ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1618599
This article is part of the Research TopicInnovative Models for Community Health: Integrative Approaches to Public Health and WellnessView all 5 articles
Integrating Psychological Resilience into Community Health Strategies: Addressing Stigma-Induced Social Alienation in Postoperative Colorectal Cancer Patients
Provisionally accepted
- 1First Affiliated Hospital of Harbin Medical University, Harbin, China
- 2The First Harbin Psychiatric Hospital, Harbin, Jilin Province, China
- 3The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China
- 4Shenzhen Guangming District Maternal and Child Health Hospital, shenzhen, China
- 5Shenzhen Luohu People's Hospital, Shenzhen, China
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Background Colorectal cancer (CRC) is a leading cause of mortality globally. While survival rates have improved, postoperative patients face psychosocial challenges such as social alienation and stigma, which affect their recovery. Psychological resilience may serve as a protective factor, but its role in mediating the effects of stigma on social alienation in CRC patients is not well understood.This study aims to examine the mediating role of psychological resilience in the relationship between perceived stigma and social alienation among postoperative colorectal cancer patients. Method A cross-sectional study was conducted with 382 postoperative CRC patients from three tertiary hospitals in Harbin and Shenzhen, China, between January 2023 and December 2024. Participants completed self-report measures of perceived stigma, psychological resilience, and social alienation. Data were analyzed using hierarchical regression and bootstrapping to test the mediation model. Result Perceived stigma was positively correlated with social alienation and negatively with psychological resilience. Psychological resilience partially mediated the relationship between stigma and social alienation, explaining 30.8% of the total effect. Significant differences in social alienation were found based on gender, age, and stoma status. Conclusion Psychological resilience plays a crucial role in reducing social alienation in postoperative CRC patients. Interventions focused on enhancing resilience could help mitigate stigma and improve social reintegration. Community-based resilience programs are recommended for supporting CRC survivors.
Keywords: Conceptualization, XG and QH, methodology, XG and BG, software, YW, validation, YW and RZ, formal analysis, XG, investigation, XG and YH, resources, BG and YH, data curation, XG and BG
Received: 26 Apr 2025; Accepted: 30 Jun 2025.
Copyright: © 2025 Guo, Wang, Han, Zhang, Liu, Huang, Zhang and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yuenan Huang, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150001, Heilongjiang Province, China
Yan Zhang, Shenzhen Guangming District Maternal and Child Health Hospital, shenzhen, China
Botang Guo, Shenzhen Luohu People's Hospital, Shenzhen, 518001, China
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