West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Nursing, Chinese PLA General Hospital, Beijing, China.
Eur J Cancer Care (Engl). 2021 Sep;30(5):e13450. doi: 10.1111/ecc.13450. Epub 2021 Apr 4.
The purpose of this study was to investigate how locus of control, coping strategies, emotion regulation strategies and social support affect posttraumatic growth.
A cross-sectional study design was adopted. A convenience sample of 540 patients with lung cancer was recruited from November 2016 to July 2017 at two tertiary grade A hospitals in China. The participants completed a series of questionnaires. Structural equation modelling was used to explore the effects of psychosocial factors on posttraumatic growth.
Social support had a direct positive effect on posttraumatic growth (β = 0.318, SE = 0.071, BC 95% CI = 0.252/0.390), and it also had indirect effects on posttraumatic growth (β = 0.112, SE = 0.023, BC 95%CI = 0.088/0.135) through mediating psychological factors. Coping strategies and the cognitive reappraisal emotion regulation strategy were the main mediating variables, explaining approximately 73.1% of the indirect effect between social support and posttraumatic growth.
Our study suggests that Chinese lung cancer survivors can show relatively high posttraumatic growth. There are many mediating paths between social support and posttraumatic growth. These results may help healthcare professionals to identify the psychosocial factors that may benefit lung cancer patients and develop interventions to promote posttraumatic growth.
本研究旨在探讨心理控制源、应对策略、情绪调节策略和社会支持对创伤后成长的影响。
采用横断面研究设计。于 2016 年 11 月至 2017 年 7 月，在我国两家三级甲等医院便利选取 540 例肺癌患者作为研究对象，完成一系列问卷。采用结构方程模型探讨心理社会因素对创伤后成长的影响。
社会支持对创伤后成长有直接的正向影响（β=0.318，SE=0.071，BC 95%CI=0.252/0.390），通过中介心理因素对创伤后成长有间接影响（β=0.112，SE=0.023，BC 95%CI=0.088/0.135）。应对策略和认知重评情绪调节策略是主要的中介变量，解释了社会支持与创伤后成长之间间接效应的约 73.1%。
本研究表明，中国肺癌幸存者可能表现出较高的创伤后成长。社会支持与创伤后成长之间存在许多中介途径。这些结果可能有助于医疗保健专业人员识别可能使肺癌患者受益的心理社会因素，并制定促进创伤后成长的干预措施。
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