Current Status And Related Relationship Between Adult Attachment,resilience And Phobia Disease Progression In Lung Cancer Patients In Gannan Region

Objective:This study aimed to understand the current status and demographic differences of the three factors of adult attachment,psychological resilience,and fear of disease progression in lung cancer patients,and to explore their characteristics and influencing factors.The correlation between adult attachment,mental resilience and phobic disease progression was analyzed.Methods:Using the convenience sampling method,lung cancer patients from three third-class hospitals in Ganzhou City,Jiangxi Province from January 2022 to December 2022 were selected as the research subjects,and the general information questionnaire,the intimate relationship experience questionnaire Chinese version,the resilience brief table and the phobia disease progression simplified scale were used to conduct the questionnaire survey.To investigate the sociodemographic status of lung cancer patients,as well as the levels of adult attachment,psychological toughness and phobia disease progression,and to explore the characteristics and influencing factors of adult attachment style,psychological toughness and phobic disease progression of lung cancer patients.The surveyed data were processed using SPSS 14.0 for descriptive analysis,reliability and validity test of scales,t-test,one-way ANOVA,Person correlation analysis,multiple linear regression,and statistical methods of structural equation model.Results:1.The total score of adult attachment of lung cancer patients was 139.21±33.28 points,including 71.81±20.47 points in attachment avoidance dimension and67.58±20.83 points in attachment anxiety dimension.The total score of mental resilience was 63.40±17.60 points,of which the total score of personal ability dimension was 45.11±12.44 points,and the total score of positive cognitive dimension was 18.29±6.02 points.The total score of phobic disease progression was31.40±10.14 points,including 15.20±5.39 points in the social family dimension and16.21±5.55 points in the physiological health dimension.2.Results of t-test and one-way ANOVA: There were significant differences in the total score of phobic disease progression in lung cancer patients in occupation,education,medical insurance reimbursement,whether other chronic diseases were combined,smoking history,length of hospitalization,and family history of tumors(P<0.05).3.Related analysis results: There is a correlation between adult attachment,mental toughness,and fear of disease progression in lung cancer patients.Adult attachment was negatively correlated with resilience and positively correlated with the progression of phobic disease.Phobic progression was inversely correlated with resilience(P<0.01).4.The results of regression analysis showed that length of hospitalization,smoking history,total adult attachment score,and total mental toughness score were the main influencing factors for the score of phobic disease progression.5.The structural equation model results were constructed with adult attachment as the independent variable,mental resilience as the mediating variable,and phobic disease progression as the dependent variable,and the model adaptation indicators were: CMIN/DF=1.374,RMSEA=0.042,IFI=0.997,TLI=0.992,CFI=0.997.The results showed that adult attachment had a significant positive effect on the progression of phobic disease(P<0.001),and psychological resilience had a significant negative effect on the progression of phobic disease(P<0.001).The results of the bootstrap mediation effect showed that there was a partial mediating effect between mental resilience and the progression of phobia disease in adults,with a direct effect of 0.1091(P<0.001)and an indirect effect of 0.0254(P<0.001).Conclusion:1.The attachment type of lung cancer patients investigated in this study was mainly phobia,in a state of high anxiety and high avoidance;Mental toughness is at a moderate level;Phobic progression was present,with hyperphobic progression occurring in 41.9% of patients.2.There is a correlation between adult attachment,psychological toughness,and fear of disease progression in lung cancer patients.3.There is a mediating effect of mental resilience,and adult attachment has a direct impact on the progression of phobic diseases,and can be indirectly affected through psychological resilience.4.Clinically,medical staff can improve the level of psychological resilience through some interventions,or reduce the level of attachment anxiety and attachment avoidance in adult attachment to reduce the level of fear of disease progression in lung cancer patients,so as to reduce patients’ fear of the disease.