Bernini Olivia, Tumminaro Giovanni, Compare Lisa, Belviso Cristina, Conforti Valentina, Berrocal Montiel Carmen
University Counseling Services, University of Pisa, Pisa, Italy.
Department of Surgical, Medical and Molecular Pathology and Critical Care, University of Pisa, Pisa, Italy.
Front Pain Res (Lausanne). 2022 Jul 15;3:928985. doi: 10.3389/fpain.2022.928985. eCollection 2022.
Psychological acceptance has emerged as an important construct to explain low psychological distress in different clinical samples. However, the incremental validity of psychological acceptance to explain adjustment to medical conditions over other related and well-established constructs, such as coping, is relatively unclear. This study explored whether psychological acceptance significantly contributes to explain adjustment above and beyond coping in females with endometriosis. A total of 169 females ( = 34.95 years; = 6.07 years) with endometriosis and pain symptoms completed the Acceptance and Action Questionnaire-II, the Brief-COPE, the Hospital Anxiety and Depression Scale, the Psychological Wellbeing Scale, and the Endometriosis Health Profile-5. We conducted Hierarchical Regression Analyses to determine the contribution of psychological acceptance to explaining adjustment. The results showed that the contribution of psychological acceptance ranged from 11 to 20% when controlling for coping, while coping explained from 1 to 8% when the model was reversed. The findings suggest that psychological acceptance is a more useful construct than coping for predicting PD and other psychological outcomes in females with endometriosis.
心理接纳已成为解释不同临床样本中心理困扰程度较低的一个重要概念。然而，相较于应对等其他相关且已确立的概念，心理接纳在解释对医疗状况的适应方面的增量效度相对不明确。本研究探讨了在患有子宫内膜异位症的女性中，心理接纳在解释适应方面是否显著超越应对发挥作用。共有169名患有子宫内膜异位症且有疼痛症状的女性（平均年龄 = 34.95岁；标准差 = 6.07岁）完成了《接纳与行动问卷-II》、《简易应对方式问卷》、《医院焦虑抑郁量表》、《心理健康量表》以及《子宫内膜异位症健康概况-5》。我们进行了分层回归分析以确定心理接纳在解释适应方面的作用。结果显示，在控制应对因素时，心理接纳的作用范围为11%至20%，而当模型颠倒时，应对因素的解释作用为1%至8%。研究结果表明，在预测患有子宫内膜异位症女性的心理痛苦及其他心理结果方面，心理接纳比应对是更有用的概念。
