设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
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
作者:朱红卫  李芳  李清华 
单位:1. 河北医科大学第四医院妇瘤科  石家庄 050011 2. 石家庄市第一医院手术室  石家庄 050000 
关键词:心理弹性 正负性情绪 癌因性疲乏 中介作用 
分类号:R395.2
出版年,卷(期):页码:2017,25(4):772-775
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,P<0.01);正性情绪与CRF评分及其各维度呈负相关(r=-0.21~-0.60,P<0.01);负性情绪与CRF评分及其各维度呈正相关(r=0.38~0.63,P<0.01)。Bootstrap检验结果显示间接效应的95% CI为(-0.14~-0.52,P<0.001),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。

Objective: To examine the relationship among resilience, positive and negative affect and cancer-related fatigue in patients with Gynecology malignant tumor, and to examine the mediating effect of positive and negative affect between resilience and cancer-related fatigue. Methods: Totally 141 patients with Gynecology malignant tumor were selected. The Connor-Davidson Resilience Scale(CD-RISC10), Positive and negative affect scales(PANAS), and Cancer Fatigue Scale(CRF) were used to assess the resilience, positive and negative affect and cancer-related fatigue respectively. Results: CD-RISC10 scores were negatively correlated with CRF scores and its subscales(r=-0.31~-0.44, P<0.01), the scores of positive affect were negatively correlated with CRF scores and its subscales(r=-0.21~-0.60, P<0.01), and negative affect scores were positively correlated with CRF scores and its subscales(r=0.38~0.63, P<0.01). Furthermore, Positive and negative affect mediated the relationship between resilience and cancer-related fatigue. Conclusion: Patients with Gynecology malignant tumor have severe cancer-related fatigue. Positive and negative affect could mediate the relationship between resilience and cancer-related fatigue.

基金项目:
河北省医学科学研究重点课题(20110512)
作者简介:
参考文献:

1 Wang Y, Jie S, Yan X. Symptoms and quality of life of advanced cancer patients at home:a cross-sectional study in Shanghai, China. Supportive Care in Cancer Official Journal of the Multinational Association of Supportive Care in Cancer, 2011, 19(6):789-797
2 Hofman M, Ryan JL, Figueroa-Moseley CD, et al. Cancerrelated fatigue:the scale of the problem. The Oncologist, 2007, 12(Supplement 1):4-10
3 叶晓慧. 妇科恶性肿瘤患者化疗期间癌因性疲乏状况及自我缓解方式. 解放军护理杂志, 2013, 23:26-28
4 赵建英. 正念减压法对妇科恶性肿瘤患者癌因性疲乏及焦虑水平的影响. 护士进修杂志, 2013, 21:1989-1991
5 王云, 雷俊, 周莲清, 等. 妇科恶性肿瘤患者应对方式、癌因性疲乏与生活质量的结构方程模型. 护理学报, 2014, 15:35-38
6 Molina Y, Yi JC, Martinezgutierrez J, et al. Resilience among patients across the cancer continuum:diverse perspectives. Clinical Journal of Oncology Nursing, 2014, 18(1):93-101
7 Matzka M, Mayer H, Köck-Hódi S, et al. Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients:A Cross-Sectional Observation Study. Plos One, 2016, 11(4):e0154496
8 Eicher M, Matzka M, Dubey C, et al. Resilience in adult cancer care:an integrative literature review. Oncology Nursing Forum, 2015, 42(1):3-16
9 席居哲, 曾也恬, 左志宏. 中国心理弹性思想探源. 中国临床心理学杂志, 2015, 23(3):555-559
10 Strauss B, Brix C, Fischer S, et al. The influence of resilience on fatigue in cancer patients undergoing radiation therapy(RT). Journal of Cancer Research & Clinical Oncology, 2007, 133(8):511-518
11 Ristevskadimitrovska G, Filov I, Rajchanovska D, et al. Resilience and Quality of Life in Breast Cancer Patients. Macedonian Journal of Medical Sciences, 2015, 3(4):727-731
12 Moreno, Patricia I, Moskowitz, et al. Positive Affect and Inflammatory Activity in Breast Cancer Survivors:Examining the Role of Affective Arousal. Psychosomatic Medicine, 2016, 78(3):184
13 Daniel LC, Ba LDB, Schwartz LA. Fatigue in adolescents with cancer compared to healthy adolescents. Pediatric Blood & Cancer, 2013, 60(11):1902-1907
14 Zelikovsky N. Physical Symptoms, Perceived Social Support, and Affect in Adolescents with Cancer. Journal of Psychosocial Oncology, 2013, 31(4):451-467
15 Gouzman J, Cohen M, Ben-Zur H, et al. Resilience and Psychosocial Adjustment in Digestive System Cancer. Journal of Clinical Psychology in Medical Settings, 2015, 22(1):1-13
16 Markovitz SE, Schrooten W, Arntz A, et al. Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients:Resilience as a predictor. PsychoOncology, 2015, 24(12):1639-1645
17 孙仕秀, 关影红, 覃滟云, 等. 青少年社会支持与情绪行为问题的关系:心理弹性的中介与调节作用. 中国临床心理学杂志, 2013, 21(1):114-118
18 Okuyama T, Akechi T, Kugaya A, et al. Development and Validation of the Cancer Fatigue Scale:A Brief, ThreeDimensional, Self-Rating Scale for Assessment of Fatigue in Cancer Patients. Journal of Pain & Symptom Management, 2000, 19(1):5-14
19 Wang L, Shi Z, Zhang Y, Zhang Z. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims. Psychiatry & Clinical Neurosciences, 2010, 64(5):499-504
20 Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect:the PANAS scales. Journal of Personality and Social Psychology, 1988, 54:1063-1070
21 吴媚斯, 徐丽华, 张冰花, 等. 急性白血病患儿癌因性疲乏水平及相关因素研究. 中华护理杂志, 2009, 44(5):471-474
22 岳建彪, 索钢, 李霞. 骨肿瘤患者癌因性疲乏与其临床特征的关系研究. 实用癌症杂志, 2015, 3:463-465
23 马贞,于明薇, 徐雯洁, 等. 乳腺癌患者癌因性疲乏与抑郁、焦虑情绪的调查. 临床肿瘤学杂志, 2012, 11:984-987
24 Coughlin SS, Yoo W, Whitehead MS, et al. Advancing breast cancer survivorship among African-American women. Breast Cancer Research & Treatment, 2015, 153(2):253-261

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626