Pereira M Graça, Ponte Mafalda, Ferreira Gabriela, Machado José C
School of Psychology, University of Minho, Braga, Portugal.
Institute of Social Sciences, University of Minho, Braga, Portugal.
Psychooncology. 2017 Jun;26(6):815-821. doi: 10.1002/pon.4236. Epub 2016 Sep 27.
This study analyzed the relationships between illness representations, psychological morbidity, family stress, and quality of life and whether these variables were mediated by body image and social support.
The sample consisted of 106 patients with skin tumors, who answered the following measures: Dermatology Life Quality Index, Illness Perception Questionnaire-Brief, Medical Outcomes Study Social Support Survey, Index of Family Relations, Hospital Anxiety and Depression Scales, and the Body Image Scale.
Patients with poor quality of life showed more threatening cognitive and emotional illness representations, less perceived social support, higher psychological morbidity, and higher concern with body image. Body image mediated the relationship between cognitive and comprehension illness representations, family stress, psychological morbidity, and quality of life. Social support mediated the relationship between family stress/psychological morbidity and quality of life.
Psychological intervention should focus on body image and social support, particularly in patients with melanoma, less disease duration, tumors in the face, head or neck, in an active professional status, and with lower education.
本研究分析了疾病认知、心理疾病、家庭压力和生活质量之间的关系，以及这些变量是否通过身体意象和社会支持起中介作用。
样本包括106名皮肤肿瘤患者，他们回答了以下量表：皮肤病生活质量指数、疾病认知问卷简版、医学结局研究社会支持量表、家庭关系指数、医院焦虑抑郁量表和身体意象量表。
生活质量差的患者表现出更多具有威胁性的认知和情感疾病认知、更少的感知社会支持、更高的心理疾病发生率以及对身体意象更高的关注度。身体意象在认知和理解性疾病认知、家庭压力、心理疾病和生活质量之间起中介作用。社会支持在家庭压力/心理疾病和生活质量之间起中介作用。
心理干预应聚焦于身体意象和社会支持，尤其是对于患有黑色素瘤、病程较短、面部、头部或颈部有肿瘤、职业状态活跃且教育程度较低的患者。
