Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis

Objectives: This systematic review and meta-analysis aimed to identify and synthesize the factors correlated with posttraumatic growth (PTG) in patients with colorectal cancer (CRC). Methods: PubMed, Web of Science, Embase, PsycINFO, CINAHL, Cochrane Library, China National Knowledge Infrastructure...

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Main Authors: Dingyuan Wei, Xue Wang, Mengxing Wang, Jiayan Wang, Fangping Chen, Luyang Jin, Xuemei Xian
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:International Journal of Nursing Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352013224001273
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author Dingyuan Wei
Xue Wang
Mengxing Wang
Jiayan Wang
Fangping Chen
Luyang Jin
Xuemei Xian
author_facet Dingyuan Wei
Xue Wang
Mengxing Wang
Jiayan Wang
Fangping Chen
Luyang Jin
Xuemei Xian
author_sort Dingyuan Wei
collection DOAJ
description Objectives: This systematic review and meta-analysis aimed to identify and synthesize the factors correlated with posttraumatic growth (PTG) in patients with colorectal cancer (CRC). Methods: PubMed, Web of Science, Embase, PsycINFO, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang database, China Science and Technology Journal Database (VIP) and SinoMed were searched for studies that reported data on the correlated factors associated with PTG in patients with CRC from inception to September 3, 2024. The methodological quality of the included studies was assessed via the Agency for Healthcare Research and Quality (AHRQ) methodology checklist and the Newcastle-Ottawa Scale (NOS). Pearson correlation coefficient (r) was utilized to indicate effect size. Meta-analysis was conducted in R Studio. Results: Thirty-one eligible studies encompassing 6,400 participants were included in this review. Correlated factors were identified to be significantly associated with PTG in patients with CRC including demographic factors: residential area (r = 0.13), marital status (r = 0.10), employment status (r = 0.18), education level (r = 0.19), income level (r = 0.16); disease-related factors: time since surgery (r = 0.17), stoma-related complications (r = 0.14), health-promoting behavior (r = 0.46), and sexual function (r = 0.17); psychosocial factors: confrontation coping (r = 0.68), avoidance coping (r = −0.65), deliberate rumination (r = 0.56), social support (r = 0.47), family function (r = 0.50), resilience (r = 0.53), self-efficacy (r = 0.91), self-compassion (r = −0.32), psychosocial adjustment (r = 0.39), gratitude (r = 0.45), stigma (r = −0.65), self-perceived burden (r = −0.31), fear of cancer recurrence (r = −0.45); and quality of life (r = 0.32). Conclusions: This meta-analysis identified 23 factors associated with PTG in CRC patients. Medical workers can combine those relevant factors from the perspective of positive psychology, further explore the occurrence and development mechanism of PTG, and establish targeted interventions to promote PTG.
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series International Journal of Nursing Sciences
spelling doaj-art-e95ed8e7691b4e89b72f584bbee6bf7f2025-01-26T05:03:59ZengElsevierInternational Journal of Nursing Sciences2352-01322025-01-0112196105Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysisDingyuan Wei0Xue Wang1Mengxing Wang2Jiayan Wang3Fangping Chen4Luyang Jin5Xuemei Xian6Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Nursing, Shihezi University School of Medicine, Shihezi, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Nursing, Shihezi University School of Medicine, Shihezi, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaSchool of Nursing, Zhejiang University School of Medicine, Hangzhou, China; Department of Nursing, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; Corresponding author.Objectives: This systematic review and meta-analysis aimed to identify and synthesize the factors correlated with posttraumatic growth (PTG) in patients with colorectal cancer (CRC). Methods: PubMed, Web of Science, Embase, PsycINFO, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang database, China Science and Technology Journal Database (VIP) and SinoMed were searched for studies that reported data on the correlated factors associated with PTG in patients with CRC from inception to September 3, 2024. The methodological quality of the included studies was assessed via the Agency for Healthcare Research and Quality (AHRQ) methodology checklist and the Newcastle-Ottawa Scale (NOS). Pearson correlation coefficient (r) was utilized to indicate effect size. Meta-analysis was conducted in R Studio. Results: Thirty-one eligible studies encompassing 6,400 participants were included in this review. Correlated factors were identified to be significantly associated with PTG in patients with CRC including demographic factors: residential area (r = 0.13), marital status (r = 0.10), employment status (r = 0.18), education level (r = 0.19), income level (r = 0.16); disease-related factors: time since surgery (r = 0.17), stoma-related complications (r = 0.14), health-promoting behavior (r = 0.46), and sexual function (r = 0.17); psychosocial factors: confrontation coping (r = 0.68), avoidance coping (r = −0.65), deliberate rumination (r = 0.56), social support (r = 0.47), family function (r = 0.50), resilience (r = 0.53), self-efficacy (r = 0.91), self-compassion (r = −0.32), psychosocial adjustment (r = 0.39), gratitude (r = 0.45), stigma (r = −0.65), self-perceived burden (r = −0.31), fear of cancer recurrence (r = −0.45); and quality of life (r = 0.32). Conclusions: This meta-analysis identified 23 factors associated with PTG in CRC patients. Medical workers can combine those relevant factors from the perspective of positive psychology, further explore the occurrence and development mechanism of PTG, and establish targeted interventions to promote PTG.http://www.sciencedirect.com/science/article/pii/S2352013224001273Colorectal cancerCorrelated factorsMeta-analysisPosttraumatic growthPositive psychology
spellingShingle Dingyuan Wei
Xue Wang
Mengxing Wang
Jiayan Wang
Fangping Chen
Luyang Jin
Xuemei Xian
Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
International Journal of Nursing Sciences
Colorectal cancer
Correlated factors
Meta-analysis
Posttraumatic growth
Positive psychology
title Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
title_full Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
title_fullStr Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
title_full_unstemmed Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
title_short Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
title_sort correlated factors of posttraumatic growth in patients with colorectal cancer a systematic review and meta analysis
topic Colorectal cancer
Correlated factors
Meta-analysis
Posttraumatic growth
Positive psychology
url http://www.sciencedirect.com/science/article/pii/S2352013224001273
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