Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni
{"title":"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。","authors":"Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni","doi":"10.1080/08870446.2023.2184840","DOIUrl":null,"url":null,"abstract":"<p><p><b>Methods.</b> 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.</p><p><p><b>Results.</b> A six-factor model of BF had good fit [χ<sup>2</sup>(212) = 391.5, <i>p</i> < .001; CFI = 0.94; RMSEA = 0.06; SRMR = 0.04]. CBSM positively affected changes in personal growth (<i>β</i> = 0.06, <i>p</i> = .01), social relations (<i>β</i> = 0.05, <i>p</i> = .05), and worldview (<i>β</i> = 0.05, <i>p</i> = .02) BF. Perceived relaxation skill increases significantly mediated changes in personal growth (<i>β</i> = 0.03, <i>p</i> = .04) and social relations (<i>β</i> = 0.03, <i>p</i> = .04).</p><p><p><b>Conclusion.</b> 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.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"47-66"},"PeriodicalIF":2.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471786/pdf/","citationCount":"0","resultStr":"{\"title\":\"Cognitive behavioral stress management affects different dimensions of benefit finding in breast cancer survivors: a multilevel mediation model.\",\"authors\":\"Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni\",\"doi\":\"10.1080/08870446.2023.2184840\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Methods.</b> 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.</p><p><p><b>Results.</b> A six-factor model of BF had good fit [χ<sup>2</sup>(212) = 391.5, <i>p</i> < .001; CFI = 0.94; RMSEA = 0.06; SRMR = 0.04]. CBSM positively affected changes in personal growth (<i>β</i> = 0.06, <i>p</i> = .01), social relations (<i>β</i> = 0.05, <i>p</i> = .05), and worldview (<i>β</i> = 0.05, <i>p</i> = .02) BF. Perceived relaxation skill increases significantly mediated changes in personal growth (<i>β</i> = 0.03, <i>p</i> = .04) and social relations (<i>β</i> = 0.03, <i>p</i> = .04).</p><p><p><b>Conclusion.</b> 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.</p>\",\"PeriodicalId\":20718,\"journal\":{\"name\":\"Psychology & Health\",\"volume\":\" \",\"pages\":\"47-66\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471786/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology & Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/08870446.2023.2184840\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/3/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08870446.2023.2184840","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/1 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
Cognitive behavioral stress management affects different dimensions of benefit finding in breast cancer survivors: a multilevel mediation model.
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.
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.
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