Department of Clinical Psychology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, 410013, People's Republic of China.
Medical Psychological Center, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410000, People's Republic of China.
BMC Psychiatry. 2022 Oct 5;22(1):635. doi: 10.1186/s12888-022-04261-y.
This research examines the direct and indirect relationships between optimism, perceived social support (PSS), benefit finding (BF), and anxiety and depressive symptoms among Chinese women with breast cancer (BC).
We recruited 512 patients, aged averagely 47.46(SD = 8.51) years from two hospitals located in Hunan province, China. The variables were assessed using the Optimism-Pessimism Scale (OPS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Benefit Finding Scale (BFS), and the Hospital Anxiety and Depression Scale (HADS). Path analyses were conducted by Amos version 24.0 for Windows to test the hypothesized serial mediation model.
Path analyses suggest a significant negative association between optimism and symptoms of anxiety and depression. The relationship was mediated by BF (β = -0.085, SE = 0.015, 95% CI [-0.126, -0.055]), and by BF together with PSS (β = -0.027, SE = 0.007, 95% CI [-0.047, -0.017]). The difference comparison between the two indirect effects was significant (β = 0.057, SE = 0.015, 95% CI [0.034,0.101]).
Our findings suggest that PSS, and BF are important mediators through which optimism may buffer symptoms of anxiety and depression among Chinese BC patients. Clinicians and healthcare practitioners should be aware of the importance of patients' emotional health and endeavor to offer emotional support, facilitate their capacity to improve their quality of life.
本研究考察了乐观、感知社会支持（PSS）、福得发现（BF）与中国乳腺癌（BC）女性焦虑和抑郁症状之间的直接和间接关系。
我们招募了 512 名年龄平均为 47.46（SD=8.51）岁的来自中国湖南省两家医院的患者。使用乐观-悲观量表（OPS）、多维感知社会支持量表（MSPSS）、福得发现量表（BFS）和医院焦虑抑郁量表（HADS）评估变量。使用 Amos 版本 24.0 for Windows 进行路径分析，以检验假设的串联中介模型。
路径分析表明，乐观与焦虑和抑郁症状呈显著负相关。这种关系通过 BF（β=-0.085，SE=0.015，95%CI [-0.126，-0.055]）和 BF 与 PSS（β=-0.027，SE=0.007，95%CI [-0.047，-0.017]）共同介导。两种间接效应的差异比较具有统计学意义（β=0.057，SE=0.015，95%CI [0.034，0.101]）。
我们的研究结果表明，PSS 和 BF 是乐观情绪缓冲中国 BC 患者焦虑和抑郁症状的重要中介因素。临床医生和医疗保健从业者应该意识到患者情绪健康的重要性，并努力提供情感支持，帮助他们提高生活质量。
