Integrating psychological resilience into community health strategies: addressing stigma-induced social alienation in postoperative colorectal cancer patients

作者：Xin Guo, Yuqin Wang, Qi Han, Rui Zhang, Shuyu Liu, Yuenan Huang, Yan Zhang, Botang Guo · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1618599 · 被引用次数：6 · 研究领域：Cancer survivorship and care、Stoma care and complications、Cultural Competency in Health Care

Background: Colorectal cancer (CRC) is a leading cause of mortality globally. While survival rates have improved, postoperative patients face psychosocial challenges such as social alienation and stigma, which affect their recovery. Psychological resilience may serve as a protective factor, but its role in mediating the effects of stigma on social alienation in CRC patients is not well understood. Objective: This study aims to examine the mediating role of psychological resilience in the relationship between perceived stigma and social alienation among postoperative colorectal cancer patients. Method: A cross-sectional study was conducted with 382 postoperative CRC patients from three tertiary hospitals in Harbin and Shenzhen, China, between January 2023 and December 2024. Participants completed self-report measures of perceived stigma, psychological resilience, and social alienation. Data were analyzed using hierarchical regression and bootstrapping to test the mediation model. Result: Perceived stigma was positively correlated with social alienation and negatively with psychological resilience. Psychological resilience partially mediated the relationship between stigma and social alienation, explaining 30.8% of the total effect. Significant differences in social alienation were found based on gender, age, and stoma status. Conclusion: Psychological resilience plays a crucial role in reducing social alienation in postoperative CRC patients. Interventions focused on enhancing...