Tao Lin, Lv Jieying, Tan Xueling, Hu Xiaoxia, Fu Lan, Li Junying
Cancer Day-care Unit, Division of Medical Oncology, Cancer Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
School of Basic Medical Sciences, Chengdu University, Chengdu, China.
Semin Oncol Nurs. 2024 Feb;40(1):151526. doi: 10.1016/j.soncn.2023.151526. Epub 2023 Nov 17.
This investigation aims to explore relationships between adult attachment, emotional self-disclosure, and quality of life (QoL).
The study sample completed the Chinese versions of the Experiences in Close Relationships Inventory, the Functional Assessment of Cancer Therapy-Breast Scale, and the Distress Disclosure Index between October 2021 and March 2022. The relationships between adult attachment, emotional self-disclosure, and QoL were investigated using a multiple mediation effects test and structural equation modeling.
Attachment anxiety and avoidance were risk factors for young Chinese breast cancer survivors' emotional self-disclosure and QoL. Emotional self-disclosure mediates the association between attachment anxiety or avoidance and QoL. Assessing and easing attachment anxiety and avoidance may improve the emotional self-disclosure and QoL of young breast cancer survivors.
This study confirms that adult attachment plays an important role in young breast cancer patients' adaptation to the disease and that high adult anxiety and avoidance levels can significantly reduce emotional self-disclosure and QoL in young breast cancer survivors. Identifying attachment patterns can help caregivers better understand patients' responses, adaptation, and treatment adherence to cancer, thereby helping caregivers develop targeted and personalized cancer care practice programs or psychotherapy interventions to improve patients' physical and mental health outcomes.
本研究旨在探讨成人依恋、情感自我表露与生活质量（QoL）之间的关系。
研究样本于2021年10月至2022年3月期间完成了亲密关系经历量表中文版、癌症治疗功能评估-乳腺量表以及苦恼表露指数。采用多重中介效应检验和结构方程模型研究成人依恋、情感自我表露与生活质量之间的关系。
依恋焦虑和回避是中国年轻乳腺癌幸存者情感自我表露和生活质量的危险因素。情感自我表露在依恋焦虑或回避与生活质量之间起中介作用。评估并缓解依恋焦虑和回避可能会改善年轻乳腺癌幸存者的情感自我表露和生活质量。
本研究证实成人依恋在年轻乳腺癌患者对疾病的适应中起重要作用，且成人高焦虑和回避水平会显著降低年轻乳腺癌幸存者的情感自我表露和生活质量。识别依恋模式有助于护理人员更好地理解患者对癌症的反应、适应情况和治疗依从性，从而帮助护理人员制定有针对性的个性化癌症护理实践方案或心理治疗干预措施，以改善患者的身心健康结局。
