癌症应对自我效能在癌症患者癌症心理调整与健康相关生活质量之间起中介作用

IF 1.9 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

South African Journal of Psychology Pub Date : 2021-12-07 DOI:10.1177/00812463211061071

M. C. Onyedibe, L. E. Ugwu, E. E. Nnadozie, D. U. Onu

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引用次数: 3

摘要

癌症患者会经历严重的痛苦。改善癌症患者的健康相关生活质量是癌症治疗的一个主要重点。本研究旨在探讨癌症患者应对癌症的自我效能感在癌症心理适应与健康相关生活质量之间的中介作用。从尼日利亚西南部的一所大学教学医院招募了214名癌症患者(男性74人，女性140人，平均年龄50.57岁)。参与者对癌症的心理反应(对癌症的心理调整)、应对癌症的自我效能(癌症行为量表[CBI])和与健康有关的生活质量(癌症治疗总功能评估)进行了回应。采用IBM AMOS软件23版进行中介分析和结构方程建模。癌症心理调整领域显著预测与健康相关的生活质量，无助/绝望和焦虑关注与健康相关的生活质量呈负相关;而斗志、认知回避和宿命论则与健康相关的生活质量呈正相关。自我效能感与健康相关的生活质量呈正相关。中介分析表明，应对癌症的自我效能感部分介导了癌症心理适应的四个领域(无助/绝望、斗志、认知回避和宿命论)与健康相关的生活质量之间的关联。研究结果表明，在接受癌症治疗时，需要改善应对机制。该研究对心理肿瘤学实践具有重要的临床意义，特别是在应对癌症的自我效能方面。应将旨在提高癌症患者自我效能的心理社会疗法纳入癌症治疗，以改善其与健康有关的生活质量。

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Cancer coping self-efficacy mediates the relationship between mental adjustment to cancer and health-related quality of life in persons with cancer

Individuals with cancer experience significant levels of distress. Improving health-related quality of life of persons with cancer is a major focus in cancer treatment. This study investigated the mediating role of self-efficacy for coping with cancer in the relationship between mental adjustment to cancer and health-related quality of life among individuals with cancer. Two hundred and fourteen persons with cancer (male = 74, female = 140, mean age = 50.57) were recruited from a University Teaching Hospital, in South-West Nigeria. Participants responded to the measures of psychological responses to cancer (mental adjustment to cancer), self-efficacy for coping with cancer (Cancer Behaviour Inventory [CBI]), and health-related quality of life (Functional Assessment of Cancer Therapy–General). Mediation analysis and structural equation modelling were carried out using IBM AMOS software version 23. Domains of mental adjustment to cancer significantly predicted health-related quality of life, helplessness/hopelessness, and anxious preoccupation had a negative association with health-related quality of life; whereas fighting spirit, cognitive avoidance, and fatalism were positively associated with health-related quality of life. Self-efficacy had a positive association with health-related quality of life. Mediation analysis showed that self-efficacy for coping with cancer partially mediated the association between four domains of mental adjustment to cancer (helplessness/hopelessness, fighting spirit, cognitive avoidance, and fatalism) and health-related quality of life. The findings demonstrated the need for improved coping mechanisms while undergoing cancer treatment. The study has important clinical implications for psycho-oncology practice, particularly with respect to self-efficacy for coping with cancer. Psychosocial therapies aimed at enhancing the self-efficacy of persons with cancer should be incorporated as part of cancer treatment to improve their health-related quality of life.

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来源期刊

South African Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

3.40

自引率

10.50%

发文量

期刊介绍： The South African Journal of Psychology publishes contributions in English from all fields of psychology. While the emphasis is on empirical research, the Journal also accepts theoretical and methodological papers, review articles, short communications, reviews and letters containing fair commentary. Priority is given to articles which are relevant to Africa and which address psychological issues of social change and development.