Liu Zengxia, Li Min, Jia Yong, Wang Shuo, Wang Cong, Chen Li
Zengxia Liu, School of Nursing, Jilin University, Changchun, China, and School of Nursing, Changchun University of Chinese Medicine, Chang- chun, China.
Min Li, The First Hospital, Jilin University, Changchun, China.
Am J Health Behav. 2021 Nov 15;45(6):1041-1049. doi: 10.5993/AJHB.45.6.8.
In this study, we examine the relationship among mindfulness, psychological distress, and self-regulation, to determine whether self-regulation plays a mediating role in the relationship between mindfulness and psychological distress among patients with hepatocellular carcinoma (HCC).
Participants completed questionnaires including the Hospital Anxiety and Depression Scale (HADS), the Five-facet Mindfulness Questionnaire (FFMQ), and the Self-regulation Scale (SRS). We used structural equation modeling to analyze the relationships among psychological distress, mindfulness, and self-regulation, with self-regulation as a mediator.
We found that psychological distress is negatively associated with both mindfulness (r = -0.687, p < .001) and self-regulation (r = -0.629, p < .001), and mindfulness is positively associated with self-regulation (r = 0.534, p < .001). The model indicates that mindfulness has direct impact on self-regulation (β = 0.570, p < .001) and psychological distress (β = -0.685, p < .001). Self-regulation asserts a certain mediation effect on the relationship between mindfulness and psychological distress. A bootstrap test suggests perceived stress has a mediation effect on mindfulness and psychological distress (95% CI: -0.299, -0.134, p < .001), accounting for 23.6% of total effect.
Psychological distress is common in HCC patients. The mediation effect of self-regulation provides a reference for discussing possible correlations between mindfulness and psychological distress.
在本研究中，我们探讨正念、心理困扰和自我调节之间的关系，以确定自我调节在肝细胞癌（HCC）患者的正念与心理困扰之间的关系中是否起中介作用。
参与者完成了包括医院焦虑抑郁量表（HADS）、五因素正念问卷（FFMQ）和自我调节量表（SRS）在内的问卷调查。我们使用结构方程模型分析心理困扰、正念和自我调节之间的关系，并将自我调节作为中介变量。
我们发现心理困扰与正念（r = -0.687，p <.001）和自我调节（r = -0.629，p <.001）均呈负相关，正念与自我调节呈正相关（r = 0.534，p <.001）。模型表明，正念对自我调节（β = 0.570，p <.001）和心理困扰（β = -0.685，p <.001）有直接影响。自我调节在正念与心理困扰之间的关系中发挥一定的中介作用。一项自助法检验表明，感知压力在正念与心理困扰之间起中介作用（95%CI：-0.299，-0.134，p <.001），占总效应的23.6%。
心理困扰在HCC患者中很常见。自我调节的中介作用为探讨正念与心理困扰之间可能的相关性提供了参考。
