The relationship between coping styles and benefit finding of Chinese cancer patients: The mediating role of distress
The relationship between coping styles and benefit finding of Chinese cancer patients: The mediating role of distress
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DOI：
10.1016/j.ejon.2018.03.001
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发表时间：
2018-06-01
影响因子：
2.8
通讯作者：
Zhang, Liying
中科院分区：
文献类型：
--
作者：
Liu, Zhunzhun;Zhang, Lanfeng;Zhang, Liying
目的：通过初步的前期研究，了解我国早期癌症患者的医学应对方式与利益发现的关系。方法：选择东南大学医学院附属江阴医院和南通肿瘤医院的癌症患者351例。采用中国人利益发现量表、医学应对方式问卷中文版和苦恼温度计作为测量工具。结果：分层回归分析表明，对抗应对方式可以解释24%的利益发现变量，控制人口学变量和医学变量。而对抗和顺从应对方式分别解释了苦恼的10%和6%的变异量。路径分析表明，困境在对抗应对方式对利益发现的影响中起中介作用。结论：医学应对方式与利益发现之间存在间接联系，而痛苦与医学应对方式和利益发现之间存在负相关。这些结果表明，医学应对方式会影响苦恼中的利益发现。
Purpose: To identify the relationship of medical coping styles and benefit finding in Chinese early-stage cancer patients by preliminary pilot study.Method: Three hundred and fifty one cancer patients were recruited from the Affiliated Jiangyin Hospital of Southeast University medical college and the Nantong Tumor Hospital in this study. Measurements were Chinese Benefit Finding Scale, Medical Coping Modes Questionnaire- Chinese version and Distress Thermometer. Regression analysis and pathway analysis were employed to identify the correlation of medical coping styles and benefit finding, and the mediating role of distress.Results: Hierarchical regression analyses showed that confrontation coping style explained 24% of the variance in benefit finding, controlling for demographics and medical variables. While confrontation and resignation coping styles explained 10% and 6% of variance in distress separately. Pathway analyses implied that distress was found to mediate the effect of confrontation coping style on benefit finding in our study.Conclusions: Our study suggested an indirect association between medical coping styles and benefit finding, and a negative correlation of distress to medical coping styles and benefit finding. These results indicated that medical coping styles could influence benefit finding through distress.