The mediating effect of negative emotions between tumour psychological trait and psychosomatic status in patients with advanced lung cancer
10.3760/cma.j.cn371468-20240124-00051
- VernacularTitle:负性情绪在晚期肺癌患者T型心理与心身状态间的中介作用
- Author:
Mengge LIU
1
;
Binbin DENG
;
Xuewei HUANG
Author Information
1. 广东药科大学附属第一医院精神心理科,广州 510080
- Keywords:
Advanced lung cancer;
Tumour psychological trait;
Negative emotions;
Psychosomatic status;
Mediating effect;
Structural equation model
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(11):1046-1051
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between tumour psychological trait, negative emotions, and psychosomatic status in patients with advanced lung cancer.Methods:A total of 261 patients with advanced lung cancer from January 2014 to March 2019 at the First Affiliated Hospital of Guangdong Pharmaceutical University and the Affiliated Cancer Hospital and Institute of Guangzhou Medical University were selected as the research subjects. General information questionnaire, tumour psychological scale(TPS), hospital anxiety and depression scale(HADS), and psychosomatic status scale for cancer patients(PSSCP)were utilized for cross-sectional investigation. Descriptive analysis and correlation analysis were performed using SPSS 26.0 statistical software. Structural equation modeling was conducted using AMOS 24.0, and the mediating effect was tested using the Bootstrap method.Results:The total score of TPS was 77.16±8.68. The total score of HADS was 16.67±3.81, and the sub-scale scores of anxiety and depression were 7.00±2.26 and 9.67±2.56.The total score of PSSCP was 37.09±4.99.Negative emotions were positively correlated with tumour psychological trait and psychosomatic status ( r=0.308, 0.390, both P<0.01), and tumour psychological trait was positively correlated with psychosomatic status ( r=0.478, P<0.01). The structural equation model demonstrated that negative emotions partially mediated the relationship between tumour psychological trait and psychosomatic status, accounting for 24.9%(0.217/0.870). Conclusion:The psychosomatic status is affected both directly by tumour psychological trait and indirectly through negative emotions.