癌症患者及其家庭陪护者癌症进展恐惧、反刍与PTSD症状的关系:基于配对数据的分析  

Fear of Cancer Progression,Rumination,PTSD symptom among Cancer Patients and Their Family Caregiver:A Dyadic Analysis

作　　者：周宵 季林香 亓军军 杨西玛 ZHOU Xiao;JI Lin-xiang;QI Jun-jun;YANG Xi-ma(Department of Psychology and Behavioral Science,Zhejiang University,Hangzhou 310028,China)

机构地区：[1]浙江大学心理与行为科学系,杭州310028

出　　处：《中国临床心理学杂志》2022年第3期658-662,共5页Chinese Journal of Clinical Psychology

基　　金：国家社会科学基金一般项目(20BSH167)。

摘　　要：目的:本研究从癌症患者及其家庭陪护者配对的视角出发,考察癌症进展恐惧、反刍与创伤后应激障碍(PTSD)症状之间的关系。方法:在某省份选取了五家医院的112对癌症患者及其家庭陪护者,采用癌症进展恐惧量表、认知情绪调节策略问卷的反刍分问卷和DSM-5的PTSD检查表对其进行测试。结果:癌症患者及其家庭陪护者的癌症进展恐惧可以直接正向预测各自的PTSD症状,也可以通过反刍来间接地正向预测各自的PTSD症状;家庭陪护者的癌症进展恐惧可以通过增加患者的反刍来进一步正向预测患者的PTSD症状,但不能影响其自身的PTSD症状。结论:癌症患者与家庭陪护者心理之间存在相互影响的关系,主要表现在家庭陪护者的恐惧会影响患者的认知思考方式,从而加剧患者的消极心理结果。Objective:This study aimed to examine the mediating role of rumination between fear of cancer progression(FoP) and PTSD(posttraumatic stress disorders) symptom at the dyadic level.Methods:In this study,we recruited one hundred and twelve pairs of cancer patients and family caregivers from five hospitals in Anhui province,China.These participants were asked to complete self-report questionnaires,and an actor-partner interdependent mediation model was developed.Results:In both patients and caregivers,FoP was positively and directly associated with PTSD symptom and was also associated with PTSD symptom via rumination.At the dyadic level,caregivers’ FoP led to patients’ PTSD symptom by increasing patients’ rumination,but patients’ FoP and rumination had no significant effect on caregivers’ PTSD symptom.Conclusion:Not only patients’ own FoP and rumination but also their family caregivers’ FoP could increase patients’ PTSD symptom,while only caregivers’ own FoP and rumination could increase their own PTSD symptom.

关 键 词：癌症进展恐惧 反刍 创伤后应激障碍症状 癌症患者 家庭陪护者 

分 类 号：R395.2[哲学宗教—心理学]