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中国新冠疫情期间乳腺癌患者的心理韧性与创伤后成长:康复的中介作用

Resilience and Posttraumatic Growth of Patients With Breast Cancer During the COVID-19 Pandemic in China: The Mediating Effect of Recovery.

作者信息

Shi Jing, Sznajder Kristin K, Liu Shuo, Xie Xinyue, Yang Xiaoshi, Zheng Zhen

机构信息

Department of Medical Oncology, The First Affiliated Hospital of China Medical University, Shenyang, China.

Department of Public Health, College of Medicine, Pennsylvania State University, Hershey, PA, United States.

出版信息

Front Psychol. 2022 Jan 20;12:811078. doi: 10.3389/fpsyg.2021.811078. eCollection 2021.

Abstract

PURPOSE

This study aims to examine the mediating role recovery plays in the relationship between resilience and posttraumatic growth (PTG) among breast cancer patients.

METHODS

A cross-sectional study design was implemented between January 02, 2021 and April 29, 2021. A total of 789 breast cancer patients from eight hospitals in Liaoning province were selected for participation in this study. These participants completed questionnaires, which included the Post-Traumatic Growth Inventory, EGO Resilience Scale and the Questionnaire about the Process of Recovery. The associated factors of PTG were analyzed using hierarchical multiple regression (HMR). The proposed relationships among resilience, recovery, and PTG were checked by structural equation modeling (SEM) analyses.

RESULTS

The average PTG score of breast cancer patients was 53.00 ± 28.30. PTG was positively correlated with both recovery and PTG (* = 0.1, BCa95% CI: 0.154 ∼ 0.054).

CONCLUSION

Breast cancer patients were found to exhibit a moderate degree of PTG. Resilience was positively associated with PTG and recovery mediated the positive effect of resilience on PTG. Resilience might serve as a crucial protective factor that could explain positive growth in life-threatening illnesses through the mediating path of recovery.

摘要

目的

本研究旨在探讨恢复力在乳腺癌患者心理韧性与创伤后成长(PTG)关系中所起的中介作用。

方法

于2021年1月2日至2021年4月29日采用横断面研究设计。选取辽宁省8家医院的789例乳腺癌患者参与本研究。这些参与者完成了问卷调查,包括创伤后成长量表、自我恢复力量表和恢复过程问卷。采用分层多元回归(HMR)分析PTG的相关因素。通过结构方程模型(SEM)分析检验心理韧性、恢复力和PTG之间的假设关系。

结果

乳腺癌患者的PTG平均得分为53.00±28.30。PTG与恢复力均呈正相关(* = 0.1,BCa95%CI:0.154~0.054)。

结论

发现乳腺癌患者表现出中等程度的PTG。心理韧性与PTG呈正相关,恢复力介导了心理韧性对PTG的积极影响。心理韧性可能是一个关键的保护因素,可通过恢复力的中介路径解释危及生命疾病中的积极成长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0111/8811123/8baaf7e069d8/fpsyg-12-811078-g001.jpg

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