Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy
BackgroundPsychological resilience is the most important psychological protection factor for cancer patients in the face of tumors and treatment. However, few studies have performed meaningful latent profile analyses of resilience to identify unobserved subgroups of head and neck cancer patients.Pur...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1270870/full |
| _version_ | 1797353602783641600 |
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| author | Lina Xiang Lina Xiang Lina Xiang Hongwei Wan Hongwei Wan Hongwei Wan Yu Zhu Yu Zhu Yu Zhu Shuman Wang Shuman Wang Shuman Wang Mimi Zheng Mimi Zheng Mimi Zheng |
| author_facet | Lina Xiang Lina Xiang Lina Xiang Hongwei Wan Hongwei Wan Hongwei Wan Yu Zhu Yu Zhu Yu Zhu Shuman Wang Shuman Wang Shuman Wang Mimi Zheng Mimi Zheng Mimi Zheng |
| author_sort | Lina Xiang |
| collection | DOAJ |
| description | BackgroundPsychological resilience is the most important psychological protection factor for cancer patients in the face of tumors and treatment. However, few studies have performed meaningful latent profile analyses of resilience to identify unobserved subgroups of head and neck cancer patients.PurposeThe purpose of this study was to investigate the characteristics of resilience in head and neck cancer patients using latent profile analysis (LPA) to determine the sociodemographic and disease characteristics of each profile. In particular, we examined the association of different resilience profiles with the quality of life of head and neck cancer patients.MethodsA total of 254 head and neck cancer patients completed a demographic questionnaire, the Resilience Scale Specific to Cancer and the EOTRC QLQ-C3O, used to assess their resilience and quality of life.ResultsLPA identified three distinct profiles based on varying levels of resilience: “low resilience” group (n = 45; 17.72%), “moderate resilience” group (n = 113; 44.49%), and “high resilience” group (n = 96; 37.80%). Gender (χ2 = 6.20; p < 0.01), education level (χ2 = 1,812.59; p < 0.01), treatment regimen (χ2 = 6.32; p < 0.01), tumor stage (χ2 = 3.92; p ≤ 0.05), and initial recurrence (χ2 = 5.13; p < 0.05) were important predictors. High resilience was significantly related to higher quality of life (χ2 = 15.694; p < 0.001).ConclusionsHead and neck cancer patients’ psychological resilience can be categorized as three resilience profiles; those who are female and have a low education level tend to have lower psychological resilience. Low resilience in patients is linked to poor role function and social function, low quality of life, and more severe pain symptoms, highlighting the need to address resilience in patient care for improved wellbeing. |
| first_indexed | 2024-03-08T13:33:24Z |
| format | Article |
| id | doaj.art-6b3148d4c70d44c09aa4ea6f8654688b |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-08T13:33:24Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-6b3148d4c70d44c09aa4ea6f8654688b2024-01-17T04:35:19ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-01-011310.3389/fonc.2023.12708701270870Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapyLina Xiang0Lina Xiang1Lina Xiang2Hongwei Wan3Hongwei Wan4Hongwei Wan5Yu Zhu6Yu Zhu7Yu Zhu8Shuman Wang9Shuman Wang10Shuman Wang11Mimi Zheng12Mimi Zheng13Mimi Zheng14Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, ChinaShanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, ChinaShanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai, ChinaDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, ChinaShanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, ChinaShanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai, ChinaDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, ChinaShanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, ChinaShanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai, ChinaDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, ChinaShanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, ChinaShanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai, ChinaDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, ChinaShanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, ChinaShanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai, ChinaBackgroundPsychological resilience is the most important psychological protection factor for cancer patients in the face of tumors and treatment. However, few studies have performed meaningful latent profile analyses of resilience to identify unobserved subgroups of head and neck cancer patients.PurposeThe purpose of this study was to investigate the characteristics of resilience in head and neck cancer patients using latent profile analysis (LPA) to determine the sociodemographic and disease characteristics of each profile. In particular, we examined the association of different resilience profiles with the quality of life of head and neck cancer patients.MethodsA total of 254 head and neck cancer patients completed a demographic questionnaire, the Resilience Scale Specific to Cancer and the EOTRC QLQ-C3O, used to assess their resilience and quality of life.ResultsLPA identified three distinct profiles based on varying levels of resilience: “low resilience” group (n = 45; 17.72%), “moderate resilience” group (n = 113; 44.49%), and “high resilience” group (n = 96; 37.80%). Gender (χ2 = 6.20; p < 0.01), education level (χ2 = 1,812.59; p < 0.01), treatment regimen (χ2 = 6.32; p < 0.01), tumor stage (χ2 = 3.92; p ≤ 0.05), and initial recurrence (χ2 = 5.13; p < 0.05) were important predictors. High resilience was significantly related to higher quality of life (χ2 = 15.694; p < 0.001).ConclusionsHead and neck cancer patients’ psychological resilience can be categorized as three resilience profiles; those who are female and have a low education level tend to have lower psychological resilience. Low resilience in patients is linked to poor role function and social function, low quality of life, and more severe pain symptoms, highlighting the need to address resilience in patient care for improved wellbeing.https://www.frontiersin.org/articles/10.3389/fonc.2023.1270870/fullhead and neck cancerresiliencequality of lifelatent profile analysiscancer |
| spellingShingle | Lina Xiang Lina Xiang Lina Xiang Hongwei Wan Hongwei Wan Hongwei Wan Yu Zhu Yu Zhu Yu Zhu Shuman Wang Shuman Wang Shuman Wang Mimi Zheng Mimi Zheng Mimi Zheng Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy Frontiers in Oncology head and neck cancer resilience quality of life latent profile analysis cancer |
| title | Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| title_full | Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| title_fullStr | Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| title_full_unstemmed | Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| title_short | Latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| title_sort | latent profiles of resilience and associations with quality of life in head and neck cancer patients undergoing proton and heavy ion therapy |
| topic | head and neck cancer resilience quality of life latent profile analysis cancer |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1270870/full |
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