Cancer Day-Care Unit, Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.
Division of Breast Surgery, Department of General Surgery, West China Hospital, Sichuan University, Breast Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.
Support Care Cancer. 2023 Jun 22;31(7):408. doi: 10.1007/s00520-023-07853-w.
The aim of this study was to explore how family resilience and individual resilience reduce perceived stress and psychological distress in young female breast cancer survivors with fertility intention.
From June 2020 to June 2021, female breast cancer survivors were selected from the cancer centers of 10 tertiary Level A general hospitals in five cities of Sichuan Province. The survivors completed the Chinese versions of the Family Resilience Assessment Scale, Connor-Davidson Resilience Scale, Perceived Stress Scale, and a self-report distress thermometer. A multiple mediation effects test and structural equation modeling were used to explore the relationships among family resilience, individual resilience, perceived stress, and psychological distress.
The direct effect of family resilience on perceived stress was β = -0.320 (95% confidence interval -0.365, -0.271, P < 0.01). The direct effect of family resilience on psychological distress was β = -0.263 (95% confidence interval -0.363, -0.153, P < 0.001). The direct effect of family resilience on individual resilience was β = 0.593 (95% confidence interval 0.542-0.640, P < 0.001). The indirect effect of family resilience on psychological distress was β = -0.322 (95% confidence interval -0.373, -0.274, P < 0.001). Both perceived stress and individual resilience mediated the relationship between family resilience and psychological distress. Furthermore, a partial mediating effect of perceived stress and individual resilience on family resilience and psychological distress was observed.
Young female breast cancer survivors in China experience moderate levels of psychological distress.
本研究旨在探讨家庭韧性和个体韧性如何降低有生育意向的年轻女性乳腺癌幸存者的感知压力和心理困扰。
本研究于 2020 年 6 月至 2021 年 6 月期间，从四川省 5 个城市的 10 家三级甲等综合医院的癌症中心中选取女性乳腺癌幸存者。幸存者完成了家庭韧性评估量表、Connor-Davidson 韧性量表、感知压力量表和自我报告的痛苦温度计。采用多重中介效应检验和结构方程模型，探讨家庭韧性、个体韧性、感知压力和心理困扰之间的关系。
家庭韧性对感知压力的直接效应为β=-0.320（95%置信区间-0.365，-0.271，P<0.01）。家庭韧性对心理困扰的直接效应为β=-0.263（95%置信区间-0.363，-0.153，P<0.001）。家庭韧性对个体韧性的直接效应为β=0.593（95%置信区间 0.542-0.640，P<0.001）。家庭韧性对心理困扰的间接效应为β=-0.322（95%置信区间-0.373，-0.274，P<0.001）。感知压力和个体韧性均在家庭韧性和心理困扰之间起中介作用。此外，感知压力和个体韧性对家庭韧性和心理困扰存在部分中介效应。
中国的年轻女性乳腺癌幸存者经历着中等程度的心理困扰。
