A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients
Abstract Background Epidemiological studies have shown increased risk of suicide in cancer patients compared with the general population. The present study aimed to examine the association between physical symptoms and suicidal ideation in Chinese hospitalized cancer patients and test the modifying...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Psychiatry |
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| Online Access: | http://link.springer.com/article/10.1186/s12888-020-02945-x |
| _version_ | 1818936746272882688 |
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| author | Qingyi Xu Shuhua Jia Maiko Fukasawa Lin Lin Jun Na Zhen Mu Bo Li Ningning Li Tong Zhao Zaishuang Ju Meng He Lianzheng Yu Norito Kawakami Yuejin Li Chao Jiang |
| author_facet | Qingyi Xu Shuhua Jia Maiko Fukasawa Lin Lin Jun Na Zhen Mu Bo Li Ningning Li Tong Zhao Zaishuang Ju Meng He Lianzheng Yu Norito Kawakami Yuejin Li Chao Jiang |
| author_sort | Qingyi Xu |
| collection | DOAJ |
| description | Abstract Background Epidemiological studies have shown increased risk of suicide in cancer patients compared with the general population. The present study aimed to examine the association between physical symptoms and suicidal ideation in Chinese hospitalized cancer patients and test the modifying effect of health self-efficacy on the association. Methods A cross-sectional study was conducted with 544 hospitalized cancer patients in two general hospitals in northeast China via face-to-face interviews. Suicidal ideation was measured by using the first four items on the Yale Evaluation of Suicidality scale and then dichotomized into a positive and negative score. Multivariate logistic regression analyses were conducted to examine the impacts of physical symptoms, health self-efficacy, and their interactions on suicidal ideation. Results The suicidal ideation rate was 26.3% in the enrolled cancer patients. Logistic regression showed that insomnia (aOR = 1.84, 95% CI 1.13 to 3.00, p = 0.015) and lack of appetite (aOR = 2.14, 95% CI 1.26 to 3.64, p = 0.005) were significantly associated with suicidal ideation. Low health self-efficacy had a marginally significant exaggerating effect on the association between pain and suicidal ideation (aOR = 2.77, 95% CI 0.99 to 7.74, p = 0.053), after adjusting for significant socio-demographics, clinical characteristics, and depression. Conclusions These findings demonstrate significant associations between physical symptoms (insomnia and/or lack of appetite) and suicidal ideation and highlight the potential modifying role of health self-efficacy in the identification and prevention of suicide among cancer patients. |
| first_indexed | 2024-12-20T05:40:58Z |
| format | Article |
| id | doaj.art-f90e261640ad4a80809572400e1b1d47 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-20T05:40:58Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-f90e261640ad4a80809572400e1b1d472022-12-21T19:51:27ZengBMCBMC Psychiatry1471-244X2020-11-0120111010.1186/s12888-020-02945-xA cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patientsQingyi Xu0Shuhua Jia1Maiko Fukasawa2Lin Lin3Jun Na4Zhen Mu5Bo Li6Ningning Li7Tong Zhao8Zaishuang Ju9Meng He10Lianzheng Yu11Norito Kawakami12Yuejin Li13Chao Jiang14Department of Psychology, College of Humanities and Social Sciences, Dalian Medical UniversityDepartment of Psychology, College of Humanities and Social Sciences, Dalian Medical UniversityDepartment of Mental Health, the Graduate School of Medicine, the University of TokyoSchool of Psychology, Tianjin Normal UniversityLiaoning Provincial Center for Disease Control and Prevention, Institute of Chronic DiseaseDepartment of Psychology, College of Humanities and Social Sciences, Dalian Medical UniversityDepartment of Geriatrics, Guangzhou Brain HospitalDepartment of Psychology, Benxi Kangning HospitalDepartment of Oncology, Zhongshan Affiliated Hospital of Dalian UniversityDepartment of Oncology, Zhongshan Affiliated Hospital of Dalian UniversityDepartment of Oncology, Second Affiliated Hospital of Dalian Medical UniversityLiaoning Provincial Center for Disease Control and Prevention, Institute of Chronic DiseaseDepartment of Mental Health, the Graduate School of Medicine, the University of TokyoDepartment of Biology, Morgan State UniversityDepartment of Psychology, College of Humanities and Social Sciences, Dalian Medical UniversityAbstract Background Epidemiological studies have shown increased risk of suicide in cancer patients compared with the general population. The present study aimed to examine the association between physical symptoms and suicidal ideation in Chinese hospitalized cancer patients and test the modifying effect of health self-efficacy on the association. Methods A cross-sectional study was conducted with 544 hospitalized cancer patients in two general hospitals in northeast China via face-to-face interviews. Suicidal ideation was measured by using the first four items on the Yale Evaluation of Suicidality scale and then dichotomized into a positive and negative score. Multivariate logistic regression analyses were conducted to examine the impacts of physical symptoms, health self-efficacy, and their interactions on suicidal ideation. Results The suicidal ideation rate was 26.3% in the enrolled cancer patients. Logistic regression showed that insomnia (aOR = 1.84, 95% CI 1.13 to 3.00, p = 0.015) and lack of appetite (aOR = 2.14, 95% CI 1.26 to 3.64, p = 0.005) were significantly associated with suicidal ideation. Low health self-efficacy had a marginally significant exaggerating effect on the association between pain and suicidal ideation (aOR = 2.77, 95% CI 0.99 to 7.74, p = 0.053), after adjusting for significant socio-demographics, clinical characteristics, and depression. Conclusions These findings demonstrate significant associations between physical symptoms (insomnia and/or lack of appetite) and suicidal ideation and highlight the potential modifying role of health self-efficacy in the identification and prevention of suicide among cancer patients.http://link.springer.com/article/10.1186/s12888-020-02945-xSuicidal ideationCancerPhysical symptomsSelf-efficacy |
| spellingShingle | Qingyi Xu Shuhua Jia Maiko Fukasawa Lin Lin Jun Na Zhen Mu Bo Li Ningning Li Tong Zhao Zaishuang Ju Meng He Lianzheng Yu Norito Kawakami Yuejin Li Chao Jiang A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients BMC Psychiatry Suicidal ideation Cancer Physical symptoms Self-efficacy |
| title | A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients |
| title_full | A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients |
| title_fullStr | A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients |
| title_full_unstemmed | A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients |
| title_short | A cross-sectional study on associations of physical symptoms, health self-efficacy, and suicidal ideation among Chinese hospitalized cancer patients |
| title_sort | cross sectional study on associations of physical symptoms health self efficacy and suicidal ideation among chinese hospitalized cancer patients |
| topic | Suicidal ideation Cancer Physical symptoms Self-efficacy |
| url | http://link.springer.com/article/10.1186/s12888-020-02945-x |
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