Association between psychological resilience and symptom burden in postoperative patients with brain gliomas and its influencing factors

脑胶质瘤术后患者心理韧性与症状负担之间的关联及其影响因素

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Abstract

OBJECTIVES: This study aimed to explore the relationship between psychological resilience (PR) and symptom burden in postoperative brain glioma (BG) patients and to identify factors influencing this relationship. METHODS: A total of 296 postoperative BG patients were included in this study. Various scales were employed, including the General Information Questionnaire, the Psychological Resilience Scale for PR, the M.D. Anderson Symptom Inventory for Brain Tumors to assess symptom burden, the Social Support Rating Scale, and the General Self-Efficacy Scale. Pearson correlation and multifactor linear regression analyses were used to examine the relationship between PR and symptom burden, and to assess the impacts of social support and self-efficacy. RESULTS: Higher PR was associated with younger age, higher educational level, and greater family income. A significant inverse correlation was found between PR and symptom burden (r=-0.827, P<0.001). Social support (r=-0.832, P<0.001) and self-efficacy (r=-0.116, P=0.046) were also negatively correlated with symptom burden. Multifactorial analysis revealed that both PR and social support independently influenced symptom burden. CONCLUSIONS: Enhancing PR and social support in postoperative BG patients may reduce symptom burden and improve quality of life. Future research should investigate interventions to improve PR and evaluate their long-term effects on symptom management and recovery.

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