Volume 24 Issue 6
Jun.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(6): 940-943
ZHENG Afen, YANG Wenbin, WANG Shaoyan, WANG Zhonglin. Analysis of the latent profile and transition of self-disgust in patients with colorectal cancer before and after stoma surgery[J]. Chinese Journal of General Practice, 2026, 24(6): 940-943. doi: 10.16766/j.cnki.issn.1674-4152.004526
Citation: ZHENG Afen, YANG Wenbin, WANG Shaoyan, WANG Zhonglin. Analysis of the latent profile and transition of self-disgust in patients with colorectal cancer before and after stoma surgery[J]. Chinese Journal of General Practice, 2026, 24(6): 940-943. doi: 10.16766/j.cnki.issn.1674-4152.004526
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Analysis of the latent profile and transition of self-disgust in patients with colorectal cancer before and after stoma surgery

doi: 10.16766/j.cnki.issn.1674-4152.004526

  • Department of Anorectal Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Yuying Children's Hospital, Wenzhou, Zhejiang 325000, China

Funds:

 2022ZB217

 肛肠病学，2024-XK-52

  • Received Date: 2025-10-11
    Available Online: 2026-11-10
    Abstract
  •   Objective  To explore the changing trend of potential categories of self-disgust in patients with colorectal cancer before and after stoma surgery over time and analyze its influencing factors.  Methods  Colorectal cancer patients admitted to the Second Affiliated Hospital of Wenzhou Medical University from February 2023 to February 2025 were selected as the research objects by convenience sampling method. The general information questionnaire and self-disgust scale were used to measure the enrolled research objects at admission (T1) and before discharge (T2) for potential transformation analysis.  Results  A total of 202 patients completed the investigation. Before and after stoma surgery, patients can be divided into two potential categories: the high self-disgust group and the low self-disgust group. The stability of the high self-disgust group was strong, and the probability of maintaining the original group was 0.856. Colorectal cancer patients in the low self-disgust group tended to transform to the high self-disgust group over time, and the transformation probability was 27.20%. The results of logistic regression analysis show that: patients who self-rated psychological imbalance (OR=4.722) and self-rated low social support (OR=3.380) had an increased probability of changing from the low self-disgust group to the high self-disgust group (OR>1), while patients with a monthly family income>10 000 yuan (OR=0.725) had a decreased probability of changing from the low self-disgust group to the high self-disgust group (OR < 1). Patients aged ≥60 years old (OR=1.256), residing at home (OR=1.347), self-rated mental health (OR= 2.422), and self-rated high support (OR=3.279) had an increased probability of changing from the high self-disgust group to the low self-disgust group (OR>1).  Conclusion  There is significant heterogeneity in the self-abusive state of colorectal cancer patients before and after ostomy surgery, mainly divided into two subgroups: high and low. The study confirmed that the low self-abusive group has a higher risk of deterioration during the perioperative period, driven by psychological imbalance and insufficient social support; while advanced age, family residence, and good psychological state are protective factors for promoting a favorable outcome in patients with high self-abusive status.

     

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    • References(20)
  • [1]
    梁玉汶, 杜小波. 局部晚期直肠癌新辅助治疗反应评估及预测研究进展[J]. 华西医学, 2024, 39(5): 825-832.

    Liang Y M, Du X B. Progress in evaluation and prediction of neoadjuvant therapy response in locally advanced rectal cancer[J]. West China Medical Journal, 2024, 39(5): 825-832.
    [2]
    石玉兰, 余静雅, 向利娟, 等. 以造口治疗师为主导的多学科诊疗模式在慢性创面诊疗中的应用[J]. 华西医学, 2024, 39(1): 17-21.

    Shi Y L, Yu J Y, Xiang L J, et al. Application of a multidisciplinary diagnosis and treatment model led by an ostomy therapist in the treatment of chronic wounds[J]. West China Medical Journal, 2024, 39(1): 17-21.
    [3]
    郑亚男, 张吉欣, 闫晨晨, 等. 结直肠癌术后化疗患者焦虑情绪、心理弹性与免疫应答的相关性分析[J]. 中华全科医学, 2025, 23(12): 2101-2104. doi: 10.16766/j.cnki.issn.1674-4152.004301

    Zheng Y N, Zhang J X, Yan C C, et al. Correlation analysis of anxiety, psychological resilience and immune response in patients with colorectal cancer undergoing postoperative chemotherapy[J]. Chinese General Practice, 2025, 23(12): 2101-2104. doi: 10.16766/j.cnki.issn.1674-4152.004301
    [4]
    GAO S L, ZHANG L, YAO X Y, et al. Associations between self-disgust, depression, and anxiety: a three-level meta-analytic review[J]. Acta Psychol, 2022, 228: 103658. DOI: 10.1016/j.actpsy.2022.103658.
    [5]
    SCHIENLE A, SCHWAB D, HÖFLER C, et al. Self-disgust and its relationship with lifetime suicidal ideation and behavior[J]. Crisis, 2020, 41(5): 344-350. doi: 10.1027/0227-5910/a000645
    [6]
    JIN Y F, MA H M, JIMÉNEZ-HERRERA M. Self-disgust and stigma both mediate the relationship between stoma acceptance and stoma care self-efficacy[J]. J Adv Nurs, 2020, 76(10): 2547-2558. doi: 10.1111/jan.14457
    [7]
    PHUNG V D, FANG S Y. Body image issues in patients with colorectal cancer: a scoping review[J]. Cancer Nurs, 2023, 46(3): 233-247. doi: 10.1097/NCC.0000000000001085
    [8]
    LI G P, HE X D, QIN R, et al. Linking stigma to social isolation among colorectal cancer survivors with permanent stomas: the chain mediating roles of stoma acceptance and valuable actions[J]. J Cancer Surviv, 2025, 19(6): 2037-2046. doi: 10.1007/s11764-024-01614-2
    [9]
    白雪杉, 林国乐. 2019. V1版《NCCN结直肠癌诊治指南》更新要点解析[J]. 中国全科医学, 2019, 22(33): 4031-4034.

    Bai X S, Lin G L. 2019. Key points analysis of the update of the NCCN Colorectal Cancer Diagnosis and Treatment Guidelines Version 1[J]. Chinese General Practice, 2019, 22(33): 4031-4034.
    [10]
    金燕飞, 熊丽娜, 高飞, 等. 中文版自我厌恶感量表的信效度检验[J]. 护理学杂志, 2016, 31(3): 80-83.

    Jin Y F, Xiong L N, Gao F, et al. Validity and reliability test of the Chinese version of the self-absorption scale[J]. Journal of Nursing, 2016, 31(3): 80-83.
    [11]
    顾焱晖, 韩广森, 张世甲, 等. 溃疡性结肠炎相关性结直肠癌的危险因素分析[J]. 中华消化外科杂志, 2017, 16(7): 736-740.

    Gu Y H, Han G S, Zhang S J, et al. Risk factors of ulcerative colitis-associated colorectal cancer[J]. Chin J Digestive Surgery, 2017, 16(7): 736-740.
    [12]
    AKRAM U, ALLEN S, STEVENSON J C, et al. Self-disgust as a potential mechanism underlying the association between body image disturbance and suicidal thoughts and behaviours[J]. J Affect Disord, 2022, 297: 634-640. doi: 10.1016/j.jad.2021.10.063
    [13]
    OLATUNJI B O, COX R C, LIU Q M, et al. Linking self-disgust, negative affect, and PTSD in sexual assault: an ecological momentary assessment approach[J]. Psychol Trauma, 2023, 15(4): 567-575. doi: 10.1037/tra0001424
    [14]
    台瑞, 方芳, 毛晶珏, 等. 永久性肠造口患者造口适应水平影响因素分析[J]. 上海交通大学学报(医学版), 2023, 43(11): 1423-1429.

    Tai R, Fang F, Mao J J, et al. Analysis of factors affecting the adaptation level of ostomy in patients with permanent ostomy[J]. Journal of Shanghai Jiao Tong University (Medicine), 2023, 43(11): 1423-1429.
    [15]
    KOT E, GRZEGORZEWSKI P, KOSTECKA B, et al. Self-disgust and disgust sensitivity are increased in anorexia nervosa inpatients, but only self-disgust mediates between comorbid and core psychopathology[J]. Eur Eat Disord Rev, 2021, 29(6): 879-892. doi: 10.1002/erv.2862
    [16]
    KLAVER P, ROHLFING K J. Challenges in developmental psychology, a focus on sustainable development[J]. Front Psychol, 2022, 13: 1086458. DOI: 10.3389/fpsyg.2022.1086458.
    [17]
    SONG Q F, LIU C E, LV X, et al. Course and predictors of psychological distress among colorectal cancer survivors with ostomies: a longitudinal study[J]. Eur J Oncol Nurs, 2022, 59: 102170. DOI: 10.1016/j.ejon.2022.102170.
    [18]
    YPSILANTI A, ROBSON A, LAZURAS L, et al. Self-disgust, loneliness and mental health outcomes in older adults: an eye-tracking study[J]. J Affect Disord, 2020, 266: 646-654. doi: 10.1016/j.jad.2020.01.166
    [19]
    刘学颖. 自尊在直肠癌永久性肠造口患者社会支持与应对方式间的作用[J]. 河南医学研究, 2023, 32(1): 122-125.

    Liu X Y. The role of self-esteem in the relationship between social support and coping styles of patients with permanent colostomy due to rectal cancer[J]. Henan Medical Research, 2023, 32(1): 122-125.
    [20]
    MASON D, JAMES D, ANDREW L, et al. 'The last thing you feel is the self-disgust'. The role of self-directed disgust in men who have attempted suicide: a grounded theory study[J]. Psychol Psychother, 2022, 95(2): 575-599. doi: 10.1111/papt.12389
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