Latent profile analysis of perceived stress and influencing factors in colorectal cancer patients

Objective:To understand the latent categories of perceived stress in colorectal cancer patients and analyze the characteristics of different categories of patients.Methods:A total of 255 colorectal cancer patients receiving treatment in the gastrointestinal surgery and oncology depar tments of a ter tiary Grade A hospital in Sichuan Province,from January 2023 to June 2023,were selected as the study subjects.General information questionnaire,Chinese version of the Perceived Stress Scale(CPSS),and Comprehensive Score Table for Patient-Repor ted Outcome Measures of Economic Toxicity(COST-PROM)were used for data collection.Results:Perceived stress in colorectal cancer patients was classified into 3 latent categories:C1“Low stress-stable type”(19.2%),C2“Moderate stress-uncontrolled type”(23.9%),and C3“High stress-anxious type”(56.9%).The average score of perceived stress was(34.07±5.08).Compared with C1 type,patients with a monthly household income of≤3000 RMB were more likely to belong to the C2 and C3 types(P<0.05),and patients without a stoma were less likely to belong to C3 type(P<0.05).Compared with C2 type,male patients were more likely to belong to C3 type(P<0.05),and patients without a stoma were less likely to belong to C3 type(P<0.05).Compared with C3 type,patients with higher economic toxicity scores were more likely to be classified into C1 and C2 types(P<0.05).Conclusions:Perceived stress in colorectal cancer patients exhibits distinct categorical features.Male gender,lower income,presence of a stoma,and higher economic toxicity are associated with higher levels of perceived stress in colorectal cancer patients.

Current Status of Key Competencies among Medical Students: A Latent Profile Analysis

The purpose of this study was to understand the overall level of key competencies of medical students and explore the potential profile of key competencies, promoting quality education, and improving the quality talent cultivation in medical colleges. A stratified random sampling method selected 734 medical students from four medical colleges in Chongqing Province of China. A general information questionnaire and a key competencies survey questionnaire were used to conduct the survey. The overall score and scores of each dimension of key competencies were analyzed. Latent profile analysis was conducted to classify the key competencies of medical students and compare the distribution differences of demographic variables among different categories. The results showed that 26% of medical students have never heard of the concept of key competencies, and 59% of them are not familiar with the content related to key competencies. The score of key competencies is 3.66 ± 0.60, with the highest score in the dimension of responsibility and the lowest score in the dimension of humanistic accomplishment. The latent profile analysis classified them into three categories: “low key competencies group (14.71%)”, “medium key competencies group (36.79%)”, and “high key competencies group (48.50%)”. The R3STEP regression analysis results showed statistically significant differences in educational level and whether they served as student cadres among different key competencies categories of medical students. This paper discusses three different potential key competencies categories among medical students, and the overall level of key competencies is relatively good. However, medical students lack a comprehensive and systematic understanding of key competencies. Humanistic accomplishment, healthy living, and practical innovation are the three dimensions with lower scores and should be given more attention. Medical colleges should integrate the concept of key competencies into teaching and implement it in medical practice to cultivate more high-quality medical talents for society.

Older adults’social participation and social relationship and association with partner’s cognition:a latent profile analysis

Older adults’social participation and social relationship may be affected by their partners’cognitive function.In 3,722 cognitively intact married/partnered Health and Retirement Study respondents,latent profile analysis identified three social participation profiles(Limited overall social participation(prevalence:69%);Frequent volunteer participation(10%);Frequent non-volunteer participation(21%)),and three social relationship profiles(Social support from all relationships(68%);Mixed social support and strain from all relationships(18%);Social strain from partner with support from other relationships(14%)).Spouse/partner’s cognition was not significantly associated with social participation profiles.Impaired cognition in spouses/partners increased older adults’likelihood of perceiving social strain from their partners with support from other relationships.Frequent volunteer and non-volunteer participation and perceiving social support from all relationships predicted better self-rated health and lower odds of depressive symptoms.These findings highlight the need of community programs that promote social connectedness for older adults living with cognitively impaired spouses/partners.

Profiles of depressive disorders and influencing factors among the elderly in China: protocol for a secondary data analysis

Background:Depressive disorders have become a major risk factor that influences people’s health worldwide,but few studies have focused on the prevalence of depressive disorders among the Chinese elderly and their characteristics of depressive disorders.The current study is a secondary data analysis designed to explore the profiles of depressive disorders in the Chinese elderly by latent profile analysis.Methods:The China Health and Retirement Longitudinal Study(CHARLS 2018)database will be used for analysis.Latent profile analysis will be employed to identify the profiles of depressive disorders using data from the subsection“CESD Depression”in the section“Cognition and Depression”.Stepwise multinomial logistic regression will be used to explore the influencing factors of different profiles of depressive disorders among the Chinese elderly.Discussion:The prevalence of depressive disorders among the Chinese elderly and their profiles of depressive disorders will be reported.Possible influencing factors may include some demographic characteristics and associated psychological elements,which will provide a reference for further research and precise intervention.

A person-centered approach to achievement goal orientations in competitive tennis players: Associations with motivation and mental toughness

Background:Research on achievement goal orientations in sport has typically relied on the use of variable-centered approaches that tend to overlook population heterogeneity.In this study,we used a person-centered approach to identify subgroups of competitive tennis players according to unique combinations of achievement goal orientations and tested for subgroup differences in motivation and mental toughness.Methods:A sample of 323 competitive tennis athletes(69.35%male)between 15 and 25 years of age(17.60±2.40 years,mean±SD)completed the 3×2 Achievement Goal Questionnaire for Sport,Sport Motivation Scale Ⅱ,and Mental Toughness Index.Latent profile analysis was used to identify unique combinations of achievement goal orientations.Comparisons between latent subgroups on autonomous motivation,controlled motivation,and mental toughness were performed using analysis of variance.Results:Latent profile analysis supported 3 distinct patterns of achievement goal profiles that were primarily distinguishable based on valence of competence(i.e.,approach vs.avoidance).Analyses of variance indicated that athletes who were classified into subgroups that endorsed approach types of goals(regardless of the types of avoidance goals they endorsed)reported higher levels of autonomous motivation and mental toughness.Conclusion:Results indicated that athletes tend to pursue a number of achievement goals collectively rather than in isolation.Although approach goals are more commonly linked to adaptive psychological functioning and positive outcomes,avoidance goals may also be associated with desirable psychological characteristics if they are pursued in conjunction with approach types of achievement goals.