Du Songmei,Wu Xiaolin,He Dan,Wu Qinggui,Lian Yuying,Gong Hongxia,Rumination level and its influencing factors among middle-advanced cancer inpatients: a multicenter cross-sectional study[J].SICHUAN MENTAL HEALTH,2025,38(1):41-45 |
Rumination level and its influencing factors among middle-advanced cancer inpatients: a multicenter cross-sectional study |
DOI:10.11886/scjsws20240428001 |
English keywords:Rumination Cancer Influencing factors Social support |
Fund projects:成都市卫生健康委医学科研课题(项目名称:老年肿瘤患者心理健康状况与影响因素分析,项目编号:2020119) |
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Background Rumination can play a certain degree role of psychological adjustment in cancer patients. Previous studies have focused on studying the level of rumination in a single type of cancer patient, but there is a lack of comprehensive investigation and influencing factor research on rumination levels in different types of cancer patients.Objective To explore the level of rumination and its influencing factors among middle-advanced cancer inpatients, so as to provide certain guidance for targeted psychological care in clinical practice.Methods From January 2021 to December 2022, a systematic sampling technique was used to recruit 346 patients with TNM stage III or above tumors hospitalized in Nuclear Industry 416 Hospital, Chengdu Sixth People's Hospital and the First People's Hospital of Yibin. All individuals were assessed using Perceived Social Support Scale (PSSS) and the Chinese version of Event-Related Ruminant Inventory (C-ERRI), and Logistic regression analysis was utilized to identify the influencing factors of rumination.Results In terms of C-ERRI, patients scored (15.59±5.61) on intrusive rumination and (14.59±5.43) on deliberate rumination. Education levels of junior high school/high school/vocational training school (OR=0.817, P<0.01) and junior college and above (OR=0.579, P<0.05) were the protective factors of intrusive rumination, whereas annual personal incomes of <10 000 yuan (OR=4.918, P<0.01) or 10 000~50 000 yuan (OR=2.076, P<0.01) and low (OR=6.882, P<0.01) or middle (OR=3.114, P<0.01) level of social support were the risk factors of intrusive rumination. For deliberate rumination, education levels of junior high school/high school/vocational training school (OR=0.574, P<0.01) and junior college and above (OR=0.449, P<0.05) were the protective factors, and low (OR=1.391, P<0.01) or middle (OR=1.161, P<0.05) levels of social support were the risk factors.Conclusion The level of intrusive rumination of inpatients with middle-advanced cancer is related to education level, economic status and social support, furthermore, the level of deliberate rumination is related to the educational level and social support. [Funded by Medical Research Project of Chengdu Health Commission ( number, 2020119)] |
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