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Abstract：
OBJECTIVE: High self-efficacy is associated with improved self-care and reduced symptoms in cancer patients but has not been fully interrogated in adults with central nervous system (CNS) cancers. We aimed to identify the relationship between self-efficacy levels in managing emotions (SEMEM) and social interactions (SEMSI) by examining sample characteristics and symptom burden.
METHODS: Sample characteristics and patient-reported outcome (PRO) measures addressing self-efficacy (PROMIS SEMEM & SEMSI) and symptom burden (MDASI BT or SP) were collected in a novel web-based study of 158 adult patients diagnosed with rare CNS tumors.
RESULTS: The sample was predominantly female (73%), diagnosed with an ependymoma (66%), and had a median age of 45 (19-75). Low SEMEM was associated with a longer duration of symptoms before surgery (r = -0.26) and female gender (92%) among brain tumor (BT) participants and in spinal cord tumors (SCT), those with lower education (r = 0.29). Reporting low SEMSI was associated with being married (42%), lower education (r = 0.22), and a prolonged time with symptoms before surgery (r = 0.29) in those with BTs, with no associations identified in SCT. More severe mood-related interference (including mood, enjoyment of life, and relationship with others) was associated with lower SEMEM among both locations (r = -0.61 brain, r = -0.28 spine) and SEMSI in BT participants (r = -0.54).
CONCLUSIONS: Low self-efficacy was linked to a prolonged time between symptom onset and initial surgery, education, gender, and marital status and was associated with higher mood-related interference. Understanding characteristics associated with low self-efficacy underscores a need for future studies to tailor interventions that enhance self-efficacy.
METHODS: Sample characteristics and patient-reported outcome (PRO) measures addressing self-efficacy (PROMIS SEMEM & SEMSI) and symptom burden (MDASI BT or SP) were collected in a novel web-based study of 158 adult patients diagnosed with rare CNS tumors.
RESULTS: The sample was predominantly female (73%), diagnosed with an ependymoma (66%), and had a median age of 45 (19-75). Low SEMEM was associated with a longer duration of symptoms before surgery (r = -0.26) and female gender (92%) among brain tumor (BT) participants and in spinal cord tumors (SCT), those with lower education (r = 0.29). Reporting low SEMSI was associated with being married (42%), lower education (r = 0.22), and a prolonged time with symptoms before surgery (r = 0.29) in those with BTs, with no associations identified in SCT. More severe mood-related interference (including mood, enjoyment of life, and relationship with others) was associated with lower SEMEM among both locations (r = -0.61 brain, r = -0.28 spine) and SEMSI in BT participants (r = -0.54).
CONCLUSIONS: Low self-efficacy was linked to a prolonged time between symptom onset and initial surgery, education, gender, and marital status and was associated with higher mood-related interference. Understanding characteristics associated with low self-efficacy underscores a need for future studies to tailor interventions that enhance self-efficacy.
摘要：
目的：在癌症患者中，高自我效能感与自我护理改善和症状减轻有关，但在患有中枢神经系统（CNS）癌症的成年人中尚未得到充分的询问。我们旨在通过检查样本特征和症状负担来确定情绪管理自我效能水平（SEMEM）和社交互动（SEMSI）之间的关系。
方法：在一项新的基于网络的研究中，收集了样本特征和患者报告的结果（PRO）措施，以解决自我效能（PROMISSEMEM和SEMSI）和症状负担（MDASIBT或SP）158名被诊断患有罕见中枢神经系统肿瘤的成年患者。
结果：样本主要是女性（73％），诊断为室管膜瘤（66％），年龄中位数为45岁（19-75岁）。在脑肿瘤（BT）参与者和脊髓肿瘤（SCT）中，低SEMEM与手术前症状持续时间更长（r=-0.26）和女性（92％）相关。受教育程度较低的人(r=0.29)。报告较低的SEMSI与已婚有关（42％），较低的教育水平（r=0.22），手术前症状时间延长（r=0.29），在SCT中没有识别出关联。更严重的情绪相关干扰（包括情绪，享受生活,以及与他人的关系）与两个位置之间较低的SEMEM相关（r=-0.61大脑，r=-0.28脊柱）和BT参与者的SEMSI（r=-0.54）。
结论：低自我效能感与症状发作和初次手术之间的时间延长有关，教育,性别,和婚姻状况，并与较高的情绪相关干扰有关。了解与低自我效能感相关的特征强调了未来研究的必要性，以调整增强自我效能感的干预措施。
方法：在一项新的基于网络的研究中，收集了样本特征和患者报告的结果（PRO）措施，以解决自我效能（PROMISSEMEM和SEMSI）和症状负担（MDASIBT或SP）158名被诊断患有罕见中枢神经系统肿瘤的成年患者。
结果：样本主要是女性（73％），诊断为室管膜瘤（66％），年龄中位数为45岁（19-75岁）。在脑肿瘤（BT）参与者和脊髓肿瘤（SCT）中，低SEMEM与手术前症状持续时间更长（r=-0.26）和女性（92％）相关。受教育程度较低的人(r=0.29)。报告较低的SEMSI与已婚有关（42％），较低的教育水平（r=0.22），手术前症状时间延长（r=0.29），在SCT中没有识别出关联。更严重的情绪相关干扰（包括情绪，享受生活,以及与他人的关系）与两个位置之间较低的SEMEM相关（r=-0.61大脑，r=-0.28脊柱）和BT参与者的SEMSI（r=-0.54）。
结论：低自我效能感与症状发作和初次手术之间的时间延长有关，教育,性别,和婚姻状况，并与较高的情绪相关干扰有关。了解与低自我效能感相关的特征强调了未来研究的必要性，以调整增强自我效能感的干预措施。
