Personal Resources and Total Pain: Exploring the Multiple Mediation of Fear of Recurrence, Meaning-Making, and Coping in Posttreatment Cancer Patients.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-10-16 DOI:10.1093/abm/kaae029

Dariusz Krok, Ewa Telka, Marcin Moroń

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引用次数: 0

Abstract

Background: People with cancer who have completed treatment still experience negative effects, such as an increased risk of experiencing cancer-related pain. Psychological factors tend to influence cancer patients' ability to cope with pain in various dimensions. Although personal resources are an important factor in buffering total pain, still little is known about the intervening variables and underlying mechanisms.

Purpose: The current study examined the relationship between psychological flexibility, self-esteem, and total pain, while considering fear of recurrence, meaning-making, and coping as potential mediating factors.

Methods: Adults (N = 304) who completed medical treatment (radiotherapy, chemotherapy, and combined therapy) participated in this study. They completed questionnaires measuring the aforementioned variables. Structural equation models were used to examine mediation effects.

Results: Psychological flexibility, and partly self-esteem, were negatively related to the dimensions of total pain. However, to a large extent, these relationships were serially and parallelly mediated by fear of recurrence, meaning-making, and emotion-oriented coping.

Conclusions: Consistent with the meaning-making model, cognitive (meaning-making), and affective (fear of recurrence and emotional coping) factors may be potential mechanisms underlying the association between psychological flexibility, self-esteem, and total pain in posttreatment cancer patients. In this study, they tended to interact in the area of physiological and psychosocial experiences of cancer-related pain.

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个人资源与总体痛苦：探索癌症患者治疗后对复发的恐惧、意义建构和应对的多重中介作用。

背景：癌症患者在完成治疗后仍会受到一些负面影响，例如经历癌症相关疼痛的风险增加。心理因素往往会从多个方面影响癌症患者应对疼痛的能力。尽管个人资源是缓冲总体疼痛的一个重要因素，但人们对其中的干预变量和潜在机制仍然知之甚少。目的：本研究探讨了心理灵活性、自尊和总体疼痛之间的关系，同时将复发恐惧、意义建构和应对作为潜在的中介因素：参加本研究的是已完成医学治疗（放疗、化疗和综合治疗）的成年人（N = 304）。他们填写了测量上述变量的问卷。研究采用结构方程模型来检验中介效应：结果：心理灵活性（部分为自尊）与总体疼痛呈负相关。然而，在很大程度上，这些关系是由对复发的恐惧、意义建构和情绪导向型应对所串联和并行调解的：与意义建构模型一致，认知（意义建构）和情感（对复发的恐惧和情绪应对）因素可能是治疗后癌症患者心理灵活性、自尊和总疼痛之间关系的潜在机制。在本研究中，它们往往在癌症相关疼痛的生理和心理社会体验方面相互作用。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .