中国胃肠癌幸存者的社会隔离、感知社会支持与D型人格：一个中介模型分析

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-12-01 DOI:10.1016/j.apjon.2024.100617

Yuqiu Zhao , Yeming Xu , Tianxiu Wang , Mingbo Hua , Shantanu Baral , Qiannan Sun , Daorong Wang

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引用次数: 0

摘要

目的基于情绪认知理论的WHITE启发式认知行为模型，探讨社会隔离在胃肠癌幸存者感知社会支持与D型人格之间的中介作用。方法采用方便抽样的方法，招募183例接受放化疗的胃肠癌幸存者。采用SPSS 26.0分析社会隔离、感知社会支持与D型人格的相关性。此外，利用SmartPLS 3.0分析社会隔离在感知社会支持与D型人格之间的中介作用。结果胃肠癌幸存者的社会支持感知得分为60.58±10.94，社会孤立得分为36.25±4.71，D型人格得分为26.26±5.84。我们发现，感知社会支持与社会孤立和D型人格呈负相关(r = - 0.593, - 0.396, P <；0.001)，而社会孤立与D型人格呈正相关(r = 0.564, P <；0.001)。D型人格与感知社会支持之间存在部分社会隔离介导的关系（VAF = 59.67%）。结论胃肠癌放化疗幸存者的社会隔离介导了D型人格与感知社会支持的关系。临床工作人员应优先评估这些幸存者的社会隔离，以加强社会支持，并可能减少D型人格特征的流行。

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Social isolation, perceived social support, and type D personality among gastrointestinal cancer survivors in China: A mediating model analysis

Objective

To explore the mediating effect of social isolation between perceived social support and type D personality in gastrointestinal cancer survivors based on the WHITE heuristic cognitive-behavioral model of emotion cognition theory.

Methods

The study utilized a convenience sampling method to recruit 183 survivors of gastrointestinal cancer who were undergoing chemoradiotherapy. SPSS 26.0 was used to analyze the correlation among social isolation, perceived social support, and type D personality. Additionally, SmartPLS 3.0 was utilized to analyze the mediating role of social isolation in the relationships between perceived social support and type D personality.

Results

The study found that gastrointestinal cancer survivors scored 60.58 ± 10.94 for perceived social support, 36.25 ± 4.71 for social isolation, and 26.26 ± 5.84 for type D personality. We discovered that perceived social support has a negative correlation with social isolation and type D personality (r = −0.593, −0.396, both P < 0.001), while social isolation was positively correlated with type D personality (r = 0.564, P < 0.001). The association between type D personality and perceived social support was partially mediated by social isolation (VAF = 59.67%).

Conclusions

The association between type D personality and perceived social support is mediated by social isolation in gastrointestinal cancer survivors undergoing chemoradiotherapy. Clinical staff should prioritize evaluating social isolation among these survivors to enhance social support and potentially reduce the prevalence of type D personality traits.

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