强大的安全网社会支持可调节儿童癌症长期幸存者的生活质量缺陷与自杀意念之间的关联。

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-07-31 DOI:10.1080/07347332.2024.2379827

Tamara Schwinn, Judith Hirschmiller, Elmar Brähler, Hiltrud Merzenich, Jörg Faber, Philipp S Wild, Manfred E Beutel, Mareike Ernst

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引用次数: 0

摘要

目的：癌症幸存者有自杀风险。我们的目的是通过测试社会支持对生活质量（QoL）缺陷与自杀意念之间关系的调节作用，扩大对保护因素及其与风险因素之间相互作用的了解：我们使用经过验证的问卷（EORTC 核心生活质量问卷 QLQ-C30、患者健康问卷 PHQ-9）对 N = 633 名儿童癌症幸存者（CCS）进行了调查。通过多元线性回归分析研究了生活质量与社会支持之间的相互作用：结果：报告自杀未遂和目前有自杀倾向（SI）的慢性病患者的 QoL 较低。有自杀倾向的社区保健服务人员报告的社会支持较少。QoL 和社会支持与 SI 既独立相关，又相互影响：在社会支持较少的慢性病患者中，低 QoL 与 SI 的关系更为密切：结果强调了跨学科幸存者护理的必要性，以及关注风险和保护因素以加强自杀预防的必要性。

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A powerful safety net: Social support moderates the association of quality of life deficits with suicidal ideation in long-term childhood cancer survivors.

Objectives: Cancer survivors are at risk for suicidality. We aimed to expand the knowledge about protective factors and their interplay with risk factors by testing social support as a modifier of the association of Quality of Life (QoL) deficits with suicidal ideation.

Research approach: We surveyed N = 633 childhood cancer survivors (CCS) using validated questionnaires (EORTC Core Quality of Life questionnaire QLQ-C30, Patient Health Questionnaire PHQ-9). The interaction of QoL and social support was investigated using multiple linear regression analysis.

Findings: CCS reporting suicide attempts and current suicidal ideation (SI) had lower QoL. CCS with SI reported less social support. QoL and social support were independently associated with SI and interacted: among CCS with less social support, low QoL was more strongly associated with SI.

Conclusion: The results highlight the need for interdisciplinary survivorship care, and to focus on risk and protective factors to strengthen suicide prevention.

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.