Kroemeke Aleksandra, Sobczyk-Kruszelnicka Małgorzata
Department of Health Psychology, Faculty of Psychology in Warsaw, SWPS University of Social Sciences and Humanities, Warsaw, Poland.
Department of Bone Marrow Transplantation and Oncohematology, Maria Skłodowska-Curie National Research Institute of Oncology (MSCNRIO) Gliwice Branch, Gliwice, Poland.
PLoS One. 2021 Nov 17;16(11):e0260128. doi: 10.1371/journal.pone.0260128. eCollection 2021.
According to the social cognitive theory, social support and self-efficacy may interact with each other i.e. compete or account jointly for better adaptation. This study examined the nature of the interaction between coping self-efficacy and received social support in daily lives of patient-caregiver dyads after cancer treatment. We tested whether the effect of daily fluctuations in coping self-efficacy and received support on daily affect was synergistic (positive jointed effect), compensatory (positive competing effect), or interference (negative competing effect).
A dyadic daily-diary study conducted for 28 days after hospital discharge following hematopoietic cell transplantation.
Coping self-efficacy, received support, and positive and negative affect were measured in 200 patient-caregiver dyads. The analysis was based on the actor-partner interdependence moderation model using multilevel structural equation modeling.
Statistically significant effect of interaction between daily coping self-efficacy and received support on negative affect was found, although only in the caregivers. In that group, higher daily received support compensated for lower daily coping self-efficacy but had a negative effect when coping self-efficacy was significantly higher than typical. Also, direct beneficial effects of higher daily coping self-efficacy and received support on caregiver positive affect were found. In the patients, higher daily coping self-efficacy was directly associated with better daily affect.
Diverse effects of daily coping self-efficacy and received social support were found-the interference effect in the caregivers and the main effect of coping self-efficacy in the patients. Higher daily coping self-efficacy and optimal received social support may provide resilience against affect disturbance after cancer treatment.
根据社会认知理论，社会支持和自我效能可能相互作用，即相互竞争或共同作用以实现更好的适应。本研究探讨了癌症治疗后患者-照顾者二元组日常生活中应对自我效能与所获得的社会支持之间相互作用的性质。我们测试了应对自我效能和所获得支持的日常波动对日常情绪的影响是协同的（积极联合效应）、补偿性的（积极竞争效应）还是干扰性的（消极竞争效应）。
在造血细胞移植出院后进行了为期28天的二元组每日日记研究。
对200个患者-照顾者二元组测量了应对自我效能、所获得支持以及积极和消极情绪。分析基于使用多层次结构方程模型的行为者-伙伴相互依赖调节模型。
发现日常应对自我效能与所获得支持之间的相互作用对消极情绪有统计学显著影响，不过仅在照顾者中存在。在该组中，较高的每日所获得支持弥补了较低的每日应对自我效能，但当应对自我效能显著高于平常时则产生负面影响。此外，还发现较高的每日应对自我效能和所获得支持对照顾者积极情绪有直接的有益影响。在患者中，较高的每日应对自我效能与较好的日常情绪直接相关。
发现了日常应对自我效能和所获得社会支持的不同影响——照顾者中的干扰效应以及患者中应对自我效能的主要效应。较高的每日应对自我效能和最佳的所获得社会支持可能为癌症治疗后的情绪干扰提供恢复力。
