Ren Hui, Yang Tianye, Mei Songli, Zhu Zhu, Shi Jianjun, Tong Lingling, Yang Jia, Sun Yabin
The First Hospital of Jilin University, Changchun, Jilin Province, China.
Department of Plastic Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China.
BMC Psychiatry. 2025 Jan 15;25(1):41. doi: 10.1186/s12888-024-06354-2.
Breast cancer, as a stressful event, profoundly impacts the entire family, especially patients and their spouses. This study used a dyadic analysis approach to explore the dyadic effects of illness perception on the fear of cancer recurrence (FCR) and whether maladaptive cognitive-emotional regulation strategies acted as a mediator in breast cancer patient-spouse dyads.
This was a cross-sectional study, and 202 dyads of breast cancer patients and their spouses were enrolled. Illness perception, maladaptive cognitive-emotional regulation strategies, and FCR were assessed by the Brief Illness Perception Questionnaire (BIPQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), respectively. Data were analyzed using the actor-partner interdependence mediation model.
This study found that, for patients and spouses, maladaptive cognitive-emotional regulation strategies mediated the actor effects of illness perception on FCR. That is, illness perception was positively related to their maladaptive cognitive-emotional regulation strategies, which increased the risk of FCR. Another important finding was that patients' illness perception had significant direct and indirect effects on spouses' FCR through spouses' maladaptive cognitive-emotional regulation strategies.
Negative illness perception perceived by patients and spouses can increase their FCR by adapting their maladaptive cognitive-emotional regulation strategies. Furthermore, illness perception perceived by patients can also increase spouses' FCR through spouses' maladaptive cognitive-emotional regulation strategies. Medical staff should identify vulnerable patients and spouses with higher illness perception and maladaptive cognitive-emotional regulation strategies and make focused interventions to decrease the risk of FCR of both breast cancer patients and their spouses.
乳腺癌作为一个应激事件，会对整个家庭产生深远影响，尤其是患者及其配偶。本研究采用二元分析方法，探讨疾病认知对癌症复发恐惧（FCR）的二元效应，以及适应不良的认知情绪调节策略在乳腺癌患者-配偶二元组中是否起中介作用。
这是一项横断面研究，纳入了202对乳腺癌患者及其配偶。分别通过简易疾病认知问卷（BIPQ）、认知情绪调节问卷（CERQ）和癌症复发恐惧量表简表（FCRI-SF）评估疾病认知、适应不良的认知情绪调节策略和FCR。使用行为者-伙伴相互依赖中介模型对数据进行分析。
本研究发现，对于患者和配偶而言，适应不良的认知情绪调节策略介导了疾病认知对FCR的行为者效应。也就是说，疾病认知与他们适应不良的认知情绪调节策略呈正相关，这增加了FCR的风险。另一个重要发现是，患者的疾病认知通过配偶适应不良的认知情绪调节策略对配偶的FCR有显著的直接和间接影响。
患者和配偶感知到的负面疾病认知会通过采用适应不良的认知情绪调节策略增加他们的FCR。此外，患者感知到的疾病认知也会通过配偶适应不良的认知情绪调节策略增加配偶的FCR。医务人员应识别出疾病认知较高且有适应不良的认知情绪调节策略的脆弱患者及其配偶，并进行有针对性的干预，以降低乳腺癌患者及其配偶的FCR风险。
