Fear of disease progression and psychological factors in postoperative lung cancer patients

Table 1 Participants’ baseline characteristics and distribution (n = 368)

Indicators	Categories	n (%)
Gender	Male	201 (54.6)
	Female	167 (45.4)
Age (years)	< 50	118 (32.07)
	50-65	200 (54.35)
	> 65	50 (13.59)
Marital status	Married	292 (79.3)
	Unmarried/divorced/widowed	76 (20.7)
Educational level	Primary school and below	58 (15.8)
	Junior high school	124 (33.7)
	Senior high school/technical secondary school	102 (27.7)
	College degree and above	84 (22.8)
Payment method	Employee medical insurance	186 (50.5)
	Resident medical insurance	122 (33.2)
	Self-payment	60 (16.3)
Tumor stage	Stage I-II	230 (62.5)
	Stage III-IV	138 (37.5)

Table 2 Patients’ scores on the fear of progression questionnaire-short form, self-rating anxiety scale, and self-rating depression scale (n = 368), n (%)/mean ± SD

Scale	Total score	Factor score	Abnormality rate
FoP-Q-SF	35.52 ± 6.73	Physical health factor: 18.30 ± 5.97	-
		Social-family factor: 17.19 ± 3.33	-
SAS	51.23 ± 6.35	-	230 (62.50)
SDS	54.48 ± 7.15	-	218 (59.24)

FoP-Q-SF: Fear of progression questionnaire-short form; SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.

Table 3 Comparison of the fear of progression questionnaire-short form scores among patients with different characteristics, mean ± SD

Indicators	Categories	n	FoP-Q-SF scores (points)	t	P value
Gender	Male	201	35.94 ± 6.67	1.308	0.192
	Female	167	35.02 ± 6.77
Age (years)	< 50	118	34.64 ± 6.41	1.802	0.166
	50-65	200	36.10 ± 6.78
	> 65	50	35.28 ± 7.00
Marital status	Married	292	33.77 ± 6.13	11.320	< 0.001
	Unmarried/divorced/widowed	76	42.22 ± 4.28
Educational level	Primary school and below	58	43.17 ± 4.20	105.700	< 0.001
	Junior high school	124	37.94 ± 5.80
	Senior high school/technical secondary school	102	33.18 ± 4.76
	College degree and above	84	29.51 ± 4.14
Payment method	Employee medical insurance	186	31.84 ± 5.45	107.400	< 0.001
	Resident medical insurance	122	37.58 ± 5.63
	Self-payment	60	42.72 ± 4.34
Tumor stage	Stage I-II	230	33.59 ± 6.40	7.634	< 0.001
	Stage III-IV	138	38.73 ± 6.00
Anxiety status	With anxiety	230	39.25 ± 4.73	19.660	< 0.001
	Without anxiety	138	29.30 ± 4.65
Depression status	With depression	218	37.53 ± 6.13	7.401	< 0.001
	Without depression	150	32.60 ± 6.49

FoP-Q-SF: Fear of progression questionnaire-short form.

Table 4 Multiple linear regression analysis of factors influencing fear of progression in postoperative patients with lung cancer

Variable	Assignment	Unstandardized coefficient β (95%CI)	Standardized coefficient β	SE	t	P value
Constant	-	9.554 (5.316-13.792)	-	2.155	4.434	< 0.001
Marital status	0 = married; 1 = unmarried/divorced/widowed	2.805 (1.894-3.717)	0.169	0.464	6.051	< 0.001
Educational level	1 = Primary school and below; 2 = junior high school; 3 = senior high school/technical secondary school; 4 = college degree and above	-1.972 (-2.376 to -1.569)	-0.295	0.205	-9.615	< 0.001
Payment method	1 = employee medical insurance; 2 = resident medical insurance; 3 = self-payment	1.819 (1.284-2.354)	0.201	0.272	6.69	< 0.001
Tumor stage	1 = stage I; 2 = stage II; 3 = stage III; 4 = stage IV	0.606 (0.255-0.957)	0.094	0.178	3.392	0.001
SAS	Actual value	0.415 (0.350-0.479)	0.391	0.033	12.659	< 0.001
SDS	Actual value	0.090 (0.040-0.139)	0.095	0.025	3.552	< 0.001

CI: Confidence interval; SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.