Resilience in the year after cancer diagnosis: a cross-lagged panel analysis of the reciprocity between psychological distress and well-being
Resilience in the year after cancer diagnosis: a cross-lagged panel analysis of the reciprocity between psychological distress and well-being
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DOI：
10.1007/s10865-013-9497-6
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发表时间：
2014-06-01
影响因子：
3.1
通讯作者：
Lam, John Hiu Ming
中科院分区：
文献类型：
--
作者：
Hou, Wai Kai;Lam, John Hiu Ming
本研究探讨了心理困扰和主观幸福感之间的预期互惠关系，以及癌症诊断后一年内心理社会资源变化在互惠关系中的作用。在诊断（时间1）和3个月（时间2）和12个月（时间3）随访时评估180例中国患者的心理困扰（医院焦虑和抑郁量表）、主观幸福感（中国情感量表和生活满意度量表）和心理社会资源。交叉滞后面板分析表明，心理困扰和主观幸福感之间存在显著的交叉滞后效应。时间2到时间3的感知集体控制的变化（即，与亲密的社会伙伴合作控制癌症）显著介导了时间2幸福感对时间3痛苦的交叉滞后效应，并且中介效应在中等或更高的时间2痛苦中更强。研究结果表明，尽管痛苦和幸福感在整个癌症适应过程中相互预测，但集体控制感的变化可能会介导幸福感与随后的痛苦之间的预期关系。
This study examined prospective reciprocity between psychological distress and subjective well-being and the role of change in psychosocial resources in the reciprocity in the year following cancer diagnosis. Psychological distress (Hospital Anxiety and Depression Scale), subjective well-being (Chinese Affect Scale and Satisfaction with Life Scale), and psychosocial resources of 180 Chinese patients were assessed at diagnosis (Time 1) and at 3-month (Time 2) and 12-month (Time 3) follow-up. Cross-lagged panel analysis demonstrated significant cross-lagged effects between psychological distress and subjective well-being. Time 2 to Time 3 change in perceived collective control (i.e., control over cancer in collaboration with close social partners) significantly mediated the cross-lagged effect of Time 2 well-being on Time 3 distress, and the mediating effect was stronger at medium or higher Time 2 distress. The findings suggest that whereas distress and well-being reciprocally predict each other throughout cancer adaptation, change in perceived collective control could mediate the prospective relationship of well-being with subsequent distress.