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©The Author(s) 2024.
World J Psychiatry. Apr 19, 2024; 14(4): 541-552
Published online Apr 19, 2024. doi: 10.5498/wjp.v14.i4.541
Published online Apr 19, 2024. doi: 10.5498/wjp.v14.i4.541
Table 1 Patient fear of progression, resilience, and sleep quality scores
| Project | Number of items | Rating range | Score |
| Fear of disease progression | 12 | 12-60 | 38.09 ± 5.16 |
| Physical health | 6 | 6-30 | 19.56 ± 3.01 |
| Social family | 6 | 6-30 | 18.53 ± 4.06 |
| Resilience | 25 | 0-100 | 40.73 ± 7.04 |
| Toughness | 13 | 0-52 | 19.69 ± 5.45 |
| Optimistic | 4 | 0-16 | 6.33 ± 2.92 |
| Self-strengthening | 8 | 0-32 | 14.70 ± 3.60 |
| Sleep quality | 18 | 0-21 | 10.72 ± 1.90 |
| Sleep efficiency | 1 | 0-3 | 1.30 ± 0.90 |
| Sleep disorders | 9 | 0-3 | 2.36 ± 0.62 |
| Sleeping time | 2 | 0-3 | 2.52 ± 0.64 |
| Sleep time | 1 | 0-3 | 0.56 ± 0.37 |
| Sleep quality | 1 | 0-3 | 2.04 ± 0.77 |
| Daytime dysfunction | 3 | 0-3 | 1.26 ± 0.83 |
| Use of hypnotic drugs | 1 | 0-3 | 0.67 ± 0.56 |
Table 2 Relationship between general patient data and fear of progression
| Projects | Number, n (%) | Score | t/F | P value |
| Sex | ||||
| Male | 49 (49) | 36.46 ± 4.30 | 3.232 | 0.002 |
| Female | 51 (51) | 39.65 ± 5.47 | ||
| Age (yr) | ||||
| ≤ 35 | 34 (34) | 38.69 ± 5.37 | 0.426 | 0.654 |
| 35-60 | 36 (36) | 37.55 ± 3.83 | ||
| ≥ 60 | 30 (30) | 38.04 ± 6.30 | ||
| Marital status | ||||
| Married | 27 (27) | 37.09 ± 4.55 | 0.190 | 0.827 |
| Unmarried | 48 (48) | 39.19 ± 5.55 | ||
| Divorce/widowhood | 25 (25) | 37.04 ± 4.74 | ||
| Family per capita monthly income (RMB) | ||||
| < 3000 | 32 (32) | 41.71 ± 4.65 | 32.112 | 0.000 |
| 3000-5000 | 38 (38) | 38.62 ± 3.27 | ||
| > 5000 | 30 (30) | 33.54 ± 4.23 | ||
| Medical expenses payment method | ||||
| Medical insurance | 46 (46) | 37.54 ± 5.09 | 0.896 | 0.412 |
| Agricultural insurance | 51 (51) | 38.39 ± 5.14 | ||
| Other | 3 (3) | 41.21 ± 7.24 | ||
| Educational level | ||||
| Junior high school and below | 40 (40) | 38.65 ± 4.75 | 3.189 | 0.046 |
| High school/technical secondary school | 41 (41) | 38.76 ± 4.88 | ||
| College degree or above | 19 (19) | 35.45 ± 5.98 | ||
| Type of occupation | ||||
| Employment | 46 (46) | 37.10 ± 4.39 | 1.782 | 0.078 |
| Unemployment | 54 (54) | 38.93 ± 5.65 | ||
| Type of residence | ||||
| Rural | 34 (34) | 39.08 ± 4.09 | 1.396 | 0.166 |
| Town | 66 (66) | 37.57 ± 5.60 | ||
| Disease course | ||||
| Less than 2 yr | 50 (50) | 37.64 ± 5.08 | -0.859 | 0.393 |
| 2 yr and above | 50 (50) | 38.53 ± 5.26 | ||
| Religious beliefs | ||||
| Yes | 5 (5) | 37.99 ± 5.60 | -0.806 | 0.422 |
| No | 95 (95) | 39.90 ± 5.15 | ||
| Family history | ||||
| Yes | 16 (16) | 38.79 ± 4.41 | -0.594 | 0.554 |
| No | 84 (84) | 37.95 ± 5.30 | ||
| Tumor type | ||||
| Leukemia | 29 (29) | 39.15 ± 6.07 | 1.068 | 0.366 |
| Lymphoma | 30 (30) | 37.95 ± 3.79 | ||
| Multiple myeloma | 21 (21) | 36.54 ± 5.21 | ||
| Myelodysplastic syndrome | 20 (20) | 38.38 ± 5.43 |
Table 3 Relationship between general patient data and patient resilience
| Projects | Number, n (%) | Score | t/F | P value |
| Sex | ||||
| Male | 49 (49) | 41.87 ± 7.08 | -1.615 | 0.110 |
| Female | 51 (51) | 39.62 ± 6.88 | ||
| Age (yr) | ||||
| ≤ 35 | 34 (34) | 41.94 ± 5.81 | 1.386 | 0.255 |
| 35-60 | 36 (36) | 40.98 ± 6.73 | ||
| ≥ 60 | 30 (30) | 39.05 ± 8.44 | ||
| Marital status | ||||
| Married | 27 (27) | 40.82 ± 6.23 | 0.877 | 0.419 |
| Unmarried | 48 (48) | 41.48 ± 7.28 | ||
| Divorce/widowhood | 25 (25) | 39.18 ± 7.40 | ||
| Family per capita monthly income (RMB) | ||||
| < 3000 | 32 (32) | 33.56 ± 4.29 | 121.749 | 0.000 |
| 3000-5000 | 38 (38) | 40.54 ± 2.96 | ||
| > 5000 | 30 (30) | 48.60 ± 4.16 | ||
| Medical expenses payment method | ||||
| Medical insurance | 46 (46) | 43.30 ± 6.68 | 2.231 | 0.113 |
| Agricultural insurance | 51 (51) | 39.45 ± 7.21 | ||
| Other | 3 (3) | 38.23 ± 5.98 | ||
| Educational level | ||||
| Junior high school and below | 40 (40) | 38.32 ± 7.23 | 7.744 | 0.001 |
| High school/technical secondary school | 41 (41) | 40.84 ± 5.96 | ||
| College degree or above | 19 (19) | 45.55 ± 6.52 | ||
| Type of occupation | ||||
| Employment | 46 (46) | 41.68 ± 6.96 | -1.25 | 0.214 |
| Unemployment | 54 (54) | 39.92 ± 7.07 | ||
| Type of residence | ||||
| Rural | 34 (34) | 40.58 ± 7.31 | -0.147 | 0.883 |
| Towns | 66 (66) | 40.80 ± 6.95 | ||
| Disease course | ||||
| Less than 2 yr | 50 (50) | 40.92 ± 7.11 | 0.277 | 0.782 |
| 2 yr and above | 50 (50) | 40.53 ± 7.03 | ||
| Religious beliefs | ||||
| Yes | 5 (5) | 40.50 ± 3.59 | 0.073 | 0.942 |
| No | 95 (95) | 40.74 ± 7.18 | ||
| Family history | ||||
| Yes | 16 (16) | 40.79 ± 7.21 | 0.192 | 0.848 |
| No | 84 (84) | 40.42 ± 6.23 | ||
| Tumor type | ||||
| Leukemia | 29 (29) | 39.67 ± 6.71 | 0.841 | 0.475 |
| Lymphoma | 30 (30) | 39.92 ± 7.50 | ||
| Multiple myeloma | 21 (21) | 41.90 ± 7.82 | ||
| Myelodysplastic syndrome | 20 (20) | 42.23 ± 5.90 |
Table 4 Relationship between general patient data and sleep quality
| Projects | Number, n (%) | Score | t/F | P value |
| Sex | ||||
| Male | 49 (49) | 10.87 ± 1.90 | -0.762 | 0.448 |
| Female | 51 (51) | 10.58 ± 1.99 | ||
| Age (yr) | ||||
| ≤ 35 | 34 (34) | 10.80 ± 1.68 | 0.248 | 0.781 |
| 35-60 | 36 (36) | 10.82 ± 1.70 | ||
| ≥ 60 | 30 (30) | 1.52 ± 2.35 | ||
| Marital status | ||||
| Married | 27 (27) | 10.62 ± 1.74 | 0.599 | 0.551 |
| Unmarried | 48 (48) | 10.93 ± 2.10 | ||
| Divorce/widowhood | 25 (25) | 10.44 ± 1.65 | ||
| Family per capita monthly income (RMB) | ||||
| < 3000 | 32 (32) | 8.98 ± 1.23 | 58.580 | 0.000 |
| 3000-5000 | 38 (38) | 10.76 ± 1.21 | ||
| > 5000 | 30 (30) | 12.53 ± 1.44 | ||
| Medical expenses payment method | ||||
| Medical insurance | 46 (46) | 10.93 ± 1.83 | 0.558 | 0.574 |
| Agricultural insurance | 51 (51) | 10.56 ± 1.91 | ||
| Other | 3 (3) | 10.24 ± 3.11 | ||
| Educational level | ||||
| Junior high school and below | 40 (40) | 10.13 ± 1.75 | 8.12 | 0.001 |
| High school/technical secondary school | 41 (41) | 10.67 ± 1.70 | ||
| College degree or above | 19 (19) | 12.11 ± 1.98 | ||
| Type of occupation | ||||
| Employment | 46 (46) | 10.82 ± 1.64 | -0.48 | 0.632 |
| Unemployment | 54 (54) | 10.64 ± 2.10 | ||
| Type of residence | ||||
| Rural | 34 (34) | 10.36 ± 1.55 | -1.388 | 0.168 |
| Towns | 66 (66) | 10.91 ± 2.04 | ||
| Disease course | ||||
| Less than 2 yr | 50 (50) | 10.78 ± 1.79 | 0.292 | 0.771 |
| 2 yr and above | 50 (50) | 10.67 ± 2.01 | ||
| Religious beliefs | ||||
| Yes | 5 (5) | 11.21 ± 2.13 | -0.586 | 0.559 |
| No | 95 (95) | 10.70 ± 1.89 | ||
| Family history | ||||
| Yes | 16 (16) | 10.76 ± 1.91 | 0.509 | 0.612 |
| No | 84 (84) | 10.50 ± 1.84 | ||
| Tumor type | ||||
| Leukemia | 29 (29) | 10.38 ± 1.98 | 0.890 | 0.449 |
| Lymphoma | 30 (30) | 10.75 ± 1.80 | ||
| Multiple myeloma | 21 (21) | 11.26 ± 2.12 | ||
| Myelodysplastic syndrome | 20 (20) | 10.63 ± 1.66 |
Table 5 Correlation analysis of fear of progression, resilience and sleep quality
Table 6 Regression analysis of the relationship between variables in the mediation model
Table 7 Mediating effect of resilience between fear of progression and sleep quality
| Effect relationship | Effect value | Standard error | 95%CI | Proportion of effect (%) | |
| Lower limit | Upper limit | ||||
| Total effect | -0.198 | 0.031 | -0.260 | -0.136 | 100.00 |
| Direct effect | -0.098 | 0.034 | -0.165 | -0.031 | 49.49 |
| Indirect effect | -0.100 | 0.018 | -0.139 | -0.068 | 50.51 |
- Citation: Tian Y, Wang YL. Resilience provides mediating effect of resilience between fear of progression and sleep quality in patients with hematological malignancies. World J Psychiatry 2024; 14(4): 541-552
- URL: https://www.wjgnet.com/2220-3206/full/v14/i4/541.htm
- DOI: https://dx.doi.org/10.5498/wjp.v14.i4.541