Quan Lijuan, Wang Xinxin, Lu Wei, Zhao Xintong, Sun Jialei, Sang Qingsong
School of Educational Science, Anhui Normal University, Wuhu, Anhui, China.
Foreign Language School of Ma'anshan No. 2 Middle School, Ma'anshan, China.
Front Psychiatry. 2022 Sep 20;13:920315. doi: 10.3389/fpsyt.2022.920315. eCollection 2022.
To examine the relationship between fear of recurrence and depression in patients with cancer.
Two hundred and fifty-nine participants completed self-report questionnaires, including the Fear of Progression Questionnaire-Short Form, Rumination Inventory, Cognitive Emotion Regulation Questionnaire (Chinese version), and Center for Epidemiological Studies Depression Scale.
Fear of recurrence in patients with cancer was moderate, and the level of depression was significantly higher than that in the normal population. Fear of recurrence, invasive rumination, catastrophizing, and depression in patients with cancer were significantly positively correlated. The level of fear of recurrence was a significant positive predictor of the level of depression. Invasive rumination played a partial mediating role between fear of recurrence and depression; that is, fear of recurrence directly affected depression, and fear of recurrence indirectly affected depression through invasive rumination. Catastrophizing played a moderating role in the mediation model, in which fear of recurrence affected depression through invasive rumination.
Invasive rumination plays a mediating role between fear of recurrence and depression in patients with cancer. Catastrophizing moderates the relationship between fear of recurrence and depression as well as the relationship between invasive rumination and depression.
探讨癌症患者对复发的恐惧与抑郁之间的关系。
259名参与者完成了自我报告问卷，包括《恐惧进展问卷简表》《沉思量表》《认知情绪调节问卷》（中文版）和《流行病学研究中心抑郁量表》。
癌症患者对复发的恐惧处于中等水平，且抑郁水平显著高于正常人群。癌症患者对复发的恐惧、侵入性沉思、灾难化思维和抑郁之间存在显著正相关。复发恐惧水平是抑郁水平的显著正向预测因子。侵入性沉思在复发恐惧与抑郁之间起部分中介作用；即，复发恐惧直接影响抑郁，且复发恐惧通过侵入性沉思间接影响抑郁。灾难化思维在中介模型中起调节作用，其中复发恐惧通过侵入性沉思影响抑郁。
侵入性沉思在癌症患者复发恐惧与抑郁之间起中介作用。灾难化思维调节复发恐惧与抑郁之间的关系以及侵入性沉思与抑郁之间的关系。
