The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
School of Nursing, Medical College of Soochow University, Suzhou, 215000, China.
BMC Psychiatry. 2024 May 14;24(1):357. doi: 10.1186/s12888-024-05770-8.
Social anxiety among postoperative breast cancer patients is a prevalent concern, with its intensity fluctuating throughout the course of treatment. The study aims to describe the trajectory of social anxiety in postoperative breast cancer patients, explore the influencing factors, and provide theoretical support for the construction of future intervention programs.
This study was conducted from June 2022 to January 2023, encompassing 213 breast cancer patients from three first-class hospitals in China. Data collection occurred at four distinct time points. A growth mixture model was employed to identify latent categories representing the trajectories of social anxiety changes among patients. A multiple regression analysis was utilized to explore predictive factors associated with different latent trajectory categories.
The trajectory of social anxiety changes in postoperative breast cancer patients includes five potential categories: maintaining mild social anxiety group, changing from mild to moderate social anxiety group, maintaining moderate social anxiety group, changing from moderate to severe social anxiety group, and maintaining severe social anxiety group. Cluster analysis results indicated three types: positive, negative, and low. Logistic regression analysis revealed that younger age, spouses concerned about postoperative appearance, chemotherapy with taxol-based drugs, opting for modified radical surgery or radical mastectomy surgical approaches, and breast cancer patients with negative rumination were factors that influenced patients' social anxiety (P < 0.05).
The trajectory of social anxiety in postoperative breast cancer patients comprises five potential categories. In clinical practice, it is essential to strengthen the management of high-risk populations susceptible to experiencing social anxiety emotions, including younger age, spouses concerned about postoperative appearance, chemotherapy with taxol-based drugs, opting for modified radical surgery or radical mastectomy surgical approaches, and breast cancer patients with negative rumination.
术后乳腺癌患者的社交焦虑是一个普遍存在的问题，其强度在治疗过程中波动。本研究旨在描述术后乳腺癌患者社交焦虑的轨迹，探讨其影响因素，为未来干预方案的构建提供理论支持。
本研究于 2022 年 6 月至 2023 年 1 月进行，纳入中国三家一流医院的 213 例乳腺癌患者。数据采集在四个不同的时间点进行。采用增长混合模型识别代表患者社交焦虑变化轨迹的潜在类别。采用多元回归分析探讨与不同潜在轨迹类别相关的预测因素。
术后乳腺癌患者社交焦虑变化的轨迹包括五个潜在类别：维持轻度社交焦虑组、从轻度到中度社交焦虑组、维持中度社交焦虑组、从中度到重度社交焦虑组和维持重度社交焦虑组。聚类分析结果表明存在三种类型：积极型、消极型和低社交焦虑型。逻辑回归分析显示，年龄较小、配偶关注术后外貌、使用紫杉醇类药物化疗、选择改良根治术或根治性乳房切除术的手术方式以及具有消极反刍的乳腺癌患者是影响患者社交焦虑的因素（P<0.05）。
术后乳腺癌患者的社交焦虑轨迹包括五个潜在类别。在临床实践中，必须加强对易发生社交焦虑情绪的高危人群的管理，包括年龄较小、配偶关注术后外貌、使用紫杉醇类药物化疗、选择改良根治术或根治性乳房切除术的手术方式以及具有消极反刍的乳腺癌患者。
