Fear of cancer recurrence and coping strategies among patients with oral cancer: the impact on post-traumatic growth.

IF 3 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY BMC Psychology Pub Date : 2025-02-25 DOI:10.1186/s40359-025-02499-1

Xin Zhang, Meng Yuan, Yufeng Yue, Xiaoyan Duan

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Abstract

Objective: Assess the effect of fear of cancer recurrence (FCR) and coping strategies on patients with oral cancer's post-traumatic growth (PTG).

Methods: A total of 255 patients with oral cancer participated and were investigated using the Chinese version of the Posttraumatic Growth Inventory (PTGI), the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), and the Simplified Coping Style Questionnaire (SCSQ) in this cross-sectional study. Descriptive, univariate, Pearson correlation analyses, and multiple linear regression analyses were performed.

Results: Higher FCR scores were negatively associated with PTG (r = -0.646). Negative coping strategies were negatively correlated with PTG (r = -0.219). Positive coping strategies positively correlated with PTG (r = 0.482). Regression analysis indicated that the treatment of surgery combined with chemotherapy and radiotherapy, FCR, and coping strategies had significant independent influences on patients with oral cancer's PTG.

Conclusions: Reducing fear of recurrence and improving one's capacity for proactive coping in the face of traumatic situations are necessary for post-traumatic growth stimulation. Thus, it is important to develop and implement focused therapies aimed at enhancing post-traumatic growth in patients with oral cancer.

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口腔癌患者对癌症复发的恐惧及应对策略：对创伤后生长的影响。

目的：探讨癌症复发恐惧（FCR）及应对策略对口腔癌创伤后生长（PTG）的影响。方法：采用中文版创伤后成长量表（PTGI）、进展恐惧简易问卷（top - q - sf）和简易应对方式问卷（SCSQ）对255例口腔癌患者进行横断面调查。进行描述性、单变量、Pearson相关分析和多元线性回归分析。结果：较高的FCR评分与PTG呈负相关（r = -0.646）。消极应对策略与PTG呈负相关（r = -0.219）。积极应对策略与PTG呈正相关（r = 0.482）。回归分析显示，手术联合放化疗、FCR、应对策略对口腔癌患者PTG有显著的独立影响。结论：减少对复发的恐惧，提高个体面对创伤情境的主动应对能力是创伤后成长刺激的必要条件。因此，开发和实施旨在促进口腔癌患者创伤后生长的重点疗法是很重要的。

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

BMC Psychology Psychology-Psychology (all)

CiteScore

3.90

自引率

2.80%

发文量

265

审稿时长

24 weeks

期刊介绍： BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.