心理灵活性在癌症意义重构过程中的作用：一项密集纵向研究方案。
The role of psychological flexibility in the meaning-reconstruction process in cancer: The intensive longitudinal study protocol.
机构信息
Faculty of Psychology in Warsaw, Department of Health Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.
Faculty of Psychology in Warsaw, Department of Behavioral Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.
出版信息
PLoS One. 2022 Oct 13;17(10):e0276049. doi: 10.1371/journal.pone.0276049. eCollection 2022.
OBJECTIVES
Meaning-making is an important element of adapting to disease. However, this process is still poorly understood and the theoretical model has not been comprehensively verified yet, particularly in terms of complexity, dynamics, and intraindividual variability. The aim of this study is a deeper understanding of the meaning-reconstruction process in cancer and empirical verification of the integrative meaning-making model of coping extended by the psychological flexibility model. We postulate that psychological flexibility can foster the meaning-making in cancer by building more flexible and workable meaning-making explanations of disease.
DESIGN
A daily-diary study conducted for 14 days in patients following the first autologous or allogeneic hematopoietic cell transplantation (HCT).
METHODS
Participants (at least 150) will be requested to complete the daily-diary related to daily situational meaning, meaning-related distress, meaning-making, psychological flexibility, meanings made, and wellbeing for 14 days after hospital discharge following HCT. Also, baseline and follow-up assessment of global meaning, wellbeing, and meanings made will be performed. Statistical analysis of the data will be conducted using the multilevel and dynamic structural equation modeling.
CONCLUSIONS
The study will fill in the gaps in health psychology in the understanding of the meaning-reconstruction process in cancer by within- and between-person verification of the integrative meaning-making model and its extension by the psychological flexibility model. The data obtained will be used in further research on the development of meaning-making by means of interventions based on psychological flexibility.
目的
意义构建是适应疾病的一个重要因素。然而，这一过程仍未被充分理解，理论模型尚未得到全面验证，尤其是在复杂性、动态性和个体内变异性方面。本研究旨在更深入地了解癌症中的意义重建过程，并实证验证应对的综合意义建构模型的扩展，即心理灵活性模型。我们假设，心理灵活性可以通过构建更灵活和可行的疾病意义解释来促进癌症的意义建构。
设计
在接受首次自体或异基因造血细胞移植（HCT）后 14 天进行的每日日记研究。
方法
要求参与者（至少 150 名）在 HCT 出院后 14 天内完成与每日情境意义、与意义相关的困扰、意义建构、心理灵活性、所构建的意义和幸福感相关的每日日记。还将在基线和随访时评估整体意义、幸福感和所构建的意义。将使用多层次和动态结构方程模型对数据进行统计分析。
结论
该研究将通过综合意义建构模型的个体内和个体间验证及其心理灵活性模型的扩展，填补健康心理学在癌症意义重建过程理解方面的空白。所获得的数据将用于进一步研究基于心理灵活性的干预措施对意义建构的发展。
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