Cognitive behavioral stress management affects different dimensions of benefit finding in breast cancer survivors: a multilevel mediation model.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-01-01 Epub Date: 2023-03-01 DOI:10.1080/08870446.2023.2184840

Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni

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引用次数: 0

Abstract

Methods. This secondary analysis used data from 240 women with stage 0-III breast cancer who completed measures of BF (Benefit Finding Scale) and perceived stress management skills (PSMS) at baseline, 6-months, and 12-months post-randomization into CBSM or a psycho-education condition. We tested a six-factor BF model using Confirmatory Factor Analysis and assessed CBSM-related changes in BF and PSMS using Hierarchical Linear Models. We included significantly affected BF dimensions in mediation models.

Results. A six-factor model of BF had good fit [χ²(212) = 391.5, p < .001; CFI = 0.94; RMSEA = 0.06; SRMR = 0.04]. CBSM positively affected changes in personal growth (β = 0.06, p = .01), social relations (β = 0.05, p = .05), and worldview (β = 0.05, p = .02) BF. Perceived relaxation skill increases significantly mediated changes in personal growth (β = 0.03, p = .04) and social relations (β = 0.03, p = .04).

Conclusion. Some aspects of perceived stress management skills appear to account for specific BF dimensions and should be considered in future efforts to develop interventions to modulate BF.

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认知行为压力管理影响乳腺癌幸存者获益的不同方面：多层次中介模型。

研究目的本研究旨在证实癌症经历中受益发现（BF）或银线的多维性，评估认知行为压力管理（CBSM）对这些维度的影响，并检验认知行为压力管理所针对的压力管理技能的中介作用。这项二次分析使用了240名0-III期乳腺癌女性患者的数据，这些患者在随机接受CBSM或心理教育后的基线、6个月和12个月完成了BF（受益发现量表）和感知压力管理技能（PSMS）的测量。我们使用确证因子分析法测试了六因子 BF 模型，并使用层次线性模型评估了与 CBSM 相关的 BF 和 PSMS 变化。我们将受到明显影响的 BF 维度纳入中介模型。BF的六因子模型具有良好的拟合度[χ2(212) = 391.5, p < .001；CFI = 0.94；RMSEA = 0.06；SRMR = 0.04]。CBSM 对个人成长（β = 0.06，p = .01）、社会关系（β = 0.05，p = .05）和世界观（β = 0.05，p = .02）BF 的变化有积极影响。感知放松技能的提高对个人成长（β = 0.03，p = .04）和社会关系（β = 0.03，p = .04）的变化有明显的中介作用。感知到的压力管理技能的某些方面似乎与特定的 BF 维度有关，在未来制定干预措施以调节 BF 时应加以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.