The chain mediating role of social support and resilience in the relationship between symptom burden and psychological distress among lung cancer patients in the diagnostic phase
- VernacularTitle:症状负担对诊断期肺癌患者心理痛苦的影响：社会支持和心理弹性的链式中介作用
- Author:
Congyu YIN
1
;
Jina LI
2
;
Man YE
2
;
Yingxia LI
2
;
Wei LI
3
;
Lu KANG
2
;
Yayi ZHANG
2
;
Lingzhi HUANG
2
Author Information
1. 1. Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, 410011, P. R. China 2. Xiangya Nursing School of Central South University, Changsha, 410013, P. R. China
2. 1. Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, 410011, P. R. China
3. Xiangya Nursing School of Central South University, Changsha, 410013, P. R. China
- Publication Type:Journal Article
- Keywords:
Symptom burden;
social support;
resilience;
psychological distress;
lung cancer;
diagnostic phase
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(06):798-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of symptom burden and psychological distress among lung cancer patients in the diagnostic phase, and to explore the chain mediating role of social support and resilience between symptom burden and psychological distress. Methods The patients with lung cancer in the diagnostic phase who were treated in the Department of Thoracic Surgery of the Second Xiangya Hospital of Central South University from October 2022 to June 2023 were investigated by a general information questionnaire using the MD Anderson Symptom Inventory, the Social Support Rating Scale, the Connor-Davidson Resilience Scale, and the Distress Thermometer. The chain mediating role of social support and resilience between symptom burden and psychological distress was analyzed. Results A total of 413 lung cancer patients were enrolled, including 173 males and 240 females, aged (54.69±10.82) years. The detection rate of psychological distress among lung cancer patients in the diagnostic phase was 48.18%, and the average score was (3.84±2.50) points. Psychological distress was positively correlated with symptom burden (P<0.01), and negatively correlated with social support and resilience (P<0.01). The mediating effect of resilience between symptom burden and psychological distress was significant. The chain mediating effect of social support and resilience between symptom burden and psychological distress was also significant. Conclusion Lung cancer patients in the diagnostic phase have a high detection rate of psychological distress. Symptom burden can directly impact psychological distress, and can affect psychological distress through the indirect path of resilience as well as the chain mediating path between social support and resilience among lung cancer patients in the diagnostic phase.
