焦慮的關系分析. 護理研究, 2022, 36(3): 511-516.
14. Puigpinós-Riera R, Graells-Sans A, Serral G, et al. Anxiety and depression in women with breast cancer: social and clinical determinants and influence of the social network and social support (DAMA cohort). Cancer Epidemiol, 2018, 55: 123-129.
15. 柳桂紅, 張潔, 李冠霞, 等. 老年腦卒中患者社交恐懼現狀及影響因素. 河北醫藥, 2021, 43(24): 3745-3747, 3751.
16. Ostroff JS, Riley KE, Shen MJ, et al. Lung cancer stigma and depression: validation of the lung cancer stigma inventory. Psychooncology, 2019, 28(5): 1011-1017.
17. 王飛鵬, 張新選, 姜曉春, 等. 婦科腫瘤住院患者負性情緒及其影響因素分析. 國際精神病學雜志, 2015, 42(3): 97-99.
18. 賈曉清, 孔曲, 李金梅, 等. 離退休老年患者抑郁狀況與社會支持相關性的調查研究. 現代護理, 2006, 12(28): 2647-2649.
19. Han CJ, Yang GS, Syrjala K. Symptom experiences in colorectal cancer survivors after cancer treatments: a systematic review and meta-analysis. Cancer Nurs, 2020, 43(3): E132-E158.
20. Secinti E, Rand KL, Johns SA, et al. Social correlates of mental health in gastrointestinal cancer patients and their family caregivers: exploring the role of loneliness. Support Care Cancer, 2019, 27(6): 2077-2086.
21. Noruzi Zamenjani M, Masmouei B, Harorani M, et al. The effect of progressive muscle relaxation on cancer patients’ self-efficacy. Complement Ther Clin Pract, 2019, 34: 70-75.
22. 王乾沙, 魏清風, 鐘清玲, 等. 肺癌患者癌癥復發恐懼現狀及影響因素研究. 中國護理管理, 2020, 20(10): 1596-1600.
23. van den Berg SW, Gielissen MF, Custers JA, et al. BREATH: web-based self-management for psychological adjustment after primary breast cancer--results of a multicenter randomized controlled trial. J Clin Oncol, 2015, 33(25): 2763-2771.
24. Lengacher CA, Shelton MM, Reich RR, et al. Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (for) as a mediator of psychological and physical symptoms in a randomized control trial (RCT). J Behav Med, 2014, 37(2): 185-195.

West China Medical Journal

Social phobia and its influencing factors in patients with gastrointestinal neoplasms

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