Study on the change trajectories and predictive factors of psychological reactions in young and middle-aged breast cancer patients after operation
Objective To explore the heterogeneity of psychological reactions in young and middle-aged breast cancer patients after surgery,and analyze the predictive effect of self-compassion and perceived partner responsiveness on the trajectories.Methods Based on prospective research design,247 young and middle-aged breast cancer patients who met the criteria were selected from February 2021 to August 2022.The self-designed general information questionnaire,the Psychological Reaction Scale for Breast Cancer Patients,the Perceived Partner Responsiveness Scale and the Self-Compassion Scale were used for follow-up survey at four time points:before postoperative chemotherapy,after the first chemotherapy,during chemotherapy and after chemotherapy.The latent growth mixture model was used to identify the trajectories.Results There were three different change trajectories in the psy-chological reactions of young and middle-aged breast cancer patients after surgery,named as moderate delayed decline group(61.13％),low psychological reactions group(23.89％)and high-risk continuous remission group(14.98％).Multiple logistic regression analysis showed that the influencing factors of psychological reaction trajectories included surgical methods,self-com-passion,and perceived partner responsiveness(all P＜0.05).Conclusion The psychological reactions of young and middle-aged breast cancer patients after surgery had different change trajectories.Surgical methods,self-compassion and perceived partner re-sponsiveness could predict the psychological reaction trajectories.Medical staff should strengthen psychological intervention for young and middle-aged patients with breast cancer,and formulate effective intervention programs according to the trajectory type.
breast canceryoung and middle agechemotherapypsychological reactionsself-compassionperceived part-ner responsivenesssurgical methodschange trajectory
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