Akcan Gizem, Bakkal Bekir Hakan, Elmas Özlem
Department of Psychology, Faculty of Arts and Social Sciences, Mudanya University, Bursa, Turkey.
School of Medicine, Zonguldak Bulent Ecevit University, Zonguldak, Turkey.
Omega (Westport). 2024 Oct 11:302228241292381. doi: 10.1177/00302228241292381.
Active and adaptive coping strategies have been identified as factors that can assist cancer patients in effectively managing and overcoming the crisis, leading to the potential for post-traumatic growth during the diagnosis and treatment stages. Psychological flexibility is another factor that can protect individuals and promote more adaptive reactions to traumatic situations. The study aims to examine the investigation of the mediation role of coping with stress in the relationship between psychological flexibility and posttraumatic growth in cancer patients. This study was conducted with 97 (63 women, 34 male) participants aged between 38 and 82 who are literate and diagnosed with breast cancer or gynecological cancers (endometrial, cervical, vulvar) undergoing radiotherapy planning at the Radiation Oncology Clinic of Zonguldak Bülent Ecevit University Hospital. Demographic Information Form, Psychological Flexibility Scale, Post-Traumatic Growth Inventory, and Coping Styles Scale were applied to the participants. The mediation effects were interpreted using bootstrap confidence intervals and VAF values. This study showed that the active coping styles partially mediated the relationship between psychological flexibility and posttraumatic growth. In this regard, by organizing psychoeducational programs and interventions aimed at increasing psychological flexibility for individuals diagnosed with cancer or undergoing treatment, individuals can be enabled to cope with stress more actively, and thus post-traumatic growth can be achieved.
积极和适应性应对策略已被确定为有助于癌症患者有效应对和克服危机的因素,这使得患者在诊断和治疗阶段有实现创伤后成长的可能。心理灵活性是另一个能够保护个体并促使其对创伤性情境产生更适应性反应的因素。本研究旨在探讨应对压力在癌症患者心理灵活性与创伤后成长关系中的中介作用。该研究对97名年龄在38岁至82岁之间、有读写能力且被诊断为乳腺癌或妇科癌症(子宫内膜癌、宫颈癌、外阴癌)并正在宗古尔达克比伦特·埃杰维特大学医院放射肿瘤诊所接受放疗计划的参与者进行。向参与者发放了人口统计学信息表、心理灵活性量表、创伤后成长量表和应对方式量表。使用自助法置信区间和VAF值来解释中介效应。本研究表明,积极应对方式部分中介了心理灵活性与创伤后成长之间的关系。在这方面,通过为被诊断患有癌症或正在接受治疗的个体组织旨在提高心理灵活性的心理教育项目和干预措施,可以使个体更积极地应对压力,从而实现创伤后成长。