a Institute of Psychology, The Opole University , Opole , Poland.
b Department of Radiotherapy, Cancer Center and Institute of Oncology , Gliwice , Poland.
Anxiety Stress Coping. 2019 Sep;32(5):522-533. doi: 10.1080/10615806.2019.1633578. Epub 2019 Jun 25.
Research demonstrates that the experience of cancer invariably violates patients' meaning structures, prompting them to use coping strategies to alleviate stress and enhance well-being. The current study aimed to examine the mediating effects of coping strategies in the relationship between global and situational meaning and psychological well-being in gastric cancer patients. One hundred eighty-seven patients (96 women and 91 men) with gastric cancer completed questionnaires measuring meaning in life, changes of beliefs and goals, coping, and psychological well-being. Participants were between 27 and 82 years of age. They were diagnosed with gastric cancer from 1 to 3.2 years ago. Using Structural Equation Modeling, both the direct and indirect associations between meaning structures, coping, and psychological well-being were examined. Meaning in life exerted significant indirect effects on psychological well-being through three coping strategies: problem-, emotion-, and meaning-focused. The relationship between changes of beliefs and goals and psychological well-being was also mediated by coping. Findings suggest that coping strategies are mediators in the relationship between global and situational meaning and psychological well-being. They also provide empirical evidence that in severe cancer-related stress conditions both meaning structures and coping strategies influence patients' psychological well-being.
研究表明，癌症的经历总是会侵犯患者的意义结构，促使他们使用应对策略来减轻压力和增强幸福感。本研究旨在探讨应对策略在胃癌患者整体意义和情境意义与心理幸福感之间的关系中的中介作用。
187 名胃癌患者（96 名女性和 91 名男性）完成了生活意义、信念和目标变化、应对策略和心理幸福感的问卷。参与者年龄在 27 岁至 82 岁之间。他们在 1 至 3.2 年前被诊断患有胃癌。使用结构方程模型，检验了意义结构、应对策略和心理幸福感之间的直接和间接关联。生活意义通过三种应对策略（问题、情绪和意义聚焦）对心理幸福感产生显著的间接影响。信念和目标的变化与心理幸福感之间的关系也通过应对策略来调节。
研究结果表明，应对策略是整体意义和情境意义与心理幸福感之间关系的中介。它们还提供了实证证据，表明在严重的癌症相关压力情况下，意义结构和应对策略都会影响患者的心理幸福感。
