口腔癌患者对癌症复发的恐惧及应对策略：对创伤后成长的影响
Fear of cancer recurrence and coping strategies among patients with oral cancer: the impact on post-traumatic growth.
作者信息
Zhang Xin, Yuan Meng, Yue Yufeng, Duan Xiaoyan
机构信息
Stomatological Hospital of Chongqing Medical University, Chongqing, China.
School of Nursing, Chongqing Medical University, Chongqing, China.
出版信息
BMC Psychol. 2025 Feb 25;13(1):162. doi: 10.1186/s40359-025-02499-1.
OBJECTIVE
Assess the effect of fear of cancer recurrence (FCR) and coping strategies on patients with oral cancer's post-traumatic growth (PTG).
METHODS
A total of 255 patients with oral cancer participated and were investigated using the Chinese version of the Posttraumatic Growth Inventory (PTGI), the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), and the Simplified Coping Style Questionnaire (SCSQ) in this cross-sectional study. Descriptive, univariate, Pearson correlation analyses, and multiple linear regression analyses were performed.
RESULTS
Higher FCR scores were negatively associated with PTG (r = -0.646). Negative coping strategies were negatively correlated with PTG (r = -0.219). Positive coping strategies positively correlated with PTG (r = 0.482). Regression analysis indicated that the treatment of surgery combined with chemotherapy and radiotherapy, FCR, and coping strategies had significant independent influences on patients with oral cancer's PTG.
CONCLUSIONS
Reducing fear of recurrence and improving one's capacity for proactive coping in the face of traumatic situations are necessary for post-traumatic growth stimulation. Thus, it is important to develop and implement focused therapies aimed at enhancing post-traumatic growth in patients with oral cancer.
目的
评估癌症复发恐惧（FCR）及应对策略对口腔癌患者创伤后成长（PTG）的影响。
方法
本横断面研究共纳入255例口腔癌患者，采用中文版创伤后成长量表（PTGI）、简化版疾病进展恐惧问卷（FOP-Q-SF）和简易应对方式问卷（SCSQ）进行调查。进行了描述性、单因素、Pearson相关分析和多元线性回归分析。
结果
较高的FCR得分与PTG呈负相关（r = -0.646）。消极应对策略与PTG呈负相关（r = -0.219）。积极应对策略与PTG呈正相关（r = 0.482）。回归分析表明，手术联合化疗和放疗的治疗方式、FCR及应对策略对口腔癌患者的PTG有显著的独立影响。
结论
减少复发恐惧并提高面对创伤性情境时积极应对的能力对促进创伤后成长是必要的。因此，开发并实施旨在增强口腔癌患者创伤后成长的针对性治疗很重要。
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