Mediating effect of self-esteem between psychological resilience and social avoidance and distress in colorectal cancer patients
10.3760/cma.j.cn115682-20231108-01954
- VernacularTitle:自尊在肠癌患者心理弹性与社交回避及苦恼间的中介效应分析
- Author:
Xian LI
1
;
Ling BAI
;
Yixun ZHANG
Author Information
1. 山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院结直肠外科，太原 030012
- Keywords:
Colorectal neoplasms;
Social avoidance and distress;
Psychological resilience;
Self-esteem;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2024;30(22):3034-3039
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of self-esteem between psychological resilience and social avoidance and distress in colorectal cancer patients.Methods:Totally 210 colorectal cancer patients who visited the outpatient clinic for follow-up at Shanxi Province Cancer Hospital from February to July 2023 were selected by convenience sampling. Data were collected using a general information questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the Self-Esteem Scale (SES), and the Social Avoidance and Distress Scale (SADS). A total of 210 questionnaires were distributed, with 205 valid responses.Results:The results showed that the total SADS score of colorectal cancer patients was (13.41±6.51), the total SES score was (23.14±5.68), and the total CD-RISC score was (57.27±13.33). Mediating effect analysis indicated that self-esteem partially mediated the relationship between psychological resilience and social avoidance and distress, accounting for 37.08% of the total effect.Conclusions:Colorectal cancer patients exhibit moderate to high levels of social avoidance and distress. Psychological resilience can directly affect patients' social avoidance and distress and can also have an indirect effect through self-esteem. Healthcare providers should implement intervention measures to enhance psychological resilience and self-esteem in colorectal cancer patients, thereby reducing social avoidance and distress and facilitating their reintegration into society.
