Anagnostopoulos Fotios, Slater Julie, Fitzsimmons Deborah
Department of Psychology, Panteion University, 136, Syngrou Avenue, 176 71, Athens, Greece.
J Clin Psychol Med Settings. 2010 Jun;17(2):137-49. doi: 10.1007/s10880-010-9191-6.
The aim of this study was to investigate the moderating and mediating role of global meaning and emotional expressivity in the relationship between intrusive thoughts and psychological adjustment (as indicated by mental health status) in a sample of breast cancer patients (N=153). Coping with cancer was also included as an intervening variable to be tested. Moderating effects were explored using a series of hierarchical regression analysis, while multiple mediated effects were tested through bootstrapping procedures. Results showed that global personal meaning had both direct and indirect (mediating) effects on psychological adjustment. Emotional expressivity had neither moderating nor mediating effects on psychological adjustment. These results indicated that a strong sense of personal meaning and purpose in life, and an integrated understanding of self and life may lessen the impact of intrusive thoughts on breast cancer patients' psychological adjustment and mental health status. Implications of the findings for clinical practice and recommendations for future research are discussed.
本研究旨在调查在一组乳腺癌患者样本（N = 153）中，整体意义和情感表达在侵入性思维与心理调适（以心理健康状况衡量）之间关系中的调节和中介作用。应对癌症也作为一个待检验的干预变量纳入研究。使用一系列层次回归分析来探索调节效应，同时通过自抽样程序检验多重中介效应。结果表明，整体个人意义对心理调适既有直接影响，也有间接（中介）影响。情感表达对心理调适既无调节作用，也无中介作用。这些结果表明，强烈的个人意义感和生活目标感，以及对自我和生活的综合理解，可能会减轻侵入性思维对乳腺癌患者心理调适和心理健康状况的影响。本文讨论了研究结果对临床实践的启示以及对未来研究的建议。
