Effects of Psychological Resilience and Social Support on Anxiety and Depression in Patients With Papillary Thyroid Carcinoma

Abstract

Background: To investigate anxiety and depression in patients with papillary thyroid carcinoma (PTC) and analyse their associations with psychological resilience and social support.

Methods: A total of 122 patients with PTC who received surgical treatment at our hospital between January 2022 and June 2023 were included. Clinical data of patients were collected. Psychological resilience, social support, and symptoms of anxiety and depression were evaluated using Connor–Davidson Resilience Scale (CD-RISC), Social Support Rating Scale (SSRS) and Hospital Anxiety and Depression Scale (HADS) at 1-month after surgery. Pearson correlation analysis was used to analyse the correlation among these indicators. And the influencing factors of postoperative anxiety and depression were analysed using multiple linear regression method.

Results: All questionnaires were effectively collected. The total scores of CD-RISC, SSRS, and HADS were 80.00 ± 7.41, 53.17 ± 6.88, and 23.21 ± 5.22 points, respectively. Pearson correlation analysis showed that anxiety scores in the HADS were negatively correlated with CDRISC score and SSRS score, with coefficients of –0.496 and –0.584, respectively (p < 0.05). And depression scores in the HADS were also negatively correlated with CD-RISC score and SSRS score, with coefficients of –0.496 and – 0.482, respectively (p < 0.05). Multiple linear regression analysis showed that only CD-RISC and SSRS scores were independent predictors of postoperative anxiety and depression (p < 0.05).

Conclusions: The levels of anxiety and depression were elevated in PTC patients after surgery. Both psychological resilience and social support were influencing factors for anxiety and depression in PTC patients.