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社交媒体使用如何影响胰腺癌患者的心理健康:在线社会支持和心理弹性的链式中介效应。

How does social media use influence the mental health of pancreatic cancer patients: a chain mediating effect of online social support and psychological resilience.

机构信息

School of Journalism and Communication, Huaqiao University, Xiamen, China.

出版信息

Front Public Health. 2023 Jun 27;11:1166776. doi: 10.3389/fpubh.2023.1166776. eCollection 2023.

Abstract

BACKGROUND

Pancreatic cancer is an extremely malignant disease that poses a serious threat to the mental health of patients. Many cancer patients now use social media for online social support. However, the impact of social media on mental health is currently inconsistent in the academic community. Therefore, this study aimed to examine the mediating effects of online social support and psychological resilience in the relationship between social media use and mental health of pancreatic cancer patients.

METHODS

Four hundred and twenty-five valid questionnaires were collected through convenience sampling. All data were processed using SPSS 26.0 and AMOS 26.0. We examine the influence relationships among latent variables by constructing a structural equation model. Then SPSS Process Macro was used to test the chain mediating effect of the model.

RESULTS

The results showed that (1) anxiety situations occurred in 22.2% of participants ( = 94), while the incidence of depression was 20.2% ( = 86). (2) Social media use positively influenced online social support ( = 0.990,  < 0.001), psychological resilience ( = 0.504,  < 0.001), and mental health ( = 0.330,  < 0.001); online social support positively influenced psychological resilience ( = 0.535,  < 0.001) and mental health ( = 0.354,  < 0.001); psychological resilience significantly and positively influenced mental health ( = 0.243,  < 0.001). (3) The chain mediating effect of online social support and psychological resilience was significant at 0.253 with a confidence interval of [0.178, 0.340].

CONCLUSION

Pancreatic cancer patients in China are exposed to a high burden of anxiety and depression, which requires urgent attention. Meanwhile, online social support and psychological resilience played a chain mediating role between social media use and mental health (anxiety and depression), and our results provide new insights and ways to support the mental health improvement of pancreatic cancer patients.

摘要

背景

胰腺癌是一种极其恶性的疾病,严重威胁着患者的心理健康。许多癌症患者现在使用社交媒体进行在线社交支持。然而,社交媒体对心理健康的影响在学术界目前并不一致。因此,本研究旨在探讨在线社交支持和心理弹性在胰腺癌患者社交媒体使用与心理健康之间的关系中的中介作用。

方法

通过便利抽样收集了 425 份有效问卷。所有数据均使用 SPSS 26.0 和 AMOS 26.0 进行处理。我们通过构建结构方程模型来检验潜在变量之间的影响关系。然后使用 SPSS Process Macro 测试模型的链式中介效应。

结果

结果显示:(1)22.2%(94 人)的参与者出现焦虑情况,而抑郁发生率为 20.2%(86 人)。(2)社交媒体使用正向影响在线社交支持( = 0.990, < 0.001)、心理弹性( = 0.504, < 0.001)和心理健康( = 0.330, < 0.001);在线社交支持正向影响心理弹性( = 0.535, < 0.001)和心理健康( = 0.354, < 0.001);心理弹性显著正向影响心理健康( = 0.243, < 0.001)。(3)在线社交支持和心理弹性的链式中介效应显著,置信区间为[0.178, 0.340]。

结论

中国胰腺癌患者面临着较高的焦虑和抑郁负担,这需要引起紧急关注。同时,在线社交支持和心理弹性在社交媒体使用与心理健康(焦虑和抑郁)之间发挥了链式中介作用,我们的研究结果为支持胰腺癌患者心理健康改善提供了新的视角和方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/10333754/69515823d1a8/fpubh-11-1166776-g001.jpg

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