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The links between symptom burden, illness perception, psychological resilience, social support, coping modes, and

Yingzi Yang1,2, Xiaolan Qian1, Xuefeng Tang3

  • 1Department of Health Care, Shanghai Health and Medical Center, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214063, People's Republic of China.

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Summary

Cancer-related worry is prevalent in early-stage lung cancer survivors post-surgery. Key factors include symptom burden, illness perception, and coping strategies, highlighting the need for targeted psychological support and education.

Keywords:
Lung cancerPsychological distressSurgeryUncertaintyWorry

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Health Psychology

Background:

  • Lung cancer survivors often experience significant emotional distress post-surgery.
  • Understanding factors contributing to cancer-related worry is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the associations between clinical, demographic, and psychosocial factors and cancer-related worry (CRW) in early-stage lung cancer patients after surgery.

Main Methods:

  • A descriptive cross-sectional study involving 302 early-stage lung cancer patients post-surgery.
  • Utilized questionnaires assessing CRW, symptom burden, illness perception, resilience, coping, and social support.
  • Employed descriptive statistics, Wilcoxon Rank Sum, Kruskal-Wallis H, Spearman correlation, and hierarchical multiple regression analyses.

Main Results:

  • 89.07% of patients reported cancer-related worries, with the cancer itself being the primary concern.
  • Higher CRW was linked to increased symptom burden, negative illness perceptions, and specific coping styles (acceptance-rejection).
  • Lower CRW was associated with greater psychological resilience, social support, and active coping strategies (confrontation).
  • Symptom burden, illness perceptions, social support, and online information seeking explained 52% of the variance in CRW.

Conclusions:

  • Worry is a common and significant issue for early-stage lung cancer survivors, even with a favorable prognosis.
  • Post-operative care should include identifying and addressing patient concerns to enhance emotional well-being and quality of life.
  • Psychological support and tailored disease education are vital components for managing post-surgical distress in lung cancer patients.