AUTHOR=Lin Chunhui , Zhang Fengzhi , Yang Fangfang , Lin Yuanting , Tian Tian , Shi Kaige , Li Manman , Li Xiaoxue 

TITLE=Factors influencing self-regulatory fatigue in patients undergoing chemotherapy for gynecologic cancer: a cross-sectional study

JOURNAL=Frontiers in Psychiatry

VOLUME=15

YEAR=2024

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1273151

DOI=10.3389/fpsyt.2024.1273151

ISSN=1664-0640

ABSTRACT=<sec><title>Objective</title><p>To understand the current status of self-regulatory fatigue among gynecologic cancer chemotherapy patients and explore influencing factors</p></sec><sec><title>Methods</title><p>Using convenient sampling, a total of 232 gynecological cancer chemotherapy patients from two tertiary hospitals in Zhengzhou, Henan, China, were selected as study subjects from February 2023 to April 2023. General information questionnaire, Self-Regulatory Fatigue Scale (SRF-S), Strategies Used by People to Promote Health (SUPPH) Scale, Connor-Davidson resilience scale (CD-RISC) and Perceived Social Support Scale (PSSS) were employed for data collection. The data were analyzed using SPSS 26.0 software. Chi-square test and binary logistic regression were executed to explore the correlates of self-regulatory fatigue, the significance level (<italic>α</italic>) was set at 0.05.</p></sec><sec><title>Results</title><p>The self-regulatory fatigue score of the 232 patients was 44 (36, 56). Binary logistic regression analyses revealed significant associations, demonstrating that residing in urban areas (<italic>OR</italic>=0.241, <italic>P</italic>=0.015), having no comorbidities (<italic>OR</italic>=0.158, <italic>P</italic>=0.015), increased perceived social support (<italic>OR</italic>=0.937, <italic>P</italic>=0.001), strong self-efficacy <italic>(OR</italic>=0.959, <italic>P</italic>=0.021), and heightened psychological resilience (<italic>OR</italic>=0.895, <italic>P</italic>&lt;0.001) acted as protective factors against self-regulatory fatigue (<italic>P</italic> &lt; 0.05).</p></sec><sec><title>Conclusion</title><p>Patients residing in rural areas, having more than two comorbidities, lower self-efficacy and psychological resilience levels, and lower perceived social support are indicative of higher levels of self-regulatory fatigue. Identifying these influencing factors can provide references and support for developing individualized support and intervention measures to improve patients’ physical and mental well-being.</p></sec>