摘要
目的探讨乳腺癌患者的掌控感及一般自我效能感在乐观与心理韧性之间的链式中介效应。方法采用横断面研究，对262例乳腺癌患者使用一般资料调查问卷、心理韧性量表（RS-14）、个人掌控感量表（MSC）、一般自我效能感量表（GSES）和生活定向测验修订版（LOT—R）进行问卷调查，采用依次检验法检验掌控感、自我效能感在乐观与心理韧性间的链式中介效应，并用Bootstrap法进行验证。结果乳腺癌患者乐观得分中位数为18分，掌控感、自我效能感、心理韧性得分分别为（27．1±4．6）分、（26．0±5．9）分、（76．6±13．9）分，且不同家庭关系、家庭月收入、医疗费用支付形式的乳腺癌患者心理韧性得分差异有统计学意义（均P〈0．05）；相关分析显示，乐观、掌控感、自我效能感、心理韧性得分两两之间均呈正相关（r=0．57—0．74，均P〈0．01）；中介模型检验表明，乐观对心理韧性的直接效应显著，效应值为0．361，效果量为49．7％，掌控感和自我效能感在乐观与心理韧性之间的中介作用显著，效应值为0．123、0．162，效果量为16．9％、22．3％，且掌控感一自我效能感的链式中介作用也显著，效应值为0．081，效果量为11．1％。结论乐观不仅直接作用于心理韧性，还可以分别通过掌控感、自我效能感的中介作用，以及掌控感．自我效能感的链式中介作用间接作用于心理韧性。
Objective To explore the chain mediating effect of mastery and self-efficacy between optimism and resilience of breast cancer patients. Methods Totally 262 breast cancer patients were investigated with general information questionnaire, resilience scale （RS-14）, mastery scale for Chinese version （MSC） ,general self-efficacy scale （GSES） and revised life orientation test （LOT-R）. Causual steps and Bootstrap method were used to test the chain mediating effect of mastery and self-efficacy between optimism and resilience. Results The media score of the participants was 18 for optimism,and the average score of the participants was 27.1±4.6 for mastery, 26.0±5.9 for self-efficacy,76.6±13.9 for resilience. There existed a significant difference in RS-14 scores among the patients with different family relationships ,family income, and form of payment （ all P〈0.05）. Correlation analysis showed that optimism, mastery, self-efficacy, and resilience were positively correlated with each other（ r= 0.57-0.74, all P〈 0.01 ）. Mediation modeling analysis showed that optimism had a direct effect on resilience. The effect value was 0.361 ,and the effect was 49.7%. Mastery and self-efficacy mediation effect value were 0.123 and 0.162,and the mediation effect were 16.9% and 22.3%. While chain mediating effect of mastery-self-efficacy was also significant, and the mediation effect value was 0.081 and the mediation effect was 11.1%. Conclusion Optimism influences breast cancer patients＇ resilience, not only through the direct path, but also through the indirect path of mastery and self-efficacy, as well as the chain mediating path between these two variables.
作者
江笑笑
李惠萍
张婷
沈琴
丁晓彤
肖婷
章毛毛
Jiang Xiaoxiao,Li Huiping,Zhang Ting,Shen Qin,Ding Xiaotong,Xiao Ting,Zhang Maomao(School of Nursing,Anhui Medical University, Hefei 230032, Chin)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2018年第3期256-260,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
安徽高校自然科学研究项目（KJ2017A165）
