Mechanistic Exploration Of Resilience And Its Predictors On Anxiety In Women With Abnormal Results Of Cervical Cancer Screening

ObjectiveThe aims of study are to explore the resilience level and its predictors and further to evaluate the influence of these resilience-centered variables on anxiety severity among Chinese women with abnormal cervical cancer.This work is expected to provide a theoretical basis for intervention measures to improve the mental health of women with abnormal cervical cancer screening results.MethodsA convenience sampling method was used to select 175 women with abnormal cervical cancer screening results from a tertiary care hospital in Jinzhou as the study population.Resilience Scale-14(RS-14),Herth Hope Index(HHI),Multidimensional Scale of Perceived Social Support(MSPSS),Perceived Stress Scale-10(PSS-10),and the Zung Anxiety Self-Assessment Scale(SAS)were completed by subjects.One-way ANOVA/t-test was used to describe the differences in resilience among general data.Pearson correlation analysis and Cochran-Mantel-Haenszel were used to analyze the correlation between variables.Multiple linear regression analysis was used to test the influencing factors of resilience.A structural equation model was constructed to comprehensively analyze the relationship between variables,and the Bootstrap method was used to test the mediating effect between variables.Results1、Among the women with abnormal screening results,there were 20 cases(11.4%)<30 years old,101 cases(57.7%)30-50 years old,and 54 cases(30.9%)>50 years old.Regarding the individual monthly income of this population,102 cases(58.3%)were <3000 RMB and 73 cases(41.7%)were≥3000 RMB.2、The resilience score of women with abnormal results of cervical cancer screening was(70.57±12.14)points,with scores of(49.96±8.96)and(20.61±3.57)for the personal competence dimension and the self-and lifeacceptance dimension,respectively.3、The results of One-way ANOVA/t test showed that the resilience of women with abnormal cervical cancer screening results were statistically different in different monthly income and work status(P<0.05).4、The Pearson correlation analysis showed that hope and perceived social support were positively correlated with resilience(r=0.556,P<0.001;r=0.510,P<0.001);perceived stress was negatively correlated with resilience(r=-0.522,P<0.001).5、Hope,perceived social support and perceived stress significantly affected the resilience of women with abnormal cervical cancer screening results(P<0.05).6、The anxiety score of women with abnormal results of cervical cancer screening was(41.22±7.99).7 、 The Cochran-Mantel-Haenszel test revealed linear trends between resilience(x2=8.378,P=0.004),hope(x2 =17.283,P<0.001),perceived social support(x2= 8.918,P=0.003),and anxiety.The linear trend between anxiety and perceived stress was also confirmed by Pearson correlation analysis(r=0.681,P<0.001).8、Structural equation modeling results showed that perceived stress had a significant direct positive effect on anxiety(β=0.70,P<0.001)(direct effect value,0.913).Conclusions1 、 The resilience of women with abnormal results of cervical cancer screening was at a medium level.2 、 Hope and perceived social support were positively correlated with resilience of women with abnormal results of cervical cancer screening,and perceived stress is negatively correlated with resilience.3、Hope,perceived social support and perceived stress were the main factors affecting the resilience of women with abnormal results of cervical cancer screening.4、Resilience and hope are negatively correlated with anxiety,perceived stress was positively correlated with anxiety in women with abnormal results of cervical cancer screening.5、Perceived stress was found to have a direct positive predictive effect on anxiety.