Psychological distress in thyroid cancer patients: Influencing factors and intervention strategies

Table 1 Related influencing factors, research details and main conclusions of psychological distress in patients with thyroid cancer

Study	Study details	Key findings	Risk factor categories
Demographic	Examined age[12-17], gender[18-21]	Age: Relationship with psychological distress in thyroid cancer patients unclear; more research needed; Gender: Influence on distress level uncertain; Female patients more prone to negative emotions	Age, gender
Physiological	Looked at somatic symptoms[25,29-31] and disease stages[32-36]	Somatic symptoms: Hormone replacement and 131I treatment cause fatigue, cognitive decline, etc., increasing distress; Disease stages: Newly diagnosed, treated, 131I-treated, and recurrent patients all experience high psychological distress due to diagnosis shock, side effects, fear of recurrence	Somatic symptoms, disease stages
Cognitive-regulatory	Analyzed negative/positive cognition[37-39]	Negative cognition: Increases psychological distress through negative emotions like anxiety and despair; Positive cognition: Leads to post-traumatic growth, reducing distress by helping patients adjust and cope	Negative cognition, positive cognition
Social economical status	Studied work status[22,23], economy[24,25], education [22,26-28], social support, info-need satisfaction [40,41]	Work status: Work and academic situations impact distress as patients want to return to work; Economy: Economic problems are a major cause of distress; Education: Lower-educated have higher distress; High-educated also a group to note; Social support: More support is associated with lower distress levels; Information need satisfaction: Low satisfaction with treatment plans and continuous nursing affects prognosis and mental health; New info support and nursing models needed	Work, economy, education, social support, info-need satisfaction