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肺癌患者的抑郁症状:阐明羞耻感、内疚感和自我同情的作用。

Depressive symptoms among patients with lung cancer: Elucidating the roles of shame, guilt, and self-compassion.

机构信息

University of Louisville, USA.

University of California, USA.

出版信息

J Health Psychol. 2022 Apr;27(5):1039-1047. doi: 10.1177/1359105320988331. Epub 2021 Jan 21.

DOI:10.1177/1359105320988331
PMID:33478252
Abstract

The link between smoking and lung cancer predisposes patients to feeling shame and guilt, which increases risk for depression. To test the hypothesis shame would have a stronger association with depressive symptoms than guilt, a hierarchical regression was conducted. Three regressions were run to examine the associations of self-compassion with shame, guilt, and depressive symptoms. The best model to explain depressive symptoms included shame, but not guilt. Greater self-compassion was associated with less shame and fewer depressive symptoms, but not guilt. Results point to interventions targeting shame via enhancing self-compassion among patients with lung cancer and histories of smoking.

摘要

吸烟与肺癌之间的关联使患者感到羞耻和内疚,从而增加了患抑郁症的风险。为了验证假设,即羞耻感与抑郁症状的关联比内疚感更强,进行了层次回归分析。进行了三次回归分析,以检验自我同情与羞耻感、内疚感和抑郁症状的关联。能够最好地解释抑郁症状的模型包括羞耻感,但不包括内疚感。更高的自我同情与更少的羞耻感和更少的抑郁症状相关,但与内疚感无关。结果表明,针对肺癌和吸烟史患者的羞耻感进行干预,通过增强自我同情,可以达到目的。

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