The mechanism of family adaptability and cohesion in suicidal ideation among Chinese cancer patients
The mechanism of family adaptability and cohesion in suicidal ideation among Chinese cancer patients
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中国癌症患者自杀意念的家庭适应性和凝聚力机制
DOI：
10.1080/07347332.2020.1757799
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发表时间：
2020-06
影响因子：
2.1
通讯作者：
Liu Yilan
中科院分区：
文献类型：
--
作者：
Zhou Yi;Hu Deying;Zhang Keke;Mao Jing;Teng Fen;Yu Ting;Xu Ke;Tan Rong;Ding Xiaoping;Liu Yilan
摘要目的本研究旨在探讨恶性肿瘤患者的家庭适应性和亲密度、应对方式和抑郁情绪对自杀意念的影响。本研究还旨在探讨自杀意念中家庭适应性和凝聚力的潜在机制。方法对2019年1月至2019年5月中国某综合医院收治的357例恶性肿瘤患者进行问卷调查。采用《患者健康问卷-9》和《家庭适应与亲密度评定量表II》、《医学应对方式问卷》中文版。采用t检验、卡方检验、Mann-Whitney U检验、Spearman‘s Rho相关分析和Logistic回归分析。采用通径分析探讨家庭适应性与亲密度、应对方式、抑郁与自杀意念之间的关系。结果55例(15.4%)癌症患者在前2个 周有自杀意念。Logistic回归分析显示，癌症分期、抑郁、家庭凝聚力和回避与自杀意念独立相关。通径分析表明，家庭适应性和亲密度通过应对方式和抑郁情绪间接影响自杀意念。家庭凝聚力也直接影响癌症患者的自杀意念。结论家庭适应性、家庭凝聚力和对抗应对策略是癌症患者自杀意念的保护性因素。改善家庭支持系统和应对方式可用于预防未来癌症患者的自杀意念。对心理社会提供者或政策的影响增强患者的家庭适应性和凝聚力将有助于医务人员有效地改善家庭支持功能，并消除自杀意念。
Abstract Purpose The purpose of this cross-sectional survey was to investigate how family adaptability and cohesion, coping styles and depression affect suicide ideation in patients with malignant tumors. This study also aimed to examine the potential mechanisms of family adaptability and cohesion in suicidal ideation. Methods From January 2019 to May 2019, 357 patients with malignant tumors who were admitted to a Chinese general hospital were surveyed. Patient Health Questionnaire-9 and the Chinese version of the Family Adaptability and Cohesion Evaluation Scale II, Medical Coping Modes Questionnaire were used. Student’s t-test, chi-square test, Mann-Whitney U test, Spearman’s rho correlation, and logistic regression analysis were used. Path analysis was used to examine the relationships among family adaptability and cohesion, coping styles, depression and suicidal ideation. Results A total of 55 (15.4%) cancer patients reported suicidal ideation in the prior 2 weeks. Logistic regression analysis showed that cancer stage, depression, family cohesion, and avoidance were independently associated with suicidal ideation. Path analysis demonstrated that family adaptability and cohesion indirectly affected suicidal ideation, as mediated by coping styles and depression. Family cohesion also directly affected suicidal ideation among cancer patients. Conclusions This study suggested that family adaptability, family cohesion and confrontation coping strategies are protective factors against suicidal ideation in cancer patients. Improving the family support system and coping styles may be used to prevent suicide ideation in cancer patients in the future. Implications for Psychosocial Providers or Policy Enhancing the family adaptability and cohesion of patients will help medical staff improve family support function effectively and eliminate suicidal ideation.
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DOI：
10.1007/s10330-009-0010-1
发表时间：
2009-03
期刊：
The Chinese-German Journal of Clinical Oncology
影响因子：
--
作者：
L. Tang;J. Groot;B. Bultz
通讯作者：
L. Tang;J. Groot;B. Bultz
影响因子：
3.2
作者：
Sheftall AH;Mathias CW;Furr RM;Dougherty DM
通讯作者：
Dougherty DM
影响因子：
4.1
作者：
X. K. Zhang;X. K. Zhang;Nicholas Procter;Qunyan Xu;X. Y. Chen;F. L. Lou
通讯作者：
X. K. Zhang;X. K. Zhang;Nicholas Procter;Qunyan Xu;X. Y. Chen;F. L. Lou
影响因子：
4.5
作者：
Frey, Laura M.;Hans, Jason D.;Sanford, Rebecca L.
通讯作者：
Sanford, Rebecca L.
影响因子：
1.6
作者：
N. Mokuau;K. Braun
通讯作者：
N. Mokuau;K. Braun