情绪调节在中青年淋巴瘤患者心理韧性与心理困扰之间的中介作用

The Mediating Effect of Emotional Regulation Between Psychological Resilience and Psychological Distress in Young and Middle-Aged Lymphoma Patients.

作者信息

Xie Xiaoyan, Sun Ting, Wu Yumei, Dong Liping

机构信息

Department of Hematology, Northern Jiangsu People's Hospital, Yangzhou, 225001, People's Republic of China.

Department of Clinical Psychology, Northern Jiangsu People's Hospital, Yangzhou, 225001, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2025 Mar 18;18:619-627. doi: 10.2147/PRBM.S504326. eCollection 2025.

DOI:10.2147/PRBM.S504326

PMID:40123658

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11929407/

Abstract

BACKGROUND

Psychological distress is common among young and middle-aged lymphoma patients. Psychological resilience and emotion regulation are key factors in coping with cancer, but their interrelationships remain unclear. Clinical psychologists play a crucial role in addressing psychological resilience and distress by providing therapeutic interventions that enhance coping mechanisms and emotion regulation. This study examines the mediating role of difficulties in emotion regulation between psychological resilience and psychological distress.

METHODS

A cross-sectional study was conducted among lymphoma patients at Northern Jiangsu People's Hospital from January to December 2023. Psychological resilience, distress, and emotion regulation were assessed using standardized scales. SPSS 26.0 was used for descriptive statistics and spearman correlation analysis. PROCESS 4.0 was used to calculate the significance of the mediating effects of the variables.

RESULTS

Patients had a psychological resilience score of 5.72 ± 2.31, a difficulties in emotion regulation score of 95.22 ± 8.86, and a psychological distress score of 5.72 ± 2.31. Psychological resilience was negatively correlated with both difficulties in emotion regulation (r = -0.28, P < 0.01) and psychological distress (r = -0.31, P < 0.01), while difficulties in emotion regulation were positively correlated with distress (r = 0.29, P < 0.01). Mediation analysis confirmed that difficulties in emotion regulation fully mediated the link between resilience and distress (effect size = -0.310, 95% CI: -1.195, -0.136).

CONCLUSION

Difficulties in emotion regulation partially mediate the relationship between psychological resilience and distress. Enhancing resilience and improving emotion regulation may help alleviate distress, emphasizing the need for targeted psychological interventions in young and middle-aged lymphoma patients.

摘要

背景

心理困扰在中青年淋巴瘤患者中很常见。心理韧性和情绪调节是应对癌症的关键因素，但它们之间的相互关系仍不明确。临床心理学家通过提供增强应对机制和情绪调节的治疗干预措施，在解决心理韧性和困扰方面发挥着关键作用。本研究探讨情绪调节困难在心理韧性与心理困扰之间的中介作用。

方法

2023年1月至12月在苏北人民医院对淋巴瘤患者进行了一项横断面研究。使用标准化量表评估心理韧性、困扰和情绪调节。采用SPSS 26.0进行描述性统计和Spearman相关性分析。使用PROCESS 4.0计算变量中介效应的显著性。

结果

患者的心理韧性得分为5.72±2.31，情绪调节困难得分为95.22±8.86，心理困扰得分为5.72±2.31。心理韧性与情绪调节困难（r = -0.28，P < 0.01）和心理困扰（r = -0.31，P < 0.01）均呈负相关，而情绪调节困难与困扰呈正相关（r = 0.29，P < 0.01）。中介分析证实，情绪调节困难完全中介了韧性与困扰之间的联系（效应量 = -0.310，95%CI：-1.195，-0.136）。