Hu Tingjie, Xiao Jian, Peng Juan, Kuang Xiao, He Bixiu
Department of Geriatrics, Xiangya Hospital of Central South University, Changsha, Hunan Province, China.
J Cancer Res Ther. 2018 Jan;14(1):72-77. doi: 10.4103/jcrt.JCRT_849_17.
The mood of patients with lung carcinoma would be greatly influenced by the diagnosing and treating processes. This study was aimed to explore the effects of resilience between social assistance and anxiety/depression of patients with lung cancer, which may assist in clinical intervention.
A cross-sectional pilot study was conducted on lung cancer patients at Xiangya Hospital of Central South University, China. A total of 289 patients aged 25-81 years were included in this study.
Correlational analyses revealed that anxiety/depression was negatively associated with psychological resilience and each dimension of social assistance, including subjective support, objective support along with the supports utilization (P < 0.01). Furthermore, psychological resilience was positively related to subjective support (P < 0.01), support utilization (P < 0.01) along with objective support (P < 0.05). Mediational analyses showed that, on the one hand, resilience could partially mediate the relation between anxiety and subjective support and totally mediate the relationship between support utilization and anxiety. On the other hand, resilience could totally mediate the relation between depression and subjective support and partially mediate the relation between support utilization and depression. However, resilience did not play an intermediary role between anxiety/depression and objective support.
Lower psychological anxiety and depression would be experienced by lung cancer patients with higher resilience and social support. The level of anxiety and depression would be indirectly affected by social support through the mediation of resilience.
肺癌患者的情绪会受到诊断和治疗过程的极大影响。本研究旨在探讨心理弹性在肺癌患者社会支持与焦虑/抑郁之间的作用,为临床干预提供帮助。
在中国中南大学湘雅医院对肺癌患者进行了一项横断面试点研究。本研究共纳入289例年龄在25 - 81岁之间的患者。
相关性分析显示,焦虑/抑郁与心理弹性以及社会支持的各个维度呈负相关,包括主观支持、客观支持以及支持利用度(P < 0.01)。此外,心理弹性与主观支持(P < 0.01)、支持利用度(P < 0.01)以及客观支持(P < 0.05)呈正相关。中介效应分析表明,一方面,心理弹性可以部分中介焦虑与主观支持之间的关系,并完全中介支持利用度与焦虑之间的关系。另一方面,心理弹性可以完全中介抑郁与主观支持之间的关系,并部分中介支持利用度与抑郁之间的关系。然而,心理弹性在焦虑/抑郁与客观支持之间未起到中介作用。
心理弹性和社会支持水平较高的肺癌患者焦虑和抑郁程度较低。社会支持通过心理弹性的中介作用间接影响焦虑和抑郁水平。