Development and Relationship Between Resilience and Anxiety and Depression in Elderly Gastric Cancer Survivors

This study will explore the dynamic interaction between mental resilience, anxiety and depression in elderly patients with gastric cancer 1 year after surgery, in order to better understand the role of these two factors in patients' mental health, and provide accurate insights for clinical practice and targeted psychological support strategies.

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Key information

Conditions

Resilience Anxiety Anxiety Disorders Behavior Behavioral Symptoms Depression Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases Gastrointestinal Neoplasms Mental Disorders Neoplasms Neoplasms by Site Stomach Diseases Stomach Neoplasms

Age range

60 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Yinning Guo

Nanjing, Jiangsu, China

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

diagnosed with gastric cancer by endoscopy or pathology
age ≥60 years old
radical gastrectomy was proposed
be able to communicate simply in writing and verbal

Exclusion criteria

received preoperative radiotherapy or chemotherapy;
combined with other sites of malignant tumors;
combined with severe heart, liver, lung and renal insufficiency;
recent using hormones, immunosuppressants;
with physical disabilities.

Treatment and study plan

Measurement correlation variable

Other

resilience and anxiety and depression

Primary outcomes

resilience

Time frame: immediately after surgery (T1), three month post-surgery (T2), six months post-surgery (T3), 12 months post-surgery (T4)

The Chinese version of 10-item Connor-Davidson Resilience Scale (CD-RISC-10), translated and revised by Chinese scholars, was used in this study. Cronbach's alpha for the Chinese version was 0.855, indicating good internal consistency. It was also applied to cancer patients in China. Each of which was scored on a 5-point Likert scale, ranging from 1 to 5 points, from "Never" to "Almost always", with higher scores representing a higher level of psychological resilience.
anxiety

Time frame: immediately after surgery (T1), three month post-surgery (T2), six months post-surgery (T3), 12 months post-surgery (T4)

Chinese version of the Hospital Anxiety and Depression Scale (HADS) was used in this study to assess the anxiety and depression of elderly cancer patients, which was developed by Zigmond AS et al. The scale consists of 14 items, including anxiety and depression subscales. Each item is rated on a 4 point scale, and the scores of the anxiety and depression scales range from 0 to 21 points. The Cronbach's α coefficient of the HADS for this study was 0.85.
depression

Time frame: immediately after surgery (T1), three month post-surgery (T2), six months post-surgery (T3), 12 months post-surgery (T4)

Chinese version of the Hospital Anxiety and Depression Scale (HADS) was used in this study to assess the anxiety and depression of elderly cancer patients, which was developed by Zigmond AS et al. The scale consists of 14 items, including anxiety and depression subscales. Each item is rated on a 4 point scale, and the scores of the anxiety and depression scales range from 0 to 21 points. The Cronbach's α coefficient of the HADS for this study was 0.85.

Sponsors and collaborators

Lead sponsor

Nanjing Medical University

Other

Registry information

Official study title

Exploring the Developmental Changes and Relationship Between Resilience and Anxiety and Depression in Elderly Gastric Cancer Survivors: Based on Latent Growth Modeling and Cross-lagged Modeling

Important dates

Study start: 2021
Primary completion: 2022
Study completion: 2022
First posted: Sep 13, 2023
Registry last updated: Sep 13, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed