The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis

ObjectiveTo investigate the current status and influencing factors of negative social expectations in thyroid cancer patients, aiming to inform interventions that mitigate these expectations and foster positive psychological outcomes.MethodsFrom December 2022 to August 2023, we used convenience samp...

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Main Authors: Zhitong Wang, Cui Chen, Jing Lu, Zhenfan Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1599652/full
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author Zhitong Wang
Cui Chen
Jing Lu
Zhenfan Liu
author_facet Zhitong Wang
Cui Chen
Jing Lu
Zhenfan Liu
author_sort Zhitong Wang
collection DOAJ
description ObjectiveTo investigate the current status and influencing factors of negative social expectations in thyroid cancer patients, aiming to inform interventions that mitigate these expectations and foster positive psychological outcomes.MethodsFrom December 2022 to August 2023, we used convenience sampling to select 213 thyroid cancer patients who met the inclusion and exclusion criteria as research subjects. A questionnaire survey was conducted using a general information questionnaire, the Cancer patient Negative Social Expectation Scale, the simplified version of the psychological Resilience Scale, and the Cancer Loneliness Scale.ResultsThe median negative social expectation score among thyroid cancer patients was 10.00 (IQR: 6.00–17.50), with 31.0% of participants classified as having high negative social expectations. Univariate analysis revealed significant differences in negative social expectation scores across subgroups stratified by age, personality type, marital status, disease type (e.g., papillary vs. non-papillary carcinoma), and Insurance Type (p < 0.05). Correlation analysis demonstrated that the negative social expectation scores were inversely associated with psychological resilience (r =-0.426, p < 0.01) and positively correlated with the loneliness scores (r = 0.651, p < 0.01). Multiple linear regression analysis further identified psychological resilience (β = −0.32, p = 0.003), loneliness (β = 0.51, p < 0.001), disease type (papillary carcinoma vs. others; β = 0.18, p = 0.012), and Insurance Type (β = 0.15, p = 0.023) as significant predictors of negative social expectations, collectively explaining 50.70% of the total variance (R2 = 0.519).ConclusionThe negative social expectations of thyroid cancer patients are at a moderate level. patients with urban resident health insurance, non-papillary carcinoma subtypes, lower psychological resilience scores, and higher loneliness scores exhibited significantly elevated negative social expectation scores. To address this, targeted psychosocial interventions should be implemented for this population. These interventions aim to reduce negative social expectations, facilitate social reintegration, improve quality of life, and alleviate the socioeconomic burden on both families and society.
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spelling doaj-art-d8567f1692f3426ba06649322fd76bdd2025-08-20T02:15:17ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-05-011610.3389/fpsyg.2025.15996521599652The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysisZhitong WangCui ChenJing LuZhenfan LiuObjectiveTo investigate the current status and influencing factors of negative social expectations in thyroid cancer patients, aiming to inform interventions that mitigate these expectations and foster positive psychological outcomes.MethodsFrom December 2022 to August 2023, we used convenience sampling to select 213 thyroid cancer patients who met the inclusion and exclusion criteria as research subjects. A questionnaire survey was conducted using a general information questionnaire, the Cancer patient Negative Social Expectation Scale, the simplified version of the psychological Resilience Scale, and the Cancer Loneliness Scale.ResultsThe median negative social expectation score among thyroid cancer patients was 10.00 (IQR: 6.00–17.50), with 31.0% of participants classified as having high negative social expectations. Univariate analysis revealed significant differences in negative social expectation scores across subgroups stratified by age, personality type, marital status, disease type (e.g., papillary vs. non-papillary carcinoma), and Insurance Type (p < 0.05). Correlation analysis demonstrated that the negative social expectation scores were inversely associated with psychological resilience (r =-0.426, p < 0.01) and positively correlated with the loneliness scores (r = 0.651, p < 0.01). Multiple linear regression analysis further identified psychological resilience (β = −0.32, p = 0.003), loneliness (β = 0.51, p < 0.001), disease type (papillary carcinoma vs. others; β = 0.18, p = 0.012), and Insurance Type (β = 0.15, p = 0.023) as significant predictors of negative social expectations, collectively explaining 50.70% of the total variance (R2 = 0.519).ConclusionThe negative social expectations of thyroid cancer patients are at a moderate level. patients with urban resident health insurance, non-papillary carcinoma subtypes, lower psychological resilience scores, and higher loneliness scores exhibited significantly elevated negative social expectation scores. To address this, targeted psychosocial interventions should be implemented for this population. These interventions aim to reduce negative social expectations, facilitate social reintegration, improve quality of life, and alleviate the socioeconomic burden on both families and society.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1599652/fullthyroid cancernegative social expectationspsychological resiliencelonelinessinfluencing factors
spellingShingle Zhitong Wang
Cui Chen
Jing Lu
Zhenfan Liu
The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
Frontiers in Psychology
thyroid cancer
negative social expectations
psychological resilience
loneliness
influencing factors
title The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
title_full The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
title_fullStr The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
title_full_unstemmed The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
title_short The current state and influencing factors of negative social expectations among thyroid cancer patients: a single-center cross-sectional analysis
title_sort current state and influencing factors of negative social expectations among thyroid cancer patients a single center cross sectional analysis
topic thyroid cancer
negative social expectations
psychological resilience
loneliness
influencing factors
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1599652/full
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