妇科恶性肿瘤住院患者心理弹性与癌因性疲乏的关系:正负性情绪的中介作用

发布时间：2018-04-27 01:09

本文选题：心理弹性 + 正负性情绪　；参考：《中国临床心理学杂志》2017年04期

【摘要】：目的:分析妇科恶性肿瘤患者心理弹性、正负性情绪和癌因性疲乏的关系,并探讨正性和负性情绪在心理弹性与癌因性疲乏间的中介作用。方法:选取河北省某三级甲等医院妇科恶性肿瘤住院患者141例,采用一般资料调查表、心理弹性量表(CD-RISC10)、癌症疲乏量表(CRF)及正负性情绪量表(PANAS)进行调查。应用结构方程模型探讨正负性情绪在心理弹性与癌因性疲乏间的中介作用,并用Bootstrap方法进行中介效应检验。结果:妇科恶性肿瘤患者的CRF评分为25.1±7.8。心理弹性评分与CRF评分及其各维度呈负相关(r=-0.31~-0.44,P0.01);正性情绪与CRF评分及其各维度呈负相关(r=-0.21~-0.60,P0.01);负性情绪与CRF评分及其各维度呈正相关(r=0.38~0.63,P0.01)。Bootstrap检验结果显示间接效应的95%CI为(-0.14~-0.52,P0.001),说明正负性情绪在心理弹性与癌因性疲乏间存在中介效应。结论:妇科恶性肿瘤患者存在癌因性疲乏的问题,心理弹性、正负性情绪是影响癌因性疲乏的因素,正负性情绪可以中介心理弹性与癌因性疲乏的关系。
[Abstract]:Objective: to analyze the relationship between psychological elasticity, positive and negative emotions and cancer-induced fatigue in gynecological malignant tumor patients, and to explore the mediating role of positive and negative emotions in the relationship between psychoelasticity and cancer-induced fatigue. Methods: a total of 141 patients with gynecological malignancy in a Grade 3A hospital in Hebei province were investigated with general information questionnaire, psychoelasticity scale, cancer fatigue scale (CRF) and positive and negative emotion scale (PANASS). The structural equation model was used to study the mediating effect of positive and negative emotions on the relationship between psychoelasticity and cancer-induced fatigue, and Bootstrap method was used to test the mediating effect. Results: the CRF score of gynecological malignant tumor patients was 25.1 卤7.8. There was a negative correlation between psychoelasticity score and CRF score and its dimensions, a negative correlation between positive emotion and CRF score and its dimensions, a negative correlation between negative emotion and CRF score and its dimensions, and a positive correlation between negative emotion and CRF score and each dimension. The results of Bootstrap test showed that the indirect effect of 95%CI was -0.14n- 0.52P 0.001. It suggests that positive and negative emotions play an intermediate role in the relationship between psychoelasticity and cancer-induced fatigue. Conclusion: gynecological malignant tumor patients have the problem of cancer-induced fatigue. The psychological elasticity and positive and negative emotions are the factors that affect the cancer-induced fatigue. Positive and negative emotions can mediate the relationship between the psychological elasticity and the cancer-induced fatigue.
【作者单位】：河北医科大学第四医院妇瘤科;石家庄市第一医院手术室;
【基金】：河北省医学科学研究重点课题(20110512)
【分类号】：R473.73

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