Dysfunctional Self-Focus and Fear of Progression in Cancer Patients Mediated by Depression, Anxiety, and Dysfunctional Sleep Beliefs

• 발행기관: 대한신경정신의학회
• 저자명: Asma Inès Sana Jrad Youngseok Yi Byeongha Yoon Eulah Cho Inn-Kyu Cho Dongin Lee Jiyoung Kim Seockhoon Chung Jeong Hye Kim
• 간행물 정보: 『Psychiatry Investigation』제21권 제5호, 506~512쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2024.05.31

국문 초록

Objective : This study explores whether cancer patients’ dysfunctional self-focus is a significant contributor to their fear of progression. In addition, we investigated whether their psychiatric symptoms such as depression, anxiety, and dysfunctional beliefs about sleep may me-diate the relationship between these factors. Methods : We conducted a retrospective medical records review of 196 cancer patients who visited the Stress Management Clinic for the first time from March to September 2022. Their demographic information and responses to rating scales such as the Fear of Progres-sion Questionnaire-Short Form (FoP-Q-SF), Dysfunctional Self-focus Attribution Scale (DSAS), Patient Health Questionnaire-9 Items (PHQ-9), State subcategory of the State and Trait of Anxiety Inventory (STAI-S), Insomnia Severity Index (ISI), Cancer-related Dysfunc-tional Beliefs about Sleep scale (C-DBS), and numeric rating scales of pain and fatigue were collected. Results : A high FoP-Q-SF score was significantly correlated with high PHQ-9 (r=0.60), STAI-S (r=0.38), ISI (r=0.34), C-DBS (r=0.47), pain (r=0.24), fatigue (r=0.37), and DSAS (r=0.58, all p<0.001). A linear regression analysis showed that the FoP-Q-SF score was signifi-cantly predicted by younger age (β=-0.13, p=0.011), PHQ-9 (β=0.36, p<0.001), STAI-S (β=0.18, p=0.001), C-DBS (β=0.22, p<0.001), and DSAS (β=0.25, p<0.001). A mediation analysis showed that dysfunctional self-focus directly influenced patients’ fear of progression. In addition, cancer patients’ depression, anxiety, and cancer-related dysfunctional beliefs about sleep mediated this relationship. Conclusion : We observed that dysfunctional self-focus may influence cancer patients’ fear of progression, mediated by depression, anxi-ety, and cancer-related dysfunctional beliefs about sleep.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Psychology Fear Cancer Depression Sleep