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心理困扰和性满意度在波多黎各前列腺癌患者中的中介作用。

Mediating Effect of Psychological Distress and Sexual Satisfaction in Puerto Ricans with Prostate Cancer.

作者信息

Otero-Cordero Carmen T, Pérez-Pedrogo Coralee, Rosario-Rodríguez Adam

机构信息

Carlos Albizu University, San Juan, Puerto Rico.

出版信息

Rev Caribena Psicol. 2020 Sep-Dec;4(3):191-203. doi: 10.37226/rcp.v4i3.4953.

Abstract

Prostate cancer is the most diagnosed in the male population in Puerto Rico. However, it is little studied in the field of health, specifically in the field of clinical health psychology. The present study examines whether emotional distress and sexual satisfaction mediate the relationship between erectile dysfunction and quality of life and if erectile dysfunction is related to the treatment. For this, a quantitative exploratory design was used. The sample was 44 patients between the ages of 50 to 86 years. It was compiled by availability in different urologists' offices. For its collection, several meetings were held with specialists, a data collection logistics was established, in which the administrative staff identified the participants through their ICD 10 diagnoses. The participants completed four self-administered questionnaires, which most of them showed an appropriate Cronbach's Alpha. The results indicated that exist a low moderately significant relationship between treatment and erectile dysfunction (b = -0.35, 95% BcCI [-0.82, -0.03]) and that there is an indirect effect of psychological distress (b = -0.35, 95 % BcCI [-0.82, -0.03]) and sexual satisfaction (b = -.87, 95% BcCI [-2.18, -0.24] in the relationship between erectile dysfunction and the patient's quality of life. The preliminary data from the present study allow the offering of psychotherapeutic treatments focused on this population.

摘要

前列腺癌是波多黎各男性群体中诊断出最多的疾病。然而,在健康领域,特别是临床健康心理学领域,对其研究甚少。本研究探讨情绪困扰和性满意度是否介导勃起功能障碍与生活质量之间的关系,以及勃起功能障碍是否与治疗相关。为此,采用了定量探索性设计。样本为44名年龄在50至86岁之间的患者。样本通过不同泌尿科诊所的可获取性收集。为了收集数据,与专家进行了多次会议,并建立了数据收集后勤工作,其中行政人员通过他们的国际疾病分类第十版(ICD 10)诊断来识别参与者。参与者完成了四份自我管理的问卷,其中大多数问卷显示出适当的克朗巴哈系数(Cronbach's Alpha)。结果表明,治疗与勃起功能障碍之间存在低中度显著关系(b = -0.35,95% 偏差校正置信区间[BcCI][-0.82, -0.03]),并且心理困扰(b = -0.35,95% BcCI [-0.82, -0.03])和性满意度(b = -0.87,95% BcCI [-2.18, -0.24])在勃起功能障碍与患者生活质量之间的关系中存在间接影响。本研究的初步数据使得能够为该人群提供针对性的心理治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/8994573/18ad79b52216/nihms-1783654-f0001.jpg

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