心理弹性在乳腺癌患者情绪痛苦与创伤后成长间的中介效应研究  

Mediating role of resilience in posttraumatic growth and miserable emotion among breast cancer patients

作　　者：于文静 张爱华[1] 夏琛[2] 刘华雪 YU Wen-jing;ZHANG Ai-hua;XIA Chen;LIU Hua-xue(Taishan Medical University, Taian 271000, China)

机构地区：[1]泰山医学院护理学院,山东泰安271000 [2]泰安市中心医院乳腺外科,山东泰安271000

出　　处：《现代预防医学》2018年第10期1827-1831,共5页Modern Preventive Medicine

基　　金：2015年教育部人文社会科学研究规划基金项目(15YJAZH105);2016年泰安市科技发展计划项目(2016NS1105)

摘　　要：目的探讨情绪痛苦、创伤后成长和心理弹性三者之间的关系。方法采用创伤后成长量表(PTGI)、心理弹性量表简化版(CD-RISC)、事件影响程度量表(IES-R)对泰安市3所综合医院400名乳腺癌患者进行横断面调查。结果乳腺癌患者PTGI得分与CD-RISC得分呈正相关,与IES-R得分呈负相关(0.491,-0.101,P<0.05)。通径分析发现,情绪痛苦既可以直接预测创伤后成长和心理弹性(β=-0.077,-0.18),又可以通过心理弹性间接预测创伤后成长(β=0.56)。结论乳腺癌患者创伤后成长与心理弹性、情绪痛苦均存在密切联系,心理弹性可能在创伤后成长和情绪痛苦间起部分中介作用。Objective The purpose of this study was to evaluate the relationship between posttraumatic growth, miserable emotion and resilience for patients with breast cancer. Methods A total of 400 breast cancer patients were recruited using the Post Traumatic Growth inventory（PTGI）, Connor-Davidson Resilience Scale（CD-RISC）, and impact of Event Scale-Revised（IES-R）. Results The PTGI scores were negatively correlated with the scores of IES-R and positively correlated with scores of the CD-RISC（-0.101,0.491, P〈0.05）. Path analysis revealed that miserable emotion could directly predict resilience and posttraumatic growth（β=-0.077,-0.18）, and indirectly predict posttraumatic growth through resilience（β=0.56）. Conclusion The results indicated that the posttraumatic growth, resilience and miserable emotion among breast cancer patients had a close relationship. Furthermore, resilience was shown to play a partial intermediating role between posttraumatic growth and miserable emotion.

关 键 词：创伤后成长 心理弹性 情绪痛苦 结构方程模型 

分 类 号：R181.3[医药卫生—流行病学]