School of Humanities and Management, Guangdong Medical University, Dongguan, Guangdong Province, China.
Breast Surgery, Anshan Cancer Hospital, Anshan, Liaoning Province, China.
Psychol Health Med. 2024 Sep;29(8):1466-1478. doi: 10.1080/13548506.2024.2344127. Epub 2024 Apr 18.
Sleep disorders are prevalent and often neglected among breast cancer patients. This study aimed to identify the association among perceived stress, loneliness, resilience and sleep disorders and to further explore whether resilience could be a moderator in the association between them and sleep disorders. A cross-sectional study was conducted by 492 female breast cancer patients. Patients were asked in response to the questionnaires including the Pittsburgh Sleep Quality Index, Perceived Stress Scale-10, the Three-Item Loneliness Scale and Resilience Scale-14. The association among perceived stress, loneliness, resilience and perceived stress/loneliness × resilience interaction with sleep disorders were examined by hierarchical multiple regression analysis. The interaction was visualized by using simple slope analysis. 36.58% of the female breast cancer patients reported sleep disorders in our study. Perceived stress and loneliness were related to sleep disorders. Resilience could moderate the relationship between them and sleep disorders. When resilience was higher, perceived stress and loneliness had a weaker impact on sleep disorders. Medical staff should systematically evaluate the internal environmental factors related to patients' sleep quality and help patients relieve their emotional distress caused by the disease through positive psychological guidance.
睡眠障碍在乳腺癌患者中普遍存在且常被忽视。本研究旨在确定感知压力、孤独感、韧性与睡眠障碍之间的关联，并进一步探讨韧性是否可以调节它们与睡眠障碍之间的关系。通过横断面研究，对 492 名女性乳腺癌患者进行了调查。患者通过问卷调查回答了问题，包括匹兹堡睡眠质量指数、10 项感知压力量表、三项孤独量表和 14 项韧性量表。通过分层多重回归分析，考察了感知压力、孤独感、韧性以及感知压力/孤独感与韧性的交互作用与睡眠障碍之间的关系。通过简单斜率分析来可视化交互作用。在我们的研究中，36.58%的女性乳腺癌患者报告存在睡眠障碍。感知压力和孤独感与睡眠障碍有关。韧性可以调节它们与睡眠障碍之间的关系。当韧性较高时，感知压力和孤独感对睡眠障碍的影响较弱。医务人员应系统评估与患者睡眠质量相关的内在环境因素，并通过积极的心理指导帮助患者缓解疾病引起的情绪困扰。
