The Role of Emotional Granularity in Enhancing Resilience Among Young and Middle-Aged Colorectal Cancer Survivors: A Mixed-Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 242
- 试验地点
- 3
- 主要终点
- Level of Resilience
研究概览
简要总结
This study aims to understand how the ability to identify and describe specific emotions (called "emotional granularity") influences coping and adaptation ("resilience") in young and middle-aged colorectal cancer survivors.
The main questions to be answer are:
- How does emotional granularity help build resilience during cancer recovery?
- How does emotion regulation contribute to resilience building?
- What specific emotional needs and challenges do survivors experience?
This is an observational study where no experimental treatments are provided. Participants will complete an online questionnaire about background, emotions, ways of managing emotions, and ability to cope with stress. A subset of participants will then be invited to take part in a private, 30-60 minute interview to share personal experiences and feelings in more detail.
详细描述
Colorectal cancer (CRC) survivors, particularly young and middle-aged adults, frequently experience substantial emotional and psychosocial challenges after treatment completion. Emotional distress, social role disruption, and difficulties in adapting to long-term survivorship may negatively affect resilience and quality of life. Emotional granularity, defined as the ability to identify and differentiate subtle emotional experiences, has been proposed as a potential mechanism that may enhance adaptive emotion regulation and psychological resilience.
This sequential mixed-methods study aims to investigate the relationship between emotional granularity, emotion regulation, and resilience among young and middle-aged CRC survivors, and to explore survivors' emotional experiences and psychosocial support needs to inform future intervention development.
The study consists of two phases. In the first phase, a cross-sectional survey will be conducted among young and middle-aged CRC survivors recruited from teaching hospitals affiliated with Soochow University and Jiangsu University in Suzhou, Jiangsu Province, China. Participants will complete validated Chinese-language questionnaires assessing emotional granularity, emotion regulation difficulties, and resilience. Mediation analysis will be performed to examine whether emotion regulation mediates the association between emotional granularity and resilience.
In the second phase, purposive sampling will be used to recruit participants with varying levels of emotional granularity scores from the quantitative phase. Semi-structured individual interviews will be conducted to explore participants' emotional experiences, coping strategies, emotional support needs, and perceptions regarding emotion-focused interventions. Qualitative findings will be integrated with quantitative results to provide evidence supporting the future development of emotional granularity-based psychosocial interventions for CRC survivors.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Young and middle-aged adult patients (age in the range of 18-60 years);
- •Patients diagnosed with CRC;
- •Patients have completed primary treatments (e.g., surgery, chemotherapy, and/or radiotherapy) without experiencing a recurrence of CRC;
- •Patients able to use a smartphone and agree to participate in the study.
排除标准
- •Patients who have not been informed of their cancer diagnosis due to family decision to withhold information;
- •Patients suffering from severe conditions that may affect participation or assessment, such as significant cognitive impairment, psychiatric disorders, or communication disorder.
结局指标
主要结局
Level of Resilience
时间窗: Baseline (Day 1, at questionnaire completion for each participant)
Resilience will be measured by the total score on the Chinese version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Scores range from 0 to 40, with higher scores indicating higher levels of resilience.
次要结局
- Emotional Granularity Score(Baseline (Day 1, at questionnaire completion for each participant))
- Emotion Regulation Difficulties Score(Baseline (Day 1, at questionnaire completion for each participant))
研究者
Dr Joyce Chung
Associate Professor
The Hong Kong Polytechnic University