应对方式在食管癌患者心理一致感与主观幸福感间的中介作用
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摘要
目的探讨食管癌患者心理一致感、应对方式和主观幸福感的关系。方法便利抽取安徽省2所三甲医院的280名住院食管癌患者,采用心理一致感量表、简易应对方式问卷、总体幸福感量表及一般资料调查表进行调查,运用Amos17.0和SPSS 17.0软件对数据进行统计分析。结果食管癌患者主观幸福感与心理一致感、积极应对呈正相关(r=0.486、0.406,P<0.01),与消极应对呈负相关(r=-0.297,P<0.01)。线性回归和结构方程分析显示,心理一致感和积极应对均正向预测主观幸福感(β=0.307,β=0.248,P<0.05);消极应对负向预测主观幸福感(β=-0.236,P<0.05),应对方式在心理一致感和主观幸福感之间起部分中介作用,中介效应占总效应的25.00%。结论心理一致感可直接影响主观幸福感,也可通过应对方式对其产生间接影响。
Objective To examine the relationships among coping style, sense of coherence and subjective well-being in patients with esophageal cancer. Methods Totally 280 esophageal cancer patients were selected in Anhui province. They were investigated with SCSQ, SOC-13, General Well-Being and the general information questionnaires. The results were statistically analyzed using Amos 17.0 software and SPSS 17.0 software. Results The GWB total scores positively correlated with SOC and positive response(r=0.486, 0.406, P<0.01), and negatively correlated with negative response(r=-0.297, P<0.01).Multiple linear regression and structural equation model analysis showed that sense of coherence and positive response positively predicted subjective well-being(b=0.307, b=0.248, P<0.05). Negative response negatively predicted subjective well-being(b=-0.236, P<0.05). Coping style was the mediator between sense of coherence and subjective well-being, and the mediating effect accounts for 25% of the total effect. Conclusion Sense of coherence can directly affect subjective well-being, and it can also have indirect effects through coping style.
Objective To examine the relationships among coping style, sense of coherence and subjective well-being in patients with esophageal cancer. Methods Totally 280 esophageal cancer patients were selected in Anhui province. They were investigated with SCSQ, SOC-13, General Well-Being and the general information questionnaires. The results were statistically analyzed using Amos 17.0 software and SPSS 17.0 software. Results The GWB total scores positively correlated with SOC and positive response(r=0.486, 0.406, P<0.01), and negatively correlated with negative response(r=-0.297, P<0.01).Multiple linear regression and structural equation model analysis showed that sense of coherence and positive response positively predicted subjective well-being(b=0.307, b=0.248, P<0.05). Negative response negatively predicted subjective well-being(b=-0.236, P<0.05). Coping style was the mediator between sense of coherence and subjective well-being, and the mediating effect accounts for 25% of the total effect. Conclusion Sense of coherence can directly affect subjective well-being, and it can also have indirect effects through coping style.
引文
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[2] Li JC, Liu D, Yang Y, et al. Growth, clonability, and radiation resistance of esophageal carcinoma-derived stem-like cells[J]. Asian Pacific Journal of Cancer Prevention, 2013, 14(8):4891-4896.
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[12] Martin-Richard M, Diaz Beveridge R, Arrazubi V, et al. SEOM clinical guideline for the diagnosis and treatment of esophageal cancer(2016)[J]. Clinical&Translational Oncology, 2016, 18(12):1179-1186.
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[14]王端卫,张敬悬.简易应对方式问卷的因子分析[J].山东大学学报(医学版),2014,52(3):96-100.
[15] Fazio AF. A concurrent validational study of the NCHS General Well-Being Schedule[J]. Vital and health statistics. Series 2, Data evaluation and methods research, 1977, 73(73):1-53.
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[17]贾丽霞.聚焦解决模式对癌症化疗患者负性情绪和主观幸福感影响的研究[D].西安:第四军医大学,2013.
[18] Innes SI. The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being[J]. Journal of Chiropractic Education, 2016, 31(1):1-7.
[19]孙中明,何源,潘恩春,等.2010年淮安市食管癌发病、死亡情况和生存率分析[J].现代预防医学,2017,44(10):1883-1886.
[20]王彩霞,徐芬,胡晴丽.妇科肿瘤患者焦虑影响因素分析[J].现代预防医学,2015,42(4):643-645.
[21] Calandri E, Graziano F, Borghi MA. Coping strategies and adjustment to multiple sclerosis among recently diagnosed patients:the mediating role of sense of coherence[J]. Clinical Rehabilitation,2017, 31(10):1386-1395.
[22]赵海燕,隋树杰,徐龙猛.2型糖尿病患者心理一致感、应对方式与生存质量关系的研究[J].中国护理管理,2014,14(9):927-930, 931.
[23] Lazarus RS, Folkman S. Stress, appraisal, and coping[J]. New York:Springer Publishing, 1984.
[24] Kristofferzon ML, Engstrom M, Nilsson A. Coping mediates the relationship between sense of coherence and mental quality of Life in patients with chronic illness:a cross-sectional study[J]. Quality of Life Research, 2018, 27(7):1855-1863.
[2] Li JC, Liu D, Yang Y, et al. Growth, clonability, and radiation resistance of esophageal carcinoma-derived stem-like cells[J]. Asian Pacific Journal of Cancer Prevention, 2013, 14(8):4891-4896.
[3] Tan C, Qian X, Guan Z, et al. Potential biomarkers for esophageal cancer[J]. SpringerPlus, 2016, 5:467.
[4] Cheng QM, Kong CQ, Chang SY, et al. Effects of psychological nursing intervention on personality characteristics and quality of Life of patients with esophageal cancer[J]. Clinics and Research in Hepatology and Gastroenterology, 2013, 37(3):283-288.
[5] Antonovsky A. Unraveling the mystery of health:how People manage stress and stay well[M]. New York:Jossey-Bass, 1987.
[6]何玉梅,姚本先.心理一致感研究的现状与展望[J].心理研究,2008,1(6):14-17.
[7]陈浩彬,苗元江.主观幸福感、心理幸福感与社会幸福感的关系研究[J].心理研究,2012,5(4):46-52.
[8] Von Humboldt S, Leal I, Pimenta F. Sense of coherence, sociodemographic, lifestyle, and health-related factors in older adults'subjective well-being[J]. International Journal of Gerontology, 2015, 9(1):15-19.
[9]周树岩,隋琳.心脏瓣膜置换术后病人的心理一致感与生活质量的相关性研究[J].护理研究,2016,30(21):2591-2595.
[10] Sarenmalm EK, Browall M, Persson L, et al. Relationship of sense of coherence to stressful events, coping strategies, health status, and quality of Life in women with breast cancer[J]. Psycho-Oncology,2013, 22(1):20-27.
[11]刘俊升,周颖,包蕾萍,等.青少年心理一致感水平及其与应付方式的关系[J].心理科学,2006,29(5):1107-1110.
[12] Martin-Richard M, Diaz Beveridge R, Arrazubi V, et al. SEOM clinical guideline for the diagnosis and treatment of esophageal cancer(2016)[J]. Clinical&Translational Oncology, 2016, 18(12):1179-1186.
[13]包蕾萍,刘俊升,周颖.心理一致感量表(SOC-13)的信、效度初步研究[J].中国心理卫生杂志,2006,20(5):299-301.
[14]王端卫,张敬悬.简易应对方式问卷的因子分析[J].山东大学学报(医学版),2014,52(3):96-100.
[15] Fazio AF. A concurrent validational study of the NCHS General Well-Being Schedule[J]. Vital and health statistics. Series 2, Data evaluation and methods research, 1977, 73(73):1-53.
[16]叶浩生,陈欣.结构方程模型及其在心理统计中的应用[J].广州大学学报(社会科学版),2014,(8):17-21.
[17]贾丽霞.聚焦解决模式对癌症化疗患者负性情绪和主观幸福感影响的研究[D].西安:第四军医大学,2013.
[18] Innes SI. The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being[J]. Journal of Chiropractic Education, 2016, 31(1):1-7.
[19]孙中明,何源,潘恩春,等.2010年淮安市食管癌发病、死亡情况和生存率分析[J].现代预防医学,2017,44(10):1883-1886.
[20]王彩霞,徐芬,胡晴丽.妇科肿瘤患者焦虑影响因素分析[J].现代预防医学,2015,42(4):643-645.
[21] Calandri E, Graziano F, Borghi MA. Coping strategies and adjustment to multiple sclerosis among recently diagnosed patients:the mediating role of sense of coherence[J]. Clinical Rehabilitation,2017, 31(10):1386-1395.
[22]赵海燕,隋树杰,徐龙猛.2型糖尿病患者心理一致感、应对方式与生存质量关系的研究[J].中国护理管理,2014,14(9):927-930, 931.
[23] Lazarus RS, Folkman S. Stress, appraisal, and coping[J]. New York:Springer Publishing, 1984.
[24] Kristofferzon ML, Engstrom M, Nilsson A. Coping mediates the relationship between sense of coherence and mental quality of Life in patients with chronic illness:a cross-sectional study[J]. Quality of Life Research, 2018, 27(7):1855-1863.