Mediating role of emotion regulation strategies in the relationship between loneliness and self-perceived aging in elderly postoperative gastric cancer patients
10.3760/cma.j.cn115682-20250310-01164
- VernacularTitle:情绪调节策略在老年胃癌术后患者孤独感与自我感知老化间的中介效应分析
- Author:
Xiuli MA
1
;
Jianping ZHANG
1
;
Hongyan ZHANG
1
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麻醉科，太原 030013
- Publication Type:Journal Article
- Keywords:
Aged;
Gastric cancer;
Emotion regulation;
Cognitive reappraisal;
Expression suppression;
Loneliness;
Self-perceived aging
- From:
Chinese Journal of Modern Nursing
2025;31(25):3473-3478
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of loneliness on self-perceived aging among elderly patients after gastric cancer surgery, and to examine the mediating role of emotion regulation strategies, in order to provide a basis for clinical interventions.Methods:A convenience sample of 220 elderly postoperative gastric cancer patients hospitalized in Shanxi Provincial Cancer Hospital between August and November 2024 was selected. Data were collected using a general demographic questionnaire, the Emotion Regulation Questionnaire (ERQ), the Cancer Loneliness Scale (CLS), and the Brief Aging Perceptions Questionnaire (B-APQ). A structural equation model was constructed using AMOS 26.0, and the significance of the mediating effect was tested using the bootstrap method with 5 000 resamples.Results:A total of 220 questionnaires were distributed in this study, and 203 valid questionnaires were recovered, with a response rate of 92.27%. The total B-APQ score was (47.45±11.43). For the ERQ, the score for cognitive reappraisal was (22.80±8.17), and for expressive suppression was (18.37±5.10). The CLS score was (18.19±6.11). Mediation analysis showed that loneliness had a direct effect of 0.353 on self-perceived aging. Emotion regulation strategy—cognitive reappraisal—partially mediated the relationship between loneliness and self-perceived aging, with a mediation effect value of 0.178, accounting for 33.52% of the total effect (0.178/0.531) .Conclusions:Clinical practitioners should implement interventions to reduce loneliness in elderly patients after gastric cancer surgery and guide them in adopting cognitive reappraisal as an emotion regulation strategy. These approaches may help promote positive aging in this patient population.
