家庭复原力与妇科癌症患者心理困扰的相关性中感知压力的中介作用：一项横断面研究。

The mediating role of perceived stress in the association between family resilience and psychological distress among gynecological cancer patients: a cross-sectional study.

机构信息

Department of Obstetric Nursing, West China Second University Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

BMC Psychiatry. 2024 Sep 19;24(1):622. doi: 10.1186/s12888-024-06060-z.

DOI:10.1186/s12888-024-06060-z

PMID:39300397

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414103/

Abstract

BACKGROUND

Gynecological cancer patients face various stressors and suffer from severe psychological distress. The activation of family resilience supports patients to overcome daily stressors, yet the relationship between family resilience and psychological distress is poorly understood. The purpose of this study is to investigate the degree of psychological distress in patients diagnosed with gynecological cancer, and whether perceived stress mediate the relationship between family resilience and psychological distress.

METHODS

A cross-sectional study was undertaken on 358 gynecological cancer patients in China from September 2021 to November 2022. The participants completed surveys that included the Chinese Version of the Family Resilience Assessment Scale, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale, the Distress Management Screening Measure, and socio-demographic questions. Using Pearson's correlation analysis to investigate the association between variables, and the bias corrected bootstrapping method was utilized to establish perceived stress as a mediator.

RESULTS

Chinese patients with gynecological cancer experienced a moderate psychological distress. In addition, psychological distress exhibited a negative correlation with family resilience and a positive correlation with perceived stress in gynecological cancer patients (both P < 0.01). Perceived stress partially mediated the correlation between family resilience and psychological distress (β=-0.182; 95% CI: -0.224 to -0.140; P < 0.001). The total indirect effect value was - 0.182, and the total effect value was - 3.060.

CONCLUSIONS

The findings indicate that higher family resilience and lower perceived stress can reduce psychological distress in gynecological cancer patients, and family resilience also tends to reduce perceived stress in cancer patients. Clinical staff and psychologist should consciously cultivate patients' family resilience to reduce psychological distress. Meanwhile, identifying potential mediators between family resilience and psychological distress are able to promote the development and assessment of interventions in the future.

摘要

背景

妇科癌症患者面临各种压力源，遭受严重的心理困扰。家庭复原力的激活支持患者克服日常压力源，但家庭复原力和心理困扰之间的关系尚未得到充分理解。本研究旨在调查诊断为妇科癌症的患者的心理困扰程度，以及感知压力是否在家庭复原力和心理困扰之间起中介作用。

方法

2021 年 9 月至 2022 年 11 月，在中国对 358 名妇科癌症患者进行了横断面研究。参与者完成了包括中文版家庭复原力评估量表、感知压力量表、医院焦虑抑郁量表、痛苦管理筛查量表和社会人口学问题的调查。采用 Pearson 相关分析探讨变量之间的关系，并采用偏差校正的自助法确定感知压力作为中介变量。

结果

中国妇科癌症患者心理困扰程度中等。此外，心理困扰与妇科癌症患者的家庭复原力呈负相关，与感知压力呈正相关（均 P<0.01）。感知压力部分中介了家庭复原力与心理困扰之间的相关性（β=-0.182；95%CI：-0.224 至-0.140；P<0.001）。总间接效应值为-0.182，总效应值为-3.060。