Scholarlink

Purpose <p>Colorectal cancer (CRC) survivors with permanent stomas may commonly suffer from social withdrawal and subsequently experience loneliness. However, the relationship between social withdrawal and loneliness may vary depending on the individual’s&#xa0;psychological flexibility based on Acceptance and Commitment Therapy (ACT) theory. The present study thus examined the association between social withdrawal and loneliness by focusing on the potential moderating roles of psychological flexibility among CRC survivors with permanent stomas.</p> Methods <p>A cross-sectional sample of 289 CRC survivors with permanent stomas completed the social withdrawal subscales, the stoma acceptance and valuable actions scale, and the 6-item revised UCLA Loneliness scale. Moderation analysis using the PROCESS macro in SPSS was conducted to examine the moderating effects of psychological flexibility and its two components, stoma acceptance and valuable actions.</p> Results <p>The results indicated that social withdrawal was positively associated with loneliness (<i>r</i> = 0.423, <i>P</i> &lt; 0.001). The moderating analyses showed that psychological flexibility significantly moderated the association of social withdrawal with loneliness (interaction term = − 0.017, <i>P</i> = 0.006). Further exploratory analyses found that the moderating effect of valuable actions was significant (interaction term = − 0.028, <i>P</i> = 0.005), while the stoma acceptance was not.</p> Conclusion <p>Psychological flexibility, as well as valuable actions, may serve as a protective factor in the potential effects of social withdrawal on loneliness among CRC survivors with permanent stomas.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Adaptation to colorectal cancer and ostomy: Psychological flexibility mitigates loneliness associated with social withdrawal

  • 期刊论文

  • 发表日期：

    2025年10月14日

查看全文
  • Guopeng Li,
  • Rui Qin,
  • Xiangyu Zhao,
  • Duan Junyan,
  • Ping Li

摘要

Purpose

Colorectal cancer (CRC) survivors with permanent stomas may commonly suffer from social withdrawal and subsequently experience loneliness. However, the relationship between social withdrawal and loneliness may vary depending on the individual’s psychological flexibility based on Acceptance and Commitment Therapy (ACT) theory. The present study thus examined the association between social withdrawal and loneliness by focusing on the potential moderating roles of psychological flexibility among CRC survivors with permanent stomas.

Methods

A cross-sectional sample of 289 CRC survivors with permanent stomas completed the social withdrawal subscales, the stoma acceptance and valuable actions scale, and the 6-item revised UCLA Loneliness scale. Moderation analysis using the PROCESS macro in SPSS was conducted to examine the moderating effects of psychological flexibility and its two components, stoma acceptance and valuable actions.

Results

The results indicated that social withdrawal was positively associated with loneliness (r = 0.423, P < 0.001). The moderating analyses showed that psychological flexibility significantly moderated the association of social withdrawal with loneliness (interaction term = − 0.017, P = 0.006). Further exploratory analyses found that the moderating effect of valuable actions was significant (interaction term = − 0.028, P = 0.005), while the stoma acceptance was not.

Conclusion

Psychological flexibility, as well as valuable actions, may serve as a protective factor in the potential effects of social withdrawal on loneliness among CRC survivors with permanent stomas.