A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey

Liu Guixia; Zhang Hui; Meng Yun

doi:doi:10.11648/j.pbs.20211001.11

| Peer-Reviewed

A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey

Liu Guixia, Zhang Hui, Meng Yun

Published in Psychology and Behavioral Sciences (Volume 10, Issue 1)

Received: 16 October 2020 Accepted: 29 October 2020 Published: 12 January 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: self-perceived burden (SPB) is widespread in cancer patients, which is related to some physical symptoms, but more to psychological ones. Patients with lung cancer have a severe sense of self-burden and post-traumatic growth at different levels. As a protective factor of mental health, post-traumatic growth (PTG) how to influence SPB in cancer patients is rarely reported in the relevant literature. Purpose: To explore the effect of PTG on SPB and its influencing pathway of patients with lung cancer during chemotherapy, and to understand the potential mechanism, the indirect effect of PTG on SPB through illness perception and resilience was also studied. Methods: A total of 345 hospitalized chemotherapy patients with pathological diagnosis of lung cancer were enrolled as subjects. The level of illness perception, resilience, PTG and SPB were measured by the Brief Illness Perception Questionnaire (BIPQ), 10 item Connor Davidson Resilience Scale (CD RISC 10), Posttraumatic Growth Inventory (PTGI) and Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), respectively. And they were analyzed that the effect of PTG on patients' SPB and its influence path. Results: Structural equation modeling results supported the hypothesis mediation model in predicting SPB (χ²=65.456, df=34, χ²/df=1.925, RMSEA=0.052, TLI=0.980, CFI=0.987) with fit indices. It showed that PTG had both direct effect (β=-0.437) and indirect effect via illness perception and resilience (95% confidence interval was - 1.183 to - 0.616, excluding 0, total indirect effect was - 0.212) on SPB of lung cancer patients during chemotherapy. Conclusions: PTG plays an obviously negative role in the SPB of patients with lung cancer during chemotherapy, and also has indirect effects on SPB through illness perception and resilience. It is necessary to strengthen multi-disciplinary cooperation and formulate relevant interventions to alleviate SPB by reducing patients' negative illness perception and improving their PTG and resilience.

Published in	Psychology and Behavioral Sciences (Volume 10, Issue 1)
DOI	10.11648/j.pbs.20211001.11
Page(s)	1-9
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Lung Cancer, Self-perceived Burden, Post-traumatic Growth, Illness Perception, Resilience

References

[1]	McPherson CJ, Wilson KG, Murray MA (2007). Feeling like a burden: exploring the perspectives of patients at the end of life. Soc Sci Med 64: 417-427.
[2]	McPherson CJ, Wilson KG, Lobchuk MM, Brajtman S (2007). Self-perceived burden to others: patient and family caregiver correlates. J Palliat Care 23: 135-142.
[3]	Lofaso CR, Weigand DA (2014). Individual Characteristics and Self-Perceived Burden in Cancer Patients. Curr Psychol 33: 174-184.
[4]	Kowal J, Wilson KG, McWilliams LA, Péloquin K, Duong D (2012). Self-perceived burden in chronic pain: relevance, prevalence, and predictors. Pain 153: 1735-1741.
[5]	Miki (2017). Physical and Cognitive Factors Associated with Self-Perceived Burden in Patients with Advanced Cancer. Hiroshima J Med Sci 66: 55-59.
[6]	Tang ST, Hsieh CH, Chiang MC, Chen JS, Chang WC, Chou WC, Hou MM (2017). Impact of high self-perceived burden to others with preferences for end-of-life care and its determinants for terminally ill cancer patients: a prospective cohort study. Psychooncology 26: 102-108.
[7]	Lin Q, Fu MX, Yang LN, Wu JJ, Wang HY, Zhang XG (2019). Mental health is as important as physical health: The degree and influencing factors of self-perceived burden in elderly patients with essential hypertension. TMR Integrative Nursing 3: 27-34.
[8]	Kuo SC, Chou WC, Hou MM, Wu CE, Shen WC, Wen FH, Tang ST (2018). Changes in and modifiable patient- and family caregiver-related factors associated with cancer patients' high self-perceived burden to others at the end of life: A longitudinal study. Eur J Cancer Care (Engl) 27: e12942.
[9]	Lee JE, Shin DW, Cho J, Yang HK, Kim SY, Yoo HS, Jho HJ, Shin JY, Cho B, Park K, Park JH (2015). Caregiver burden, patients' self-perceived burden, and preference for palliative care among cancer patients and caregivers. Psychooncology 24: 1545–1551.
[10]	Geng D, Ou RW, Miao XH, Zhang LH, Wei QQ, Chen XP, Liang Y, Shang HF, Yang R (2016). Patients’ self-perceived burden, caregivers’ burden, and quality of life for ALS patients: a cross-sectional study. J Clin Nurs 26: 3188-3199.
[11]	Libert Y, Borghgraef C, Beguin Y, Delvaux N, Devos M, Doyen C, Dubruille S, Etienne AM, Liénard A, Merckaert I, Reynaert C, Slachmuylder JL, Straetmans N, Van Den Neste E, Bron D, Razavi D (2017). Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study. Psychooncology 26: 118-124.
[12]	Steffens RF, Andrykowski MA (2016). Posttraumatic Growth Inventory: Overview. Comprehensive Guide to Post-Traumatic Stress Disorders. 2016: 2203-2219.
[13]	Greup SR, Kaal SEJ, Jansen R, Manten-Horst E, Thong MSY, van der Graaf WTA, Prins JB, Husson O (2018). Post-Traumatic Growth and Resilience in Adolescent and Young Adult Cancer Patients: An Overview. J Adolesc Young Adult Oncol 7: 1-14.
[14]	Lim JW (2019). The role of post-traumatic growth in promoting healthy behavior for couples coping with cancer. Support Care Cancer 27 (3): 829-838.
[15]	Romeo A, Ghiggia A, Tesio V, Di Tella M, Torta R, Castelli L (2017). Post-traumatic growth, distress and attachment style among women with breast cancer. J Psychosoc Oncol 35 (3): 309-322.
[16]	Ozcetin YSU, Hicdurmaz D (2017). Relations of post-traumatic growth and resilience in cancer experience. Eur Psychiatry 2017: S 672.
[17]	Ruini C, Albieri E, Vescovelli F (2016). Post-Traumatic Growth, Psychological Well-Being, and Distress. Comprehensive Guide to Post-Traumatic Stress Disorder 2016: 1731-1754.
[18]	Peng X, Su Y, Huang W, Hu X (2019). Status and factors related to posttraumatic growth in patients with lung cancer: A STROBE-compliant article. Medicine (Baltimore) 98: e14314.
[19]	Dexue Z, Guoyun J, Hui H (2017). Effect of mental elasticity on self-perceived burden of lung cancer patients in chemotherapy. International Journal of Pathology and Clinical Medicine 37: 1025-1032.
[20]	Kuijer RG, Buunk BP, De Jong GM, Ybema JF, Sanderman R (2004). Effects of a brief intervention program for patients with cancer and their partners on feelings of inequity, relationship quality and psychological distress. Psychooncology 13 (5): 321-334.
[21]	Thomadaki, Olga O (2017). Bereavement, post-traumatic stress and post-traumatic growth: through the lenses of positive psychology. Eur J Psychotraumatol 8 (sup 4): 1351220.
[22]	Seiler A, Jenewein J (2019). Resilience in Cancer Patients. Front Psychiatry 10: 208.
[23]	Li L, Wang Q, Wang X, Jia XJ (2017). A study on the relationship between illness perception and post-traumatic growth in patients with breast cancer after surgery. Journal of Nurses Training 32 (14): 1312-1315.
[24]	Wu ML (2010). Structural equation model: the operation and application of Amos. Second edition. Chongqing: Chongqing University Press (chapter 1, 2).
[25]	Mei YQ, Li HuipingP, Yang YJ, Su D, Ma L, ZHang T, Dou Wj (2015). Reliability and Validity of Chinese Version of the Brief Illness Perception Questionnaire in Patients with Breast Cance. Journal of Nursing 22 (24): 11-14.
[26]	Ye ZJ, Liu ML, Luo DM, Zeng Z, Hu GY, Zhu Yun F, Qiu H Z (2016). Reliability and validity test of 1 0 item Connor Davidson Resilience Scale in parents’ group of children with cancer. Chinese Nursing research 30 (33): 4118-4122.
[27]	Liu J, Feng XW, Liu YP (2015). Posttraumatic growth level and influencing factors analysis for patients with lung cancer. Chinese Journal of Modern Nursing 21 (25): 3029-3032, 3033.
[28]	Ren YY (2012). The Development and preliminary clinical application of self-perceived burden scale for cancer patients. Dissertation, Shandong First Medical University.
[29]	Akazawa T, Akechi T, Morita T, Miyashita M, Sato K, Tsuneto S, Shima Y, Furukawa TA (2010). Self-perceived burden in terminally ill cancer patients: a categorization of care strategies based on bereaved family members' perspectives. J Pain Symptom Manage 40: 224-234.
[30]	Song Q, Ji Q, Xiao J, Li F, Wang L, Chen Y, Xu Y, Jiao S (2018). miR-409 Inhibits Human Non-Small-Cell Lung Cancer Progression by Directly Targeting SPIN 1. Mol Ther Nucleic Acids 13: 154-163.
[31]	Choi S, Ryu E (2018). Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. Eur J Cancer Care (Engl) 27: 1-8.
[32]	von Verschuer U, Schnell R, Tessen HW, Eggert J, Binninger A, Spring L, Jänicke M, Marschner N, Collective Name: TLK-Group (2017). Treatment, outcome and quality of life of 1239 patients with advanced non-small cell lung cancer - final results from the prospective German TLK cohort study. Lung Cancer 112: 216-224.
[33]	Chabowski M, Polański J, Jankowska-Polańska B, Janczak D, Rosińczuk J (2018). Is nutritional status associated with the level of anxiety, depression and pain in patients with lung cancer. J Thorac Dis 10: 2303-2310.
[34]	Sparla A, Flach-Vorgang S, Villalobos M, Krug K, Kamradt M, Coulibaly K, Szecsenyi J, Thomas M, Gusset-Bährer S, Ose D (2017). Reflection of illness and strategies for handling advanced lung cancer - a qualitative analysis in patients and their relatives. BMC Health Serv Res 17: 173.
[35]	Gu W, Xu YM, Zhong BL (2018). Health-related quality of life in Chinese inpatients with lung cancer treatedin large general hospitals: across-sectional study. BMJ Open 8: e019873.
[36]	Kuijer RG, Buunk BP, Ybema JF, Wobbes T (2002). The relation between perceived inequity, marital satisfaction and emotions among couples facing cancer. Br J Soc Psychol 41: 39-56.
[37]	McPherson CJ, Wilson KG, Chyurlia L, Leclerc C (2010). The balance of give and take in caregiver-partner relationships: An examination of self-perceived burden, relationship equity, and quality of life from the perspective of care recipients following stroke. Rehabil Psychol 55: 194-203.
[38]	Chen JE, Lou VW, Jian H, Zhou Z, Yan M, Zhu J, Li G, He Y (2018). Objective and subjective financial burden and its associations with health-related quality of life among lung cancer patients. Support Care Cancer 26: 1265-1272.
[39]	Huang HY, Shi JF, Guo LW, et al (2017). Expenditure and financial burden for the diagnosis and treatment of colorectal cancer in China: a hospital-based, multicenter, cross-sectional survey. Chin J Cancer 36: 41.
[40]	Romeo A, Di Tella M, Ghiggia A, Tesio V, Gasparetto E, Stanizzo MR, Torta R, Castelli L (2019). The Traumatic Experience of Breast Cancer: Which Factors Can Relate to the Post-traumatic Outcomes. Front Psychol 10: 891.
[41]	Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ (2015). A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health 30: 1361-1385.
[42]	Silva SM, Moreira HC, Canavarro MC (2012). Examining the links between perceived impact of breast cancer and psychosocial adjustment: the buffering role of posttraumatic growth. Psychooncology 21: 409-418.
[43]	Dale SK, Cohen MH, Kelso GA, Cruise RC, Weber KM, Watson C, Burke-Miller JK, Brody LR (2014). Resilience among women with HIV: Impact of silencing the self and socioeconomic factors. Sex Roles 70: 221-231.
[44]	Zhai J, Huang Y, Gao X, Jiang H, Xu J (2014). Post-trauma growth in a mainland Chinese population with chronic skin disease. Int J Dermatol 53: 450-457.
[45]	Matzka M, Mayer H, Köck-Hódi S, Moses-Passini C, Dubey C, Jahn P, Schneeweiss S, Eicher M (2016). Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-Sectional Observation Study. PLoS One 11: e0154496.
[46]	Cameron LD, Muller C (2009). Psychosocial aspects of genetic testing. Curr Opin Psychiatry 22: 218-223.
[47]	Hordijk PM, Broekhuizen BD, Butler CC, Coenen S, Godycki-Cwirko M, Goossens H, Hood K, Smith R, van Vugt SF, Little P, Verheij TJ, CollectiveName: GRACE Project Group (2015). Illness perception and related behaviour in lower respiratory tract infections—a European study. Fam Pract 32: 152-158.

Cite This Article

Plain Text BibTeX RIS

APA Style

Liu Guixia, Zhang Hui, Meng Yun. (2021). A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychology and Behavioral Sciences, 10(1), 1-9. https://doi.org/10.11648/j.pbs.20211001.11

Copy | Download

ACS Style

Liu Guixia; Zhang Hui; Meng Yun. A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychol. Behav. Sci. 2021, 10(1), 1-9. doi: 10.11648/j.pbs.20211001.11

Copy | Download

AMA Style

Liu Guixia, Zhang Hui, Meng Yun. A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychol Behav Sci. 2021;10(1):1-9. doi: 10.11648/j.pbs.20211001.11

Copy | Download

@article{10.11648/j.pbs.20211001.11,
  author = {Liu Guixia and Zhang Hui and Meng Yun},
  title = {A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey},
  journal = {Psychology and Behavioral Sciences},
  volume = {10},
  number = {1},
  pages = {1-9},
  doi = {10.11648/j.pbs.20211001.11},
  url = {https://doi.org/10.11648/j.pbs.20211001.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20211001.11},
  abstract = {Background: self-perceived burden (SPB) is widespread in cancer patients, which is related to some physical symptoms, but more to psychological ones. Patients with lung cancer have a severe sense of self-burden and post-traumatic growth at different levels. As a protective factor of mental health, post-traumatic growth (PTG) how to influence SPB in cancer patients is rarely reported in the relevant literature. Purpose: To explore the effect of PTG on SPB and its influencing pathway of patients with lung cancer during chemotherapy, and to understand the potential mechanism, the indirect effect of PTG on SPB through illness perception and resilience was also studied. Methods: A total of 345 hospitalized chemotherapy patients with pathological diagnosis of lung cancer were enrolled as subjects. The level of illness perception, resilience, PTG and SPB were measured by the Brief Illness Perception Questionnaire (BIPQ), 10 item Connor Davidson Resilience Scale (CD RISC 10), Posttraumatic Growth Inventory (PTGI) and Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), respectively. And they were analyzed that the effect of PTG on patients' SPB and its influence path. Results: Structural equation modeling results supported the hypothesis mediation model in predicting SPB (χ2=65.456, df=34, χ2/df=1.925, RMSEA=0.052, TLI=0.980, CFI=0.987) with fit indices. It showed that PTG had both direct effect (β=-0.437) and indirect effect via illness perception and resilience (95% confidence interval was - 1.183 to - 0.616, excluding 0, total indirect effect was - 0.212) on SPB of lung cancer patients during chemotherapy. Conclusions: PTG plays an obviously negative role in the SPB of patients with lung cancer during chemotherapy, and also has indirect effects on SPB through illness perception and resilience. It is necessary to strengthen multi-disciplinary cooperation and formulate relevant interventions to alleviate SPB by reducing patients' negative illness perception and improving their PTG and resilience.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey
AU  - Liu Guixia
AU  - Zhang Hui
AU  - Meng Yun
Y1  - 2021/01/12
PY  - 2021
N1  - https://doi.org/10.11648/j.pbs.20211001.11
DO  - 10.11648/j.pbs.20211001.11
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
JO  - Psychology and Behavioral Sciences
SP  - 1
EP  - 9
PB  - Science Publishing Group
SN  - 2328-7845
UR  - https://doi.org/10.11648/j.pbs.20211001.11
AB  - Background: self-perceived burden (SPB) is widespread in cancer patients, which is related to some physical symptoms, but more to psychological ones. Patients with lung cancer have a severe sense of self-burden and post-traumatic growth at different levels. As a protective factor of mental health, post-traumatic growth (PTG) how to influence SPB in cancer patients is rarely reported in the relevant literature. Purpose: To explore the effect of PTG on SPB and its influencing pathway of patients with lung cancer during chemotherapy, and to understand the potential mechanism, the indirect effect of PTG on SPB through illness perception and resilience was also studied. Methods: A total of 345 hospitalized chemotherapy patients with pathological diagnosis of lung cancer were enrolled as subjects. The level of illness perception, resilience, PTG and SPB were measured by the Brief Illness Perception Questionnaire (BIPQ), 10 item Connor Davidson Resilience Scale (CD RISC 10), Posttraumatic Growth Inventory (PTGI) and Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), respectively. And they were analyzed that the effect of PTG on patients' SPB and its influence path. Results: Structural equation modeling results supported the hypothesis mediation model in predicting SPB (χ2=65.456, df=34, χ2/df=1.925, RMSEA=0.052, TLI=0.980, CFI=0.987) with fit indices. It showed that PTG had both direct effect (β=-0.437) and indirect effect via illness perception and resilience (95% confidence interval was - 1.183 to - 0.616, excluding 0, total indirect effect was - 0.212) on SPB of lung cancer patients during chemotherapy. Conclusions: PTG plays an obviously negative role in the SPB of patients with lung cancer during chemotherapy, and also has indirect effects on SPB through illness perception and resilience. It is necessary to strengthen multi-disciplinary cooperation and formulate relevant interventions to alleviate SPB by reducing patients' negative illness perception and improving their PTG and resilience.
VL  - 10
IS  - 1
ER  -

Copy | Download

Author Information

Liu Guixia

First Affiliated Hospital of Anhui Medical University, Hefei, China
Zhang Hui

First Affiliated Hospital of Anhui Medical University, Hefei, China
Meng Yun

First Affiliated Hospital of Anhui Medical University, Hefei, China

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Liu Guixia, Zhang Hui, Meng Yun. (2021). A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychology and Behavioral Sciences, 10(1), 1-9. https://doi.org/10.11648/j.pbs.20211001.11

Copy | Download

ACS Style

Liu Guixia; Zhang Hui; Meng Yun. A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychol. Behav. Sci. 2021, 10(1), 1-9. doi: 10.11648/j.pbs.20211001.11

Copy | Download

AMA Style

Liu Guixia, Zhang Hui, Meng Yun. A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey. Psychol Behav Sci. 2021;10(1):1-9. doi: 10.11648/j.pbs.20211001.11

Copy | Download

@article{10.11648/j.pbs.20211001.11,
  author = {Liu Guixia and Zhang Hui and Meng Yun},
  title = {A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey},
  journal = {Psychology and Behavioral Sciences},
  volume = {10},
  number = {1},
  pages = {1-9},
  doi = {10.11648/j.pbs.20211001.11},
  url = {https://doi.org/10.11648/j.pbs.20211001.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20211001.11},
  abstract = {Background: self-perceived burden (SPB) is widespread in cancer patients, which is related to some physical symptoms, but more to psychological ones. Patients with lung cancer have a severe sense of self-burden and post-traumatic growth at different levels. As a protective factor of mental health, post-traumatic growth (PTG) how to influence SPB in cancer patients is rarely reported in the relevant literature. Purpose: To explore the effect of PTG on SPB and its influencing pathway of patients with lung cancer during chemotherapy, and to understand the potential mechanism, the indirect effect of PTG on SPB through illness perception and resilience was also studied. Methods: A total of 345 hospitalized chemotherapy patients with pathological diagnosis of lung cancer were enrolled as subjects. The level of illness perception, resilience, PTG and SPB were measured by the Brief Illness Perception Questionnaire (BIPQ), 10 item Connor Davidson Resilience Scale (CD RISC 10), Posttraumatic Growth Inventory (PTGI) and Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), respectively. And they were analyzed that the effect of PTG on patients' SPB and its influence path. Results: Structural equation modeling results supported the hypothesis mediation model in predicting SPB (χ2=65.456, df=34, χ2/df=1.925, RMSEA=0.052, TLI=0.980, CFI=0.987) with fit indices. It showed that PTG had both direct effect (β=-0.437) and indirect effect via illness perception and resilience (95% confidence interval was - 1.183 to - 0.616, excluding 0, total indirect effect was - 0.212) on SPB of lung cancer patients during chemotherapy. Conclusions: PTG plays an obviously negative role in the SPB of patients with lung cancer during chemotherapy, and also has indirect effects on SPB through illness perception and resilience. It is necessary to strengthen multi-disciplinary cooperation and formulate relevant interventions to alleviate SPB by reducing patients' negative illness perception and improving their PTG and resilience.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - A Negative Effect of Post-Traumatic Growth on Self-perceived Burden of Patients with Lung Cancer During Chemotherapy in China: A Cross-sectional Survey
AU  - Liu Guixia
AU  - Zhang Hui
AU  - Meng Yun
Y1  - 2021/01/12
PY  - 2021
N1  - https://doi.org/10.11648/j.pbs.20211001.11
DO  - 10.11648/j.pbs.20211001.11
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
JO  - Psychology and Behavioral Sciences
SP  - 1
EP  - 9
PB  - Science Publishing Group
SN  - 2328-7845
UR  - https://doi.org/10.11648/j.pbs.20211001.11
AB  - Background: self-perceived burden (SPB) is widespread in cancer patients, which is related to some physical symptoms, but more to psychological ones. Patients with lung cancer have a severe sense of self-burden and post-traumatic growth at different levels. As a protective factor of mental health, post-traumatic growth (PTG) how to influence SPB in cancer patients is rarely reported in the relevant literature. Purpose: To explore the effect of PTG on SPB and its influencing pathway of patients with lung cancer during chemotherapy, and to understand the potential mechanism, the indirect effect of PTG on SPB through illness perception and resilience was also studied. Methods: A total of 345 hospitalized chemotherapy patients with pathological diagnosis of lung cancer were enrolled as subjects. The level of illness perception, resilience, PTG and SPB were measured by the Brief Illness Perception Questionnaire (BIPQ), 10 item Connor Davidson Resilience Scale (CD RISC 10), Posttraumatic Growth Inventory (PTGI) and Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), respectively. And they were analyzed that the effect of PTG on patients' SPB and its influence path. Results: Structural equation modeling results supported the hypothesis mediation model in predicting SPB (χ2=65.456, df=34, χ2/df=1.925, RMSEA=0.052, TLI=0.980, CFI=0.987) with fit indices. It showed that PTG had both direct effect (β=-0.437) and indirect effect via illness perception and resilience (95% confidence interval was - 1.183 to - 0.616, excluding 0, total indirect effect was - 0.212) on SPB of lung cancer patients during chemotherapy. Conclusions: PTG plays an obviously negative role in the SPB of patients with lung cancer during chemotherapy, and also has indirect effects on SPB through illness perception and resilience. It is necessary to strengthen multi-disciplinary cooperation and formulate relevant interventions to alleviate SPB by reducing patients' negative illness perception and improving their PTG and resilience.
VL  - 10
IS  - 1
ER  -

Copy | Download