Department of Psychology, University of Kurdistan, Sanandaj, Iran.
Department of Educational Science, Psychological Counseling and Guidance Branch, Ataturk University, Erzurum, Turkey.
Psychooncology. 2023 May;32(5):800-809. doi: 10.1002/pon.6125. Epub 2023 Apr 3.
As the proportion of older people worldwide increases, cancer cases and deaths from cancer are rising. Suffering from cancer has a profound impact on the daily lives of patients and their families. Cancer patients often perceive themselves as a burden, which affects their quality of life; therefore, this study investigated the relationship between intolerance of uncertainty, cognitive fusion, and self-perception as burdens and the mediating role of coping self-efficacy in patients diagnosed with cancer.
In this descriptive, correlational, and structural equation modeling study, 400 patient diagnosed with cancer who were hospitalized in the oncology ward of Imam Khomeini Hospital in Ardabil in the first half of 2022 were selected as the sample and answered Casino et al. self-perceived burden questionnaire, Gillanders et al. cognitive fusion questionnaire, Carleton et al. uncertainty intolerance scale, and Merleau et al. cancer behavior scale.
Based on the results, the fitting indices of the research conceptual model were confirmed. Intolerance of uncertainty, cognitive fusion, and coping self-efficacy had a direct and significant relationship with self-perceived burden in patients diagnosed with cancer (p < 0.01); also, intolerance of uncertainty and cognitive fusion through coping self-efficacy had an indirect effect on self-perceived burden in patients diagnosed with cancer (p < 0.05).
Therefore, intolerance of uncertainty, cognitive fusion, and coping self-efficacy plays a substantial role in the incidence of self-perceived burden in patients diagnosed with cancer and targeting these three components by psychological therapies can reduce the perception of self-perception as burden which is effective in patients diagnosed with cancer.
随着全球老年人比例的增加，癌症病例和癌症死亡人数正在上升。癌症患者的日常生活受到了深刻的影响，他们和他们的家庭都承受着巨大的压力。癌症患者常常认为自己是负担，这影响了他们的生活质量；因此，本研究调查了癌症患者的不确定性容忍度、认知融合、自我认知负担与应对自我效能感之间的关系，以及应对自我效能感在其中的中介作用。
在这项描述性、相关性和结构方程建模研究中，我们选取了 2022 年上半年在阿尔达比勒伊玛目霍梅尼医院肿瘤科住院的 400 名癌症患者作为样本，让他们回答了 Casino 等人的自我感知负担问卷、Gillanders 等人的认知融合问卷、Carleton 等人的不确定性容忍度量表和 Merleau 等人的癌症行为量表。
根据结果，研究概念模型的拟合指数得到了确认。癌症患者的不确定性容忍度、认知融合和应对自我效能感与自我感知负担有直接的显著关系（p<0.01）；此外，不确定性容忍度和认知融合通过应对自我效能感对癌症患者的自我感知负担有间接影响（p<0.05）。
因此，不确定性容忍度、认知融合和应对自我效能感在癌症患者自我感知负担的发生中起着重要作用，通过心理治疗针对这三个因素，可以减轻癌症患者自我感知负担的程度，从而对他们产生积极的影响。
