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, 张珂诚, 曹博, 等. 进展期胃癌新辅助化疗患者全胃切除术后并发症影响因素分析. 中华胃肠外科杂志, 2021, 24(2): 153-159.
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3.	程方方, 张欢, 李嘉宁, 等. 结直肠癌造口术后患者病耻感对心理弹性和生活质量及造口并发症的影响. 中华肿瘤防治杂志, 2021, 28(11): 852-857.
4.	王雪, 卞惠娟, 栾兰. 经腹会阴联合直肠癌根治术后患者的心理特点及心理护理. 承德医学院学报, 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.	刘瑾, 路娜, 张凤娃, 等. 乳腺癌患者癌症复发恐惧影响因素的 Meta 分析. 护理学报, 2021, 28(14): 1-7.
7.	邢春, 刘化侠. 癌症复发恐惧的研究现状. 护理研究, 2020, 34(11): 1939-1943.
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11.	张妮娜, 吴蓓雯, 仇晓霞, 等. 胃肠道癌症患者的希望水平与社会支持的相关性研究. 中华现代护理杂志, 2009, 15(5): 413-416.
12.	俞士卉, 胡少华, 祝青青, 等. 胃肠肿瘤术后患者社会支持与自我管理效能感的相关性分析. 中华现代护理杂志, 2018, 24(12): 1425-1428.
13.	张维霞, 李祥萍, 公连花. 乳腺癌乳房切除病人负面身体自我、负面评价恐惧、外表完美主义与社交外表焦虑的关系分析. 护理研究, 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.	柳桂红, 张洁, 李冠霞, 等. 老年脑卒中患者社交恐惧现状及影响因素. 河北医药, 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.	王飞鹏, 张新选, 姜晓春, 等. 妇科肿瘤住院患者负性情绪及其影响因素分析. 国际精神病学杂志, 2015, 42(3): 97-99.
18.	贾晓清, 孔曲, 李金梅, 等. 离退休老年患者抑郁状况与社会支持相关性的调查研究. 现代护理, 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, 魏清风, 钟清玲, 等. 肺癌患者癌症复发恐惧现状及影响因素研究. 中国护理管理, 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, 张珂诚, 曹博, 等. 进展期胃癌新辅助化疗患者全胃切除术后并发症影响因素分析. 中华胃肠外科杂志, 2021, 24(2): 153-159.
2. 刘宁, 梁寒, 郝希山. 进展期胃癌新辅助化疗的现状. 中国肿瘤临床, 2008, 35(17): 1018-1020.
3. 程方方, 张欢, 李嘉宁, 等. 结直肠癌造口术后患者病耻感对心理弹性和生活质量及造口并发症的影响. 中华肿瘤防治杂志, 2021, 28(11): 852-857.
4. 王雪, 卞惠娟, 栾兰. 经腹会阴联合直肠癌根治术后患者的心理特点及心理护理. 承德医学院学报, 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. 刘瑾, 路娜, 张凤娃, 等. 乳腺癌患者癌症复发恐惧影响因素的 Meta 分析. 护理学报, 2021, 28(14): 1-7.
7. 邢春, 刘化侠. 癌症复发恐惧的研究现状. 护理研究, 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. 吴畅. 个案工作缓解大学生社交恐惧问题研究——以 L 大学 Y 学生为例. 沈阳: 辽宁大学, 2020.
10. 靳聪, 孙秉赋, 孙玉倩, 等. 胃肠道恶性肿瘤患者临终阶段创伤后成长与社会支持的相关性研究. 中华行为医学与脑科学杂志, 2014, 23(7): 612-614.
11. 张妮娜, 吴蓓雯, 仇晓霞, 等. 胃肠道癌症患者的希望水平与社会支持的相关性研究. 中华现代护理杂志, 2009, 15(5): 413-416.
12. 俞士卉, 胡少华, 祝青青, 等. 胃肠肿瘤术后患者社会支持与自我管理效能感的相关性分析. 中华现代护理杂志, 2018, 24(12): 1425-1428.
13. 张维霞, 李祥萍, 公连花. 乳腺癌乳房切除病人负面身体自我、负面评价恐惧、外表完美主义与社交外表焦虑的关系分析. 护理研究, 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. 柳桂红, 张洁, 李冠霞, 等. 老年脑卒中患者社交恐惧现状及影响因素. 河北医药, 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. 王飞鹏, 张新选, 姜晓春, 等. 妇科肿瘤住院患者负性情绪及其影响因素分析. 国际精神病学杂志, 2015, 42(3): 97-99.
18. 贾晓清, 孔曲, 李金梅, 等. 离退休老年患者抑郁状况与社会支持相关性的调查研究. 现代护理, 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, 魏清风, 钟清玲, 等. 肺癌患者癌症复发恐惧现状及影响因素研究. 中国护理管理, 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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