Institute of Psychology, University of Opole, 45-040 Opole, Poland.
Department of Radiotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, 44-101 Gliwice, Poland.
Int J Environ Res Public Health. 2022 Aug 5;19(15):9631. doi: 10.3390/ijerph19159631.
Cancer patients experience pain not only in its physical dimension, but also in a broader context that includes psychological, social, and spiritual aspects due to a higher level of anxiety and stress. The present prospective, longitudinal study examined the relationship between total pain and illness acceptance among pelvic cancer patients, taking into consideration the moderated mediation effects of self-efficacy and stress. The study involved a sample of pelvic cancer patients receiving radiotherapy treatment. Assessments were completed at T1 (before radiotherapy), T2 (after 3-4 weeks), and T3 (after radiotherapy) to assess the psychosocial dynamics of illness acceptance ( = 267). The more physical, psychological, social, and spiritual pain symptoms the patients experienced, the less they accepted negative health conditions and the effects of their illness. Stress moderated the indirect effect between total pain dimensions and illness acceptance through self-efficacy, but it did not moderate the relationship between total pain and illness acceptance. The relationships between total pain dimensions and illness acceptance thus depend on both the mediating effect of self-efficacy and the moderating effect of stress. This highlights the need to control one's motivation and behavior and manage emotional strain or tension.
癌症患者不仅在身体维度上体验到疼痛，而且由于更高水平的焦虑和压力，还在更广泛的心理、社会和精神方面体验到疼痛。本前瞻性、纵向研究考察了骨盆癌患者总疼痛与疾病接受度之间的关系，同时考虑了自我效能感和压力的中介调节作用。该研究涉及接受放射治疗的骨盆癌患者样本。在 T1（放疗前）、T2（放疗后 3-4 周）和 T3（放疗后）进行评估，以评估疾病接受度的心理社会动态（n=267）。患者经历的身体、心理、社会和精神疼痛症状越多，他们对负面健康状况和疾病影响的接受程度就越低。压力通过自我效能感调节总疼痛维度与疾病接受度之间的间接效应，但不调节总疼痛与疾病接受度之间的关系。因此，总疼痛维度与疾病接受度之间的关系取决于自我效能感的中介效应和压力的调节效应。这强调了需要控制自己的动机和行为，并管理情绪压力或紧张。
