乳腺癌患者社会支持对心理韧性的影响:有调节的中介模型

发布时间：2018-05-21 09:46

本文选题：社会支持 + 自我效能　；参考：《现代预防医学》2017年21期

【摘要】：目的探究乳腺癌患者自我效能在社会支持与心理韧性之间的中介作用以及乐观对中介的调节作用。方法采用自评的心理韧性量表(RS-14)、领悟社会支持量表(SPSS)、生活定向测验修订版(LOT-R)及一般自我效能感量表(GSES)对276名乳腺癌患者进行调查,评估患者的心理韧性、社会支持、乐观倾向及自我效能。用PROCESS程序考察有调节的中介模型。结果乳腺癌患者的社会支持对心理韧性有显著的正向预测作用(β=0.35,P0.001),乳腺癌患者的自我效能对社会支持与心理韧性的关系具有部分中介效应(β=0.99,P0.001),乐观对自我效能中介作用的后半路径具有调节效应(β=-0.05,P0.05),且自我效能对心理韧性的影响随着乐观水平的增高而降低。结论乳腺癌患者社会支持可通过自我效能影响心理韧性,乐观调节自我效能对心理韧性的关系,有调节的中介模型成立。
[Abstract]:Objective to explore the mediating role of self-efficacy of breast cancer patients between social support and psychological resilience and the regulatory effect of optimism on self-efficacy. Methods A total of 276 breast cancer patients were investigated with the Self-rated Mental toughness scale (RS-14), the perceived Social support scale (SPSS), the revised Life orientation Test (LOT-R) and the General Self-efficacy scale (GSES) to assess the psychological resilience and social support of the patients. Optimism and self-efficacy. The mediating model with adjustment was investigated by PROCESS program. Results the social support of breast cancer patients had a significant positive predictive effect on psychological resilience (尾 0.35% P 0.001). The self-efficacy of breast cancer patients had a partial mediating effect on the relationship between social support and psychological resilience (尾 0.99% P 0.001), and optimism had a positive effect on self-efficacy mediation. The latter half of the pathway had a regulating effect (尾 -0.05), and the effect of self-efficacy on mental toughness decreased with the increase of optimistic level. Conclusion Social support of breast cancer patients can influence mental resilience through self-efficacy, and optimistically regulate the relationship between self-efficacy and psychological resilience. The mediating model of self-efficacy is established.
【作者单位】：安徽医科大学护理学院;
【基金】：安徽省高校自然科学研究项目(KJ2017A165)
【分类号】：R473.73

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