Lv Gaorong, Zhao Di, Xie Zihui, Zhang Yunxue, Li Yuanyuan, Mao Cui, Dong Xiaoling, Li Ping
Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, P.R. China.
Department of gastrointestinal surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, P.R. China.
Psychol Health Med. 2023 Feb;28(2):439-446. doi: 10.1080/13548506.2022.2085877. Epub 2022 Jun 9.
This study explored the profiles of psychosocial resources combined with resilience and family care, and analyzed their moderating effects on the relationship between stress and insomnia in patients with digestive system cancers. A total of 366 patients were recruited to participate in this study from two tertiary hospitals in China. They were assessed using the Perceived Stress Scale - 4 items, Insomnia Severity Index, Family Concern Index Questionnaire, and 10-item Connor-Davidson Resilience Scale. Latent profile analysis and the BCH (Bolck, Croon & Hagenaars) method were used to identify the subtypes and estimate the moderating role of psychosocial coping resources. About 62.3% of participants had insomnia symptoms. Insomnia was positively correlated to the stress ( = 0.25, < 0.001). The latent classes were the low resources class (32.8%), the medium resources class (46.1%), and high resources class (21.1%). Among these, in low (estimate value = 0.563, = 0.003) and medium (estimate value = 0.301, = 0.029) resources class, stress had an effect on insomnia. There was no association between stress and insomnia in high resources class (estimate value = 0.165, = 0.637). Stress might be associated with to insomnia problems, whereas patients with high psychosocial resources are more not vulnerable. Interventions to improve family function and resilience could contribute to easing the insomnia of patients with digestive system cancers.
本研究探讨了心理社会资源与心理韧性及家庭关怀相结合的概况，并分析了它们对消化系统癌症患者压力与失眠之间关系的调节作用。在中国的两家三级医院共招募了366名患者参与本研究。使用感知压力量表（4项）、失眠严重程度指数、家庭关怀指数问卷和10项Connor-Davidson心理韧性量表对他们进行评估。采用潜在剖面分析和BCH（Bolck、Croon和Hagenaars）方法来识别亚型，并评估心理社会应对资源的调节作用。约62.3%的参与者有失眠症状。失眠与压力呈正相关（ = 0.25， < 0.001）。潜在类别为低资源组（32.8%）、中等资源组（46.1%）和高资源组（21.1%）。其中，在低资源组（估计值 = 0.563， = 0.003）和中等资源组（估计值 = 0.301， = 0.029）中，压力对失眠有影响。高资源组中压力与失眠之间无关联（估计值 = 0.165， = 0.637）。压力可能与失眠问题相关，而心理社会资源高的患者更不易受影响。改善家庭功能和心理韧性的干预措施可能有助于缓解消化系统癌症患者的失眠。
