{"title":"癌症患者感觉处理敏感性与生活质量之间的关系：复原力和社会决定因素的中介和调节作用。","authors":"Qinghuan Yang, Jiao Yang, Xudong Xiang, Yanqiu Zhao, Xiaomin Sun, Yu Xing, Ni Jiang, Yuanxiao Wang, Hailiang Ran, Qiubo Huang","doi":"10.1186/s12955-024-02283-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Individuals with sensory processing sensitivity (SPS) tend to be overreactive in response to negative environmental stimuli. More is known about the positive relationship between SPS and quality of life (QoL); nevertheless, less is known regarding the roles of resilience and social determinants in this association. This research aimed to investigate the potential mediation effect of resilience and the moderation effect of social determinants on the relationship between SPS and QoL in a large sample of Chinese cancer patients.</p><p><strong>Methods: </strong>We used the most recent datasets from an ongoing project conducted in southwest China. A two-stage random sampling strategy with a probability proportionate to sample size (PPS) design was adopted. The associations between resilience, SPS, and QoL were evaluated using a linear regression model. Path analysis was adopted to examine the mediation of resilience.</p><p><strong>Results: </strong>Resilience was positively associated with quality of life, while increased sensory processing sensitivity was negatively associated with quality of life. The restricted cubic spline analysis revealed that as resilience increased, the coefficients of quality of life rapidly increased across all domains. Conversely, the coefficients for quality of life gradually decreased with the escalation of sensory processing sensitivity. Resilience was a significant mediator, accounting for 21.88% of the total SPS-QoL association. The mediation effect of resilience varied across ethnicity and sex.</p><p><strong>Conclusion: </strong>Sensory processing sensitivity was significantly associated with quality of life in cancer patients, and promoting resilience could mitigate this negative impact. However, the effect of resilience varies across sex and ethnicity. Therefore, targeted resilience promotion interventions, especially those integrating social characteristics, should be considered for implementation.</p>","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342669/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association between sensory processing sensitivity and quality of life among cancer patients: a mediation and moderation of resilience and social determinants.\",\"authors\":\"Qinghuan Yang, Jiao Yang, Xudong Xiang, Yanqiu Zhao, Xiaomin Sun, Yu Xing, Ni Jiang, Yuanxiao Wang, Hailiang Ran, Qiubo Huang\",\"doi\":\"10.1186/s12955-024-02283-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Individuals with sensory processing sensitivity (SPS) tend to be overreactive in response to negative environmental stimuli. More is known about the positive relationship between SPS and quality of life (QoL); nevertheless, less is known regarding the roles of resilience and social determinants in this association. This research aimed to investigate the potential mediation effect of resilience and the moderation effect of social determinants on the relationship between SPS and QoL in a large sample of Chinese cancer patients.</p><p><strong>Methods: </strong>We used the most recent datasets from an ongoing project conducted in southwest China. A two-stage random sampling strategy with a probability proportionate to sample size (PPS) design was adopted. The associations between resilience, SPS, and QoL were evaluated using a linear regression model. Path analysis was adopted to examine the mediation of resilience.</p><p><strong>Results: </strong>Resilience was positively associated with quality of life, while increased sensory processing sensitivity was negatively associated with quality of life. The restricted cubic spline analysis revealed that as resilience increased, the coefficients of quality of life rapidly increased across all domains. Conversely, the coefficients for quality of life gradually decreased with the escalation of sensory processing sensitivity. Resilience was a significant mediator, accounting for 21.88% of the total SPS-QoL association. The mediation effect of resilience varied across ethnicity and sex.</p><p><strong>Conclusion: </strong>Sensory processing sensitivity was significantly associated with quality of life in cancer patients, and promoting resilience could mitigate this negative impact. However, the effect of resilience varies across sex and ethnicity. 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引用次数: 0
摘要
背景：感觉处理敏感症（SPS）患者往往对负面环境刺激反应过度。人们对 SPS 与生活质量（QoL）之间的正相关关系了解较多；但对抗逆力和社会决定因素在这一关联中的作用却知之甚少。本研究旨在调查大样本中国癌症患者的抗逆力和社会决定因素对 SPS 与 QoL 关系的潜在中介效应：我们使用了正在中国西南地区进行的一个项目的最新数据集。我们采用了两阶段随机抽样策略和概率与样本量成比例（PPS）设计。采用线性回归模型评估了复原力、SPS 和 QoL 之间的关系。采用路径分析来研究抗逆力的中介作用：结果：复原力与生活质量呈正相关，而感觉处理敏感度的提高与生活质量呈负相关。限制性三次样条分析表明，随着抗逆力的增强，生活质量的系数在所有领域都迅速增加。相反，随着感觉处理敏感度的增加，生活质量的系数逐渐降低。复原力是一个重要的中介因素，占整个感统失调-生活质量关联的 21.88%。不同种族和性别的人对抗逆力的调节作用各不相同：结论：感官处理敏感性与癌症患者的生活质量密切相关，提高抗逆力可以减轻这种负面影响。然而，抗逆力的影响因性别和种族而异。因此，应考虑实施有针对性的抗逆力促进干预措施，尤其是结合社会特征的干预措施。
Association between sensory processing sensitivity and quality of life among cancer patients: a mediation and moderation of resilience and social determinants.
Background: Individuals with sensory processing sensitivity (SPS) tend to be overreactive in response to negative environmental stimuli. More is known about the positive relationship between SPS and quality of life (QoL); nevertheless, less is known regarding the roles of resilience and social determinants in this association. This research aimed to investigate the potential mediation effect of resilience and the moderation effect of social determinants on the relationship between SPS and QoL in a large sample of Chinese cancer patients.
Methods: We used the most recent datasets from an ongoing project conducted in southwest China. A two-stage random sampling strategy with a probability proportionate to sample size (PPS) design was adopted. The associations between resilience, SPS, and QoL were evaluated using a linear regression model. Path analysis was adopted to examine the mediation of resilience.
Results: Resilience was positively associated with quality of life, while increased sensory processing sensitivity was negatively associated with quality of life. The restricted cubic spline analysis revealed that as resilience increased, the coefficients of quality of life rapidly increased across all domains. Conversely, the coefficients for quality of life gradually decreased with the escalation of sensory processing sensitivity. Resilience was a significant mediator, accounting for 21.88% of the total SPS-QoL association. The mediation effect of resilience varied across ethnicity and sex.
Conclusion: Sensory processing sensitivity was significantly associated with quality of life in cancer patients, and promoting resilience could mitigate this negative impact. However, the effect of resilience varies across sex and ethnicity. Therefore, targeted resilience promotion interventions, especially those integrating social characteristics, should be considered for implementation.
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