The mediating role of spirituality (meaning, peace, faith) between psychological distress and mental adjustment in cancer patients
The mediating role of spirituality (meaning, peace, faith) between psychological distress and mental adjustment in cancer patients
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DOI：
10.1007/s00520-017-3969-0
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发表时间：
2018-05-01
影响因子：
3.1
通讯作者：
Calderon, Caterina
中科院分区：
文献类型：
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作者：
Jimenez-Fonseca, Paula;Lorenzo-Seva, Urbano;Calderon, Caterina
本研究的目的是（a）确定慢性病治疗功能评估-精神幸福感的心理测量学特性（B）提供FACIT评分表现为一维的，以在非转移性，共有504名连续患者完成了FACIT-Sp、简明症状量表和对癌症的简易心理适应量表。采用半验证性因素分析对量表的维度和结构进行评定;使用Ω系数评估导出的量表得分的可靠性，回归分析评估了FACIT-SP在心理困扰和心理适应之间的中介作用。在两个因素中获得了一个清晰的和理论上可解释的解决方案，该解决方案与其他语言报道的解决方案基本一致，导出的意义/和平（0.85）和信仰（0.86）量表的欧米茄可靠性是可以接受的。两个因素的斜解与一般幸福感的基本一维解是一致的，并且与心理困扰和心理调整密切相关。精神幸福感在心理困扰和心理调整策略（如战斗精神、希望和认知回避）之间起部分中介作用，西班牙版FACIT-Sp量表是一种可靠有效的临床评估工具，进一步突出了精神对改善生活质量和调整癌症的潜在临床意义。
The objectives of this study were (a) to determine the psychometric properties of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) scale and (b) to provide that FACIT scores behave one-dimensional to establish the mediating role of spiritual well-being in psychological distress and mental adjustment in a sample of patients with non-metastatic, resected cancer.A total of 504 consecutive patients completed the FACIT-Sp, Brief Symptom Inventory, and Mini-Mental Adjustment to Cancer scales. The dimensionality and structure of the scale were assessed by semi-confirmatory factor analysis; the reliability of the derived scale scores was evaluated using the omega coefficient, and regression analysis appraised the FACIT-Sp's mediating role between psychological distress and mental adjustment.A clear and theoretically interpretable solution in two factors that agreed generally with solutions reported in other languages was obtained for the FACIT item scores and omega reliabilities of the derived Meaning/Peace (0.85) and Faith (0.86) scales were acceptable. The oblique solution in two factors was compatible with an essentially unidimensional solution of general well-being and associated strongly with psychological distress and mental adjustment. Spiritual well-being acted as a partial mediator between psychological distress and mental adjustment strategies, such as fighting spirit, hope, and cognitive avoidance.The Spanish version of the FACIT-Sp scale is a reliable and valid clinical evaluation tool, and further highlights the potential clinical implications of spirituality for improving quality of life and adjustment to cancer.