摘要
目的：探索应对方式在乳腺癌患者疾病感知与创伤后成长间的中介作用。方法采用创伤后成长量表（PTGI）、疾病感知问卷简化版（BIPQ）和医学应对问卷（MCMQ）对300名乳腺癌患者进行测量。结果疾病感知总分为[（40．77±6．85）分]，面对应对方式、回避应对方式、屈服应对方式得分分别为[（19．42±3．51）分、（17．78±2．79）分、（8．64±3．35）分]，创伤后成长总分为[（57．38±10．48）分]。疾病感知与创伤后成长呈负相关（ r＝－0．743），与面对应对方式和回避应对方式呈负相关（ r＝－0．568，－0．621），而与屈服应对呈正相关（ r＝0．727）；创伤后成长与面对应对方式和回避应对方式呈正相关（ r＝0．729，0．657），而与屈服应对方式呈负相关（ r＝－0．757）（P＜0．01）；应对方式在疾病感知与创伤后成长之间起部分中介作用，其总的中介效应值为－0．428，效果量为57．60％，其中面对及屈服应对方式在疾病感知和创伤后成长之间中介效应值为－0．191、－0．207，效果量为25．70％、27．86％，而回避应对维度中介效应值为－0．030，效果量为4．04％，差异无统计学意义（P＞0．05）。结论面对及屈服应对方式在疾病感知与创伤后成长之间起多重中介作用。
Objective To explore the mediating role of coping modes between illness perception and posttraumatic growth among patients with breast cancer. Methods Totally 300 patients with breast cancer were investigated with the posttraumatic growth inventory, brief illness perception questionnaire and medical coping modes questionnaire. Results The total score of illness perception was 40. 77 ± 6. 85. The scores of confrontation coping style,avoidance coping style and resignation coping style were 19.42±3.51, 17.78±2.79,8.64±3.35. The total score of posttraumatic growth was 57.38±10.48. Illness perception was negatively correlated with posttraumatic growth （ r=-0.743） ,confrontation（ r=-0.568） and avoidance （ r=-0.621）,positively related with resignation（ r=0.727）.Posttraumatic growth was positively correlated with confrontation and avoidance （ r=0.729, r=0.657） ,but negatively correlated with resignation（ r=-0.757） （P〈0.01） . Coping modes had a partial mediating effect on the relationship between illness perception and posttraumatic growth. The total mediation effect value was 0.428,and the mediation effect was 57.60%,while confrontation and resignation mediation effect value were -0. 191 and -0. 207, and the mediation effect were 25.70% and 27. 86%. But there was no statistical significance in avoidance mediation （ effect value was-0.030 and the mediation effect was 4.04%） . Conclusion Confrontation and resignation coping modes play a role multiple mediation effects between illness perception and posttraumatic growth.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2016年第8期698-702,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
安徽省科技厅科技计划项目（1303063025）
关键词
乳腺癌
创伤后成长
疾病感知
应对方式
Breast cancer
Posttraumatic growth
Illness perception
Coping modes
