疾病感知、认知情绪调节策略与乳腺癌患者及其配偶的心理困扰:一个行动者-伴侣相互依赖的中介模型。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Xiaoting Zheng, Baoxin Huang, Carmen Wing Han Chan, Jian Zhou, Feng Liu, Ka Ming Chow, Wenli Xiao
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引用次数: 0

摘要

目的:探讨乳腺癌患者及其配偶疾病感知、认知情绪调节策略(CERS)与心理困扰的关系,以及CERS的中介作用。方法:采用横断面研究方法,对305对乳腺癌患者及其配偶进行社会人口学及临床特征问卷、认知情绪调节问卷(短)和医院焦虑抑郁量表。采用描述性统计、差异分析、Pearson相关系数和行动者-伴侣相互依赖中介模型进行研究。结果:乳腺癌患者及其配偶的疾病感知、CERS和心理困扰之间存在显著相关(r = -0.416 ~ 0.522, P)。结论:本研究结果为疾病感知、CERS和心理困扰在个体和双个体水平上的相互关系提供了新的视角。研究结果强调了干预乳腺癌患者和配偶作为紧密结合的二人组的重要性,以促进适应性CERS的采用,同时减少不适应CERS的使用,这可能与较低水平的心理困扰有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Illness perception, cognitive emotion regulation strategies and psychological distress in breast cancer patients and spouses: an actor-partner interdependence mediation model.

Purpose: This study aimed to examine the relationships between illness perception, cognitive emotion regulation strategies (CERS), and psychological distress, and the mediating role of CERS in breast cancer patients and their spouses.

Methods: A cross-sectional study recruited 305 pairs of breast cancer patients and their spouses to complete the sociodemographic and clinical characteristics questionnaire, the Cognitive Emotion Regulation Questionnaire-short, and the Hospital Anxiety and Depression Scale. Descriptive statistics, difference analysis, Pearson's correlation coefficient, and the actor-partner interdependence mediation model were conducted.

Results: There was a significant correlation between illness perception, CERS, and psychological distress in breast cancer patients and their spouses (r = -0.416 ~ 0.522, P < 0.05). Both patients' and spouses' illness perception could directly produce significant actor effects on psychological distress, or indirectly through the mediator of maladaptive or adaptive CERS of their own. Only spouses' illness perception could produce significant partner effect on patients' psychological distress. Moreover, only spouses' illness perception could produce significant effects on patients' psychological distress through patients' or spouses' maladaptive CERS.

Conclusion: Our findings offered a new perspective on how illness perception, CERS, and psychological distress were interconnected at both personal and dyadic levels. The findings underscored the significance of intervening with breast cancer patients and spouses as a closely knit dyad to promote the adoption of adaptive CERS while reduce the use of maladaptive CERS, which may be associated with lower levels of psychological distress.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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