Longitudinal correlates of psychological resilience during particle radiotherapy among patients with head and neck cancer: A cross-lagged panel network analysis.

Wenjie Xu, Wan Cheng, Lina Xiang, Shuman Wang, Yu Zhang, Yu Zhu, Hongwei Wan

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Article in Asia-Pacific journal of oncology nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Wenjie XuDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.

Wan ChengSchool of Nursing, Fujian Medical University, Fuzhou, China.

Lina XiangDepartment of Nursing, Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Shuman WangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.

Yu ZhangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.

Yu ZhuDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.

Hongwei WanDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.

Funding

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6 · The paper itself

Abstract

Objective: This study explored the longitudinal correlates of psychological resilience in patients with head and neck cancer (HNC) undergoing particle radiotherapy. Methods: A longitudinal design was used to track 203 patients with HNC in Shanghai from December 2020 to December 2022. Psychological assessments were conducted at four time points: pre-particle radiotherapy (T1), treatment conclusion (T2), and 3/6 months post-treatment (T3/T4). A Cross-lagged panel network (CLPN) model analyzed dynamic interactions among six psychological resources (resilience, self-efficacy, hope, optimism, family support, and social support) across 18 dimensions based on ecological systems theory. Results: CLPN analysis across three treatment phases revealed temporal dynamics in psychological resilience factors. The T1→T2 network highlighted the strong predictive value of Conclusions:

Indexed as

Cross-lagged panel network analysisHead and neck cancerParticle radiotherapyPsychological resilience

Identifiers

PMID41858758

DOI10.1016/j.apjon.2026.100933

PMCPMC12996688

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.