Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2024-01-03 Cooperative journals: 《中国全科医学》
Abstract： Cancer is a major traumatic event that causes serious interference in the pursuit of individual's life goals and leads to a variety of emotional disorders. Rational adjustment of life goals is beneficial to rebuild life direction，improve physical and mental health of patients. This paper reviews the current research of domestic and international studies on cancer affecting patients' pursuit of life goals，and summarizes the advances in the existing literature on the goal-adjustment behaviors of cancer patients and the effects on their physical and mental health by literature review. Literature review shows that the impact of cancer diagnosis on patients' pursuit of life goals is mainly manifested in the impact on self-efficacy，goal pursuit ability and goal prioritization. Reasonable goal-adjustment behaviors can help improve patients' physical and mental health，which includes promoting positive emotions，alleviating negative emotions，reducing physical discomfort，and improving quality of life. Therefore，future psychosocial intervention design for the emotional health of cancer patients can be based on guiding patients to replan and regulate their goals，so as to improve patients' emotional health and disease prognosis.
Subjects: Physics >> General Physics: Statistical and Quantum Mechanics, Quantum Information, etc. submitted time 2022-11-22 Cooperative journals: 《中国全科医学》
Abstract：
Objective Breast cancer has become the most prevalent cancer worldwide. Breast cancer leads to both physical symptom burden and psychological distress, such as depression, anxiety and other psychological disorders. Although current literature has demonstrated the effect of physical activity in improving psychological health among cancer survivors, the underlying psychosocial mechanism is relatively understudied. This present study investigated the relationship between walking activity and emotional health among breast cancer patients, and examined the potential mediating effects of different dimensions of posttraumatic growth (PTG). Methods The level of walking activity, posttraumatic growth, and positive and negative emotions were assessed using a cross-sectional questionnaire among breast cancer patients (n=235) in the community of Pengpu Xin Cun community in Shanghai. Path analysis was used to test the hypothesized mediation model. Results The parallel mediation model indicated good fit, χ2(20)=28.11, P=0.11, CFI=0.99, TLI=0.98, RMSEA=0.04, PRMSEA<0.05=0.61. Walking activity promoted positive emotions in breast cancer patients by facilitating the personal strength dimension of PTG, the standardized indirect effect was 0.07 (95% CI [0.02, 0.13]); walking activity reduces negative emotions through improving appreciation of life dimension of PTG, the standardized indirect effect was -0.13(95%CI[-0.21,-0.05]). Conclusions PTG plays an important mediating role in the effect of walking activity on the emotional health of breast cancer patients. Clinical practice and supportive care should consider providing guidance of physical activity, combined with psychosocial interventions targeting PTG to improve patients’ emotional health.
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