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癌症患者的自我同情概况及心理结果

Profiles of self-compassion and psychological outcomes in cancer patients.

作者信息

Wei Liuyu, Xie Juan, Wu Liyang, Yao Juntao, Zhu Lei, Liu Ailan

机构信息

School of Psychology, Shaanxi Normal University, Xi'an, China.

Shaanxi Provincial Cancer Hospital, Xi'an, China.

出版信息

Psychooncology. 2023 Jan;32(1):25-33. doi: 10.1002/pon.5931. Epub 2022 Mar 31.

Abstract

OBJECTIVES

The protective role of self-compassion in cancer patients' psychological outcomes has been confirmed. However, using a composite score of self-compassion, previous research could not clarify how distinct components of self-compassion may mutually interact. This study, using a person-centred approach, aimed to identify profiles of self-compassion in cancer patients and examined the associations of self-compassion profiles with sociodemographic and medical variables and psychological outcomes.

METHODS

This cross-sectional study included 289 patients with heterogeneous cancer types recruited from two hospitals in Xi'an, China. Latent profile analysis was used to identify distinct profiles of self-compassion. The Bolck-Croon-Hagenaars approach was used to examine how these profiles related to sociodemographic and medical characteristics and psychological outcomes.

RESULTS

Five profiles of self-compassion were identified: 'average self-compassion' (54%), 'high self-compassion' (19.4%), 'low self-compassion and low self-coldness' (11.4%), 'high self-compassion and high self-coldness' (8%), and 'average self-compassion and high self-coldness' (7.2%). Patients with the 'high self-compassion' profile tended to be older and report no cancer recurrence, and those with the 'low self-compassion and low self-coldness' profile tended to be female. Patients with the 'high self-compassion' profile reported the fewest depressive and anxiety symptoms while patients with the 'average self-compassion and high self-coldness' profile reported the most depressive and anxiety symptoms.

CONCLUSIONS

The study revealed five self-compassion profiles in cancer patients, which had different psychological outcomes. Future longitudinal research should investigate the causality between self-compassion profiles and psychological outcomes.

摘要

目的

自我同情在癌症患者心理结局中的保护作用已得到证实。然而,以往研究使用自我同情的综合得分,未能阐明自我同情的不同组成部分之间可能如何相互作用。本研究采用以人为本的方法,旨在识别癌症患者的自我同情概况,并检验自我同情概况与社会人口学和医学变量以及心理结局之间的关联。

方法

这项横断面研究纳入了从中国西安两家医院招募的289名患有不同癌症类型的患者。采用潜在剖面分析来识别自我同情的不同概况。使用Bolck-Croon-Hagenaars方法来检验这些概况与社会人口学和医学特征以及心理结局之间的关系。

结果

识别出了五种自我同情概况:“平均自我同情”(54%)、“高自我同情”(19.4%)、“低自我同情和低自我冷漠”(11.4%)、“高自我同情和高自我冷漠”(8%)以及“平均自我同情和高自我冷漠”(7.2%)。具有“高自我同情”概况的患者往往年龄较大且无癌症复发报告,而具有“低自我同情和低自我冷漠”概况的患者往往为女性。具有“高自我同情”概况的患者报告的抑郁和焦虑症状最少,而具有“平均自我同情和高自我冷漠”概况的患者报告的抑郁和焦虑症状最多。

结论

该研究揭示了癌症患者的五种自我同情概况,它们具有不同的心理结局。未来的纵向研究应调查自我同情概况与心理结局之间的因果关系。

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