Classification and influencing factors of family resilience and post-traumatic growth in spinal tumor patients：a latent profile analysis

Abstract Purpose To investigate the possible classifications and determinants of family resilience and post-traumatic growth among individuals with spinal tumors. Methods A cross-sectional study was conducted with 219 inpatients diagnosed with spinal tumors between July 2021 and July 2022. Participants completed the General Demographic Information questionnaire, Chinese-Family Resilience Assessment Scale, Posttraumatic Growth Inventory, Family Crisis-Oriented Personal Evaluation Scales, and Social Support Rating Scale. Latent profile analysis was used to identify the potential profiles of family resilience and post-traumatic growth. Ordinal and multinomial logistic regression analyses identified factors associated with family resilience and post-traumatic growth. Results Among the 219 patients, 28.3% had primary spinal tumors, and 71.7% had secondary spinal tumors. Latent profile analysis categorized respondents into three groups: Family dilemma-resistant (17.4%), general resilience-struggle (45.2%), and family adaptation-growth (37.4%). Significant differences were observed among these groups in occupational status, housework commitment, family atmosphere, and scores on the FCOPES and SSRS scales. Regression analyses indicated that retirement [OR = 2.928, 95% CI (1.098–7.808)], family coping [OR = 1.113, 95% CI (1.063–1.165)], and social support [OR = 1.226, 95% CI (1.103–1.362)] were significantly associated with family resilience and post-traumatic growth (P < 0.05). Conclusion Individuals with spinal tumors display unique features in family resilience and post-traumatic growth. Consequently, targeted interventions should be developed for different patient categories.