Institute of Social Sciences, Centre of Social and Psychological Sciences SAS, Košice, Slovakia.
Institute of Psychology, Faculty of Arts, University of Prešov, Prešov, Slovakia.
Psychooncology. 2022 Nov;31(11):1913-1921. doi: 10.1002/pon.5948. Epub 2022 May 13.
Cancer survivors' satisfaction with life should be seen through the psychological factors related to a person's capabilities to face and handle the situation. This study aimed to (1) examine the relationships of satisfaction with life, posttraumatic growth, resilience and coping strategies in a global network model, (2) find the bridge indicators between satisfaction with life and the other constructs, and (3) test for the invariance of the network structures across several moderating variables.
In a heterogeneous sample of 696 cancer survivors (69% female; mean age = 53.1 ± 15.44 years; median time from being diagnosed = 4 years; breast cancer was the most frequent type of cancer) their satisfaction with life, resilience, coping strategies and posttraumatic growth was measured. In order to account for their complexity, the relationships between the constructs were explored using a network analysis approach.
The network analysis shows that satisfaction with life is strongly connected to resilience, moderately connected to coping strategies, and has a weak connection with posttraumatic growth. In the separate networks, the relationships between the psychological constructs were examined in greater detail. Besides some exceptions observed in the degree of disability, the networks were invariant across gender, age, years since being diagnosed, cancer type and treatment type.
The findings suggest that interventions focused on cancer survivors' coping strategies and resilience could help increase their satisfaction with life. However, further replication of the proposed and/or modified model is needed.
癌症幸存者的生活满意度应通过与个人面对和处理情况的能力相关的心理因素来观察。本研究旨在：（1）在全局网络模型中检验生活满意度、创伤后成长、韧性和应对策略之间的关系；（2）找到生活满意度与其他结构之间的桥梁指标；（3）检验网络结构在几个调节变量上的不变性。
在一个由 696 名癌症幸存者组成的异质样本中（69%为女性；平均年龄为 53.1±15.44 岁；中位数诊断后时间为 4 年；乳腺癌是最常见的癌症类型），测量了他们的生活满意度、韧性、应对策略和创伤后成长。为了考虑到他们的复杂性，使用网络分析方法探讨了结构之间的关系。
网络分析表明，生活满意度与韧性密切相关，与应对策略中度相关，与创伤后成长弱相关。在单独的网络中，更详细地检查了心理结构之间的关系。除了在残疾程度上观察到的一些例外情况外，网络在性别、年龄、诊断后年限、癌症类型和治疗类型方面是不变的。
研究结果表明，关注癌症幸存者应对策略和韧性的干预措施可能有助于提高他们的生活满意度。然而，需要进一步复制所提出的和/或修改后的模型。
