The Mediating Effects of Self-Acceptance and Self-Evaluation on Mindfulness and Benefit -Finding in a Sample of Chinese Systemic Lupus Erythematous Patients.

Abstract

Purpose: This study investigated the relationship between mindfulness, self-acceptance and benefit-finding in SLE patients. Through structural equation models, we examined the mediating role of self-acceptance and self-evaluation between mindfulness and benefit-finding.

Patients and methods: We used a convenient sampling method to investigate the demographics characteristics, mindfulness, self-acceptance, and benefit-finding of 319 SLE patients who were admitted to the rheumatology and immunology departments of tertiary, and Grade-A hospitals from December 2019 to December 2020.

Results: Educational Levels, age, presence of other diseases besides SLE, medical expense payment method can affect mindfulness, and benefit-finding in SLE patients (p<0.05), monthly salary can also influence mindfulness (p<0.05), marital status also have impact on benefit-finding (p<0.05). Educational Levels, age and monthly salary can affect the self-acceptance of SLE patients (p<0.05). Mindfulness is positively correlated with the benefit-finding and has a significant positive impact on it (r=0.379, p<0.01). Mindfulness is positively correlated with self-acceptance, and self-evaluation (r = 0.124 and 0.130, p < 0.05), which are positively correlated with the benefit-finding (r = 0.256 and 0.255, p < 0.05) in turn. Self-acceptance, and self-evaluation played a partially mediating role in the relationship between mindfulness, and the benefit-finding in SLE patients, with the mediating effect accounting for 7.95% (The path coefficient was 0.0391, p < 0.01), and 7.74% of the total effect (The path coefficient was 0.0384, p < 0.01), respectively.

Conclusion: Mindfulness, self-acceptance, and benefit-finding in SLE patients are influenced by various sociodemographic factors. Self-acceptance and self-evaluation can mediate the relationship between mindfulness and benefit-finding in SLE patients. Clinical caregivers should pay more attention to improving patients' levels of mindfulness and their self-acceptance of the disease, and guide patients in cognitive reappraisal, so that they can benefit from the struggle with the disease.