Body compassion in the context of cancer: A novel exploration among colorectal cancer survivors.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-11-28 DOI:10.1007/s00520-024-08996-0

Lauren A Zimmaro, Aimee J Christie, Jennifer K Altman, Andrew Nicklawsky, James W Carson, Christopher Lieu, Carolyn Fang, Jennifer B Reese

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Abstract

Purpose: Colorectal cancer (CRC) significantly impacts patients' physical well-being, often leading to distress and diminished quality of life (QOL). Body compassion (i.e., viewing one's body with kindness, mindfulness, and common humanity) could be relevant to psychosocial adjustment to cancer but has yet to be explored within the cancer context. This study aimed to introduce a novel measure of body compassion and examine its associations with demographic, medical, and psychosocial variables among CRC patients.

Methods: Fifty-four patients with CRC completed a one-time survey assessing demographics, body compassion [Body Compassion Scale (BCS)], distress (HADS), loneliness (ULS-8), resilience (CD-RISC-10), and QOL (FACT-C). Descriptive and internal consistency reliability statistics characterized the BCS. Relationships with demographic, medical, and psychosocial variables were examined using correlations, t-tests, and hierarchical linear regressions.

Results: The BCS showed excellent internal consistency reliability (α = .94) (M = 82.1, SD = 19.0). Patients with metastatic CRC (vs. non-metastatic; BCS total M_Diff = 12.2, CI_95% [0.4, 24.0]; defusion M_Diff = 5.0, CI_95% [-0.4, 10.3]; common humanity M_Diff = 5.7, CI_95% [-0.5, 12.0]) and those in treatment (vs. not; BCS total M_Diff = 14.1, CI_95% [0.5, 27.6]; defusion M_Diff = 6.2, CI_95% [0.1, 12.3]) reported lower body compassion. Higher total body compassion was associated with lower distress (B = -0.235, CI_95% [-0.32, -0.15]) and loneliness (B = -0.104, CI_95% [-0.18, -0.03]), and higher resilience (B = 0.215, CI_95% [0.12, 0.31]) and quality of life (B = 0.811, CI_95% [0.50, 1.12]). Among the BCS subscales, defusion demonstrated the most robust associations with medical (time since diagnosis, current ostomy, current treatment, metastatic disease) and psychosocial variables [distress (β = -.334), loneliness (β = -.444), resilience (β = .585)]; acceptance showed strong associations with distress (β = -.310) and quality of life (β = .384).

Conclusions: Body compassion appears relevant to psychosocial adjustment to CRC treatment and survivorship and may be particularly germane for patients with high disease burden. Further research on body compassion in cancer is warranted, such as longitudinal and multi-method designs across cancer populations.

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癌症背景下的身体同情：结直肠癌幸存者的新探索。

目的：结肠直肠癌（CRC）严重影响患者的身体健康，常常导致患者痛苦不堪，生活质量（QOL）下降。身体同情（即以善意、正念和普通人性看待自己的身体）可能与癌症的社会心理适应有关，但尚未在癌症背景下进行探讨。本研究旨在引入一种新的身体同情心测量方法，并研究其与 CRC 患者的人口统计学、医学和社会心理变量之间的关系：54名CRC患者完成了一项一次性调查，评估了人口统计学、身体怜悯[身体怜悯量表（BCS）]、痛苦（HADS）、孤独（ULS-8）、复原力（CD-RISC-10）和QOL（FACT-C）。描述性统计和内部一致性可靠性统计是 BCS 的特点。使用相关性、t 检验和分层线性回归检验了 BCS 与人口统计学、医学和社会心理变量之间的关系：BCS显示出极佳的内部一致性可靠性（α = .94）（M = 82.1，SD = 19.0）。转移性 CRC 患者（与非转移性相比；BCS 总 MDiff = 12.2，CI95% [0.4，24.0]; Defusion MDiff = 5.0，CI95% [-0.4，10.3]; Common humanity MDiff = 5.7，CI95% [-0.5，12.0]）和接受治疗者（与未接受治疗者相比；BCS 总 MDiff = 14.1，CI95% [0.5，27.6]；化解 MDiff = 6.2，CI95% [0.1，12.3]）报告的身体同情心较低。较高的全身同情心与较低的痛苦（B = -0.235，CI95% [-0.32，-0.15]）和孤独感（B = -0.104，CI95% [-0.18，-0.03]）相关，与较高的复原力（B = 0.215，CI95% [0.12，0.31]）和生活质量（B = 0.811，CI95% [0.50，1.12]）相关。在 BCS 分量表中，"化解 "与医疗变量（诊断以来的时间、目前的造口术、目前的治疗、转移性疾病）和心理社会变量[痛苦（β = -.334）、孤独（β = -.444）、复原力（β = .585）]的关系最为密切；"接受 "与痛苦（β = -.310）和生活质量（β = .384）的关系密切：结论：身体同情似乎与癌症治疗和生存期的心理社会适应有关，对于疾病负担较重的患者可能尤为重要。我们有必要对癌症患者的身体同情进行进一步研究，例如对不同癌症人群进行纵向和多方法设计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.