Abstract：
OBJECTIVE: Unmet supportive care needs are associated with psychological symptoms such as depression and anxiety. However, so far, few studies have explored the protective psychological factors of unmet needs. Therefore, this study intends to explore the protective effect of self-compassion on unmet needs of Chinese cancer patients and to examine the predictive role of self-compassion on these needs during treatment.
METHODS: A longitudinal study was performed at Shaanxi Provincial Cancer Hospital in Xi\'an, China. A total of 153 heterogeneous cancer patients were assessed after the first diagnosis (T1), at the beginning (T2) and end (T3) of medical treatment. Hierarchical linear regression analyses were used to examine the research questions.
RESULTS: Cross-sectional regression analyses showed that self-compassion at T1 was significantly related to psychological needs at T1. Negative self-compassion at T1 was significantly related to total unmet needs, psychological needs, health system, and information and sexual needs. Longitudinal regression analyses showed that self-compassion at T1 significantly predicted total unmet needs; health system and information (HSI) needs at T2, psychological needs at T3, and negative self-compassion at T1 significantly predicted total unmet needs, HSI needs, physical needs, and patient care needs at T2 when controlling for unmet needs at T1. Positive self-compassion was not a predictor of unmet needs.
CONCLUSIONS: Self-compassion can be a protective factor of unmet needs in cancer patients. Future intervention studies should focus on improving the overall level of self-compassion and reducing the level of negative self-compassion in cancer patients to reduce patients\' unmet needs.
METHODS: A longitudinal study was performed at Shaanxi Provincial Cancer Hospital in Xi\'an, China. A total of 153 heterogeneous cancer patients were assessed after the first diagnosis (T1), at the beginning (T2) and end (T3) of medical treatment. Hierarchical linear regression analyses were used to examine the research questions.
RESULTS: Cross-sectional regression analyses showed that self-compassion at T1 was significantly related to psychological needs at T1. Negative self-compassion at T1 was significantly related to total unmet needs, psychological needs, health system, and information and sexual needs. Longitudinal regression analyses showed that self-compassion at T1 significantly predicted total unmet needs; health system and information (HSI) needs at T2, psychological needs at T3, and negative self-compassion at T1 significantly predicted total unmet needs, HSI needs, physical needs, and patient care needs at T2 when controlling for unmet needs at T1. Positive self-compassion was not a predictor of unmet needs.
CONCLUSIONS: Self-compassion can be a protective factor of unmet needs in cancer patients. Future intervention studies should focus on improving the overall level of self-compassion and reducing the level of negative self-compassion in cancer patients to reduce patients\' unmet needs.
摘要：
目的：未满足的支持治疗需求与抑郁和焦虑等心理症状相关。然而,到目前为止,很少有研究探讨未满足需求的保护性心理因素。因此,本研究旨在探讨自我同情对中国癌症患者未满足需求的保护作用,并探讨自我同情在治疗期间对这些需求的预测作用.
方法：在西安陕西省肿瘤医院进行了一项纵向研究，中国。共有153名异质性癌症患者在首次诊断（T1）后进行了评估，在医疗开始（T2）和结束（T3）。使用分层线性回归分析来检查研究问题。
结果：横断面回归分析显示，T1时的自我同情与T1时的心理需求显著相关。T1时的消极自我同情与总的未满足需求显着相关，心理需求,卫生系统,信息和性需求。纵向回归分析表明，T1时的自我同情显著预测了总的未满足的需求；T2时的卫生系统和信息（HSI）需求，T3时的心理需求和T1时的消极自我同情显著预测了总的未满足的需求，HSI需要，身体需要,当控制T1未满足的需求时，患者在T2的护理需求。积极的自我同情并不能预测未满足的需求。
结论：自我同情可能是癌症患者未满足需求的保护因素。未来的干预研究应侧重于提高癌症患者的整体自我同情水平和降低患者的消极自我同情水平，以减少患者的未满足需求。
方法：在西安陕西省肿瘤医院进行了一项纵向研究，中国。共有153名异质性癌症患者在首次诊断（T1）后进行了评估，在医疗开始（T2）和结束（T3）。使用分层线性回归分析来检查研究问题。
结果：横断面回归分析显示，T1时的自我同情与T1时的心理需求显著相关。T1时的消极自我同情与总的未满足需求显着相关，心理需求,卫生系统,信息和性需求。纵向回归分析表明，T1时的自我同情显著预测了总的未满足的需求；T2时的卫生系统和信息（HSI）需求，T3时的心理需求和T1时的消极自我同情显著预测了总的未满足的需求，HSI需要，身体需要,当控制T1未满足的需求时，患者在T2的护理需求。积极的自我同情并不能预测未满足的需求。
结论：自我同情可能是癌症患者未满足需求的保护因素。未来的干预研究应侧重于提高癌症患者的整体自我同情水平和降低患者的消极自我同情水平，以减少患者的未满足需求。
