The chain mediating effect of social alienation and metacognition on symptom distress and fear of cancer recurrence in young and middle-aged patients with cervical cancer
Objective The purpose of this study is to explore the mediating effects of social distancing and metacognition between symptom distress and fear of cancer recurrence in young and middle-aged patients with cervical cancer,in order to provide a new perspective for the management and intervention of fear of cancer recurrence.Methods A total of 330 middle-aged and young cervical cancer patients from February to August 2023 in a Grade A cancer hospital in Xinjiang were selected as the study objects by convenience sampling method.The general information questionnaire,the fear of cancer recurrence inventory short form(FCRI-SF),the metacognitive questionnaire(MCQ-30),the general alienation scale(GAS),and the M.D.Anderson symptom inventory(MDASI)were used to conduct the questionnaire survey.The chain mediation effect between variables was tested by percentile Bootstrap method(Process plug-in)with deviation cor-rection.Results The average score of fear of cancer recurrence in young and middle-aged patients with cervical cancer was(14.64±6.37)points,and 57.27％of the patients had a high level of fear of cancer recurrence(FCRI-SF≥13 points).Symptom distress was positively correlated with social alienation(r=0.397,P＜0.01),metacognition(r=0.197,P＜0.01)and fear of cancer recurrence(r=0.495,P＜0.01).Symptom distress,social alienation and metcog-nition of young and middle-aged patients with cervical cancer could significantly positively predict their fear of cancer re-currence(β=0.107,0.430,0.156,P＜0.001).Mediating effect analysis showed that social alienation and metcogni-tion played a chain mediating role between symptom distress and fear of cancer recurrence with an effect size of 0.009.The total effect accounted for 4.27％.Conclusion There is a high level of fear of cancer recurrence in young and mid-dle-aged patients with cervical cancer.Social alienation and metacognition play a chain mediating rolebetween symptom distress and fear of cancer recurrence.
Cervical cancerChemotherapyFear of cancer recurrenceMetacognitionSocial alienationSymptom distress
维普
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