Resilience and coping strategies in relation to mental health outcomes in people with cancer.

Resilience and coping strategies in relation to mental health outcomes in people with cancer.
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DOI:
10.1371/journal.pone.0252075
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Iraurgi I
Iraurgi I
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Macía P;Barranco M;Gorbeña S;Álvarez-Fuentes E;Iraurgi I

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考虑到心理变量在健康相关过程中的重要性,本研究探讨了弹性和应对策略在健康相关中的作用。本研究的目的是探索这些方面之间的潜在关联,以便更好地理解心理社会变量对癌症患者心理健康的影响。这一信息可能导致设计适应癌症的心理干预措施。我们招募了不同诊断癌症的参与者(N = 170)。它们来自西班牙比斯开抗癌协会。采用康诺-戴维森弹性量表(Connor-Davidson Resilience Scale)测量弹性,采用认知情绪调节问卷(Cognitive Emotion Regulation Questionnaire)测量弹性,并采用SF-12和GHQ-12量表测量心理健康状况。采用结构方程模型(SEM)来检验构念之间的影响。结果显示,心理弹性与应对有显著相关。结果显示适应性和非适应性应对策略之间没有显著的相关性。适应力是与健康结果最相关的因素(β = -)。45, p < 0.001)。然而,不适应应对策略与恢复力或心理健康指标无关。本研究的发现强调了高水平的恢复力和适应性应对对参与者健康水平的积极贡献。非适应性应对策略与恢复力或健康指标没有任何正相关。因此,促进恢复力和适应性应对可能是癌症患者社会心理和教育干预的重要目标。
Considering the importance of psychological variables on health-related processes, this study investigated the role of resilience and coping strategies in relation to health. The aim of this research was to explore the underlying association between these aspects for the better understanding of the effect of psychosocial variables on mental health in cancer. This information could lead to the design of adapted psychological interventions in cancer. Participants with different diagnosis of cancer were recruited (N = 170). They came from the Spanish Association Against Cancer of Biscay. Resilience was measured with the 10 items Connor-Davidson Resilience Scale, coping with the Cognitive Emotion Regulation Questionnaire and mental health was measured as a global indicator through the SF-12 and the GHQ-12. A structural equation model (SEM) was conducted to test the effects between the constructs. Results showed that resilience and coping were significantly associated. Results reflected an absence of significant correlation between adaptive and disadaptive coping strategies. Resilience was the factor that most correlated with health outcomes (β = –.45, p < .001). However, disadaptive coping strategies did not correlate with resilience or mental health indicators. Findings in this study underscore the positive contribution of high levels of resilience and an adaptive coping on participants´ level of health. Disadaptive coping strategies did not reflect any positive relation with resilience or health indicators. Thus, promoting resilience and adaptive coping could be a significant goal for psychosocial and educational interventions in people with cancer.
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