Rumination level and its influencing factors among middle-advanced cancer inpatients： a multicenter cross-sectional study
10.11886/scjsws20240428001
- VernacularTitle:中晚期住院癌症患者反刍性沉思水平及其影响因素：一项多中心横断面研究
- Author:
Songmei DU
1
;
Xiaolin WU
1
;
Dan HE
1
;
Qinggui WU
2
;
Yuying LIAN
3
;
Hongxia GONG
1
Author Information
1. The 2nd Affiliated Hospital of Chengdu Medical College， Nuclear Industry 416 Hospital， Chengdu 610081， China
2. Chengdu Sixth People's Hospital， Chengdu 610051， China
3. The First People's Hospital of Yibin， Yibin 644099， China
- Publication Type:Journal Article
- Keywords:
Rumination;
Cancer;
Influencing factors;
Social support
- From:
Sichuan Mental Health
2025;38(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
BackgroundRumination can play a certain degree role of psychological adjustment in cancer patients. Previous studies have focused on studying the level of rumination in a single type of cancer patient， but there is a lack of comprehensive investigation and influencing factor research on rumination levels in different types of cancer patients. ObjectiveTo explore the level of rumination and its influencing factors among middle-advanced cancer inpatients， so as to provide certain guidance for targeted psychological care in clinical practice. MethodsFrom January 2021 to December 2022， a systematic sampling technique was used to recruit 346 patients with TNM stage III or above tumors hospitalized in Nuclear Industry 416 Hospital， Chengdu Sixth People's Hospital and the First People's Hospital of Yibin. All individuals were assessed using Perceived Social Support Scale （PSSS） and the Chinese version of Event-Related Ruminant Inventory （C-ERRI）， and Logistic regression analysis was utilized to identify the influencing factors of rumination. ResultsIn terms of C-ERRI， patients scored （15.59±5.61） on intrusive rumination and （14.59±5.43） on deliberate rumination. Education levels of junior high school/high school/vocational training school （OR=0.817， P<0.01） and junior college and above （OR=0.579， P<0.05） were the protective factors of intrusive rumination， whereas annual personal incomes of <10 000 yuan （OR=4.918， P<0.01） or 10 000~50 000 yuan （OR=2.076， P<0.01） and low （OR=6.882， P<0.01） or middle （OR=3.114， P<0.01） level of social support were the risk factors of intrusive rumination. For deliberate rumination， education levels of junior high school/high school/vocational training school （OR=0.574， P<0.01） and junior college and above （OR=0.449， P<0.05） were the protective factors， and low （OR=1.391， P<0.01） or middle （OR=1.161， P<0.05） levels of social support were the risk factors. ConclusionThe level of intrusive rumination of inpatients with middle-advanced cancer is related to education level， economic status and social support， furthermore， the level of deliberate rumination is related to the educational level and social support. ［Funded by Medical Research Project of Chengdu Health Commission （ number， 2020119）］
