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描述和探讨青少年和年轻成年癌症幸存者的自尊、身体自我认知、身体活动和自我效能。

Describing and exploring self-esteem, physical self-perceptions, physical activity and self-efficacy in adolescent and young adult cancer survivors.

机构信息

School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.

Cancer Therapeutics Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, Canada.

出版信息

Eur J Cancer Care (Engl). 2020 Jan;29(1):e13179. doi: 10.1111/ecc.13179. Epub 2019 Oct 24.

Abstract

OBJECTIVES

(a) Describe levels of physical and global self-esteem and (b) explore the relationships between these types of self-esteem and physical activity (PA) behaviour, self-efficacy for PA and physical self-perceptions among adolescent and young adult (AYA) cancer survivors.

METHODS

A total of 87 AYA cancer survivors (M  = 32.90 ± 4.38 years), who were on average 2.08 ± 1.37 years post-treatment, participated in this cross-sectional observational study. Descriptive statistics, correlations and hierarchical multivariate linear regression analyses were used to analyse the data.

RESULTS

Moderate levels of physical and global self-esteem were reported. Both types of self-esteem were significantly related to physical self-perceptions, but not to PA behaviour nor self-efficacy for PA. Self-efficacy for PA moderated the relationship between physical self-perceptions and physical self-esteem, such that the association between physical self-perceptions and physical self-esteem was of stronger magnitude at higher levels of self-efficacy for PA than at lower levels of self-efficacy for PA.

CONCLUSION

This study provides a starting point for describing self-esteem and identifying the circumstances under which self-esteem may be optimised among AYA cancer survivors. Fostering feelings of confidence, competence and control over PA may help to promote psychological well-being among AYA cancer survivors.

摘要

目的

(a) 描述青少年和年轻成人癌症幸存者的身体自尊和整体自尊水平,以及(b) 探讨这些类型的自尊与身体活动行为、身体活动自我效能感和身体自我认知之间的关系。

方法

共有 87 名青少年和年轻成人癌症幸存者(M=32.90±4.38 岁)参与了这项横断面观察性研究,他们平均在治疗后 2.08±1.37 年。本研究使用描述性统计、相关性和分层多元线性回归分析来分析数据。

结果

报告了中等水平的身体自尊和整体自尊。这两种自尊类型都与身体自我认知显著相关,但与身体活动行为和身体活动自我效能感无关。身体活动自我效能感调节了身体自我认知和身体自尊之间的关系,即身体自我认知和身体自尊之间的关联在身体活动自我效能感较高时比身体活动自我效能感较低时更强。

结论

本研究为描述青少年和年轻成人癌症幸存者的自尊水平以及确定在何种情况下可以优化自尊水平提供了一个起点。培养对身体活动的自信、能力和控制感可能有助于促进青少年和年轻成人癌症幸存者的心理幸福感。

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