心理弹性在中青年乳腺癌患者应对方式与自我调节疲劳关系中的中介作用研究

doi:10.3969/j.issn.1006-5253.2021.04.006

Abstract
Figure/Table
References (0)
Related Citation (1)

Download: PDF (860 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the relationship between coping style, resilience and self-regulatory fatigue in young and middle-aged breast cancer survivors, and to explore the mediating effect of resilience between coping style and self-regulatory fatigue. Methods Totally 263 young and middle-aged breast cancer survivors were investigated by convenient sampling in the department of breast cancer from June 2018 to June 2020. Pearson method was used to analyze the relationship between coping style, mental resilience and self-regulation fatigue, and bootstrap method was used to test the mediating effect of mental resilience on coping style and self-regulation fatigue. Results The total score of self-regulatory fatigue was (51.36±8.79), positive coping style was (29.04±4.65), negative coping style was (16.89±5.47), and resilience was (20.96±5.82). The self-regulated fatigue score (53.15±7.88) of patients with breast cancer aged 40 to 59 years old was higher than that of patients aged 18 to 39 (50.68±9.04). The self-regulated fatigue score of patients with a monthly household income of ≤3 000 ( 53.79±9.31) was higher than that in other groups. The Pearson correlation analysis showed that the self-regulated fatigue score was negatively correlated with the positive coping style score and the resilience score (r =-0.269, -0.275, P<0.01), and positively correlated with the negative coping style score (r=0.414, P<0.01). Bootstrap test indicated that resilience mediated the relationship between positive coping style and self-regulatory fatigue, with the indirect effect -0.12, and resilience mediated the relationship between negative coping style and self-regulatory fatigue, with the indirect effect 0.04.Conclusion Young and middle-aged breast cancer survivors have the problem of self-regulated fatigue. Coping style and resilience could affect self-regulatory fatigue, and resilience could mediate the relationship between coping style and self-regulatory fatigue.

Key words： young and middle-aged breast cancer survivor coping style resilience self-regulatory fatigue mediating effect

Received: 29 March 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Zhou Lifang
	Li Qiong
	Que Qiaoyan

Cite this article:

Zhou Lifang,Li Qiong,Que Qiaoyan. Mediating effect of resilience on the relationship between coping style and self-regulatory fatigue in young and middle-aged breast cancer survivors[J]. journal1, 2021, 28(4): 315-320.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2021.04.006 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2021/V28/I4/315

［1］AHN S H, SON B H, KIM S W, et al. Poor outcome of hormone receptor-positive breast cancer at very young age is due to tamoxifen resistance: Nationwide survival data in Korea——A report from the Korean Breast Cancer Society［J］. J Clin Oncol, 2007, 25(17):2360-2368.
［2］YANG L, PARKIN D M, FERLAY J, et al. Estimates of cancer incidence in China for 2000 and projections for 2005［J］. Cancer Epidemiol Biomarkers Prev, 2005, 14 (1): 243-250.
［3］BOWER J E, GANZ P A, IRWIN M R, et al. Inflammation and behavioral symptoms after breast cancer treatment: Do fatigue, depression, and sleep disturbance share a common underlying mechanism?［J］. J Clin Oncol, 2011, 29(26):3517-3522.
［4］张劲强，李玲艳，朱熊兆，等．女性乳腺癌患者的认知情绪调节方式特点［J］．中国临床心理学杂志，2014，22(6)：1114-1117．
［5］CARVER C S, SCHEIER M F. On the Self-Regulation of Behavior［M］. New York: Cambridge University Press, 1998.
［6］HIGGINS E T. The “self digest”: self-knowledge serving self-regulatory functions［J］. J Pers Soc Psychol, 1996, 71(6):1062-1083. 
［7］SAMELSON F. Whig and anti-whig histories and other curiosities of social psychology［J］. J Hist Behav Sci, 2000,36(4):499-506.
［8］BAUMEISTER R F, BRATSLAVSKY E, MURAVEN M, et al. Ego depletion: Is the active self a limited resource?［J］. J Pers Soc Psychol, 1998, 74(5):1252-1265.
［9］韩莹．自我调节疲劳与中青年乳腺癌患者术后残障接受度的相关性研究［J］．海军医学杂志，2019，40(1)：89-92．
［10］张瑞雪，张利峰，陈梅仙，等．新入职护士工作压力源与应对方式的调查分析［J］．现代临床护理，2015，14(2)：9-12． 

［11］PINES E W, RAUSCHHUBER M L, COOK J D, et al. Enhancing resilience, empowerment, and conflict management among baccalaureate students: Outcomes of a pilot study［J］. Nurse Educ, 2014, 39(2):85-90. 
［12］姬艳博，许翠萍，于晓霞，等．心理弹性在肿瘤患者积极应对与疲乏关系中的中介作用［J］．中国实用护理杂志,2016，32(23)：1809-1813． 
［13］解亚宁．简易应对方式量表信度和效度的初步研究［J］．中国临床心理学杂志，1998，6(2)：114-115． 
［14］CONNOR K M, DAVIDSON J R. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CDRISC)［J］. Depress Anxiety, 2003, 18(2):76-82.
［15］WANG L, SHI Z B, ZHANG Y Q, et al. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims［J］. Psychiatry Clin Neurosci, 2010, 64(5):499-504. 
［16］NES L S, EHLERS S L, WHIPPLE M O, et al. Self-regulatory fatigue in chronic multisymptom illnesses: Scale development, fatigue, and self-control［J］. J Pain Res, 2013, 6:181-188. 
［17］王利刚，张静怡，王佳，等．自我调节疲劳量表中文版测评青年人的效度与信度［J］．中国心理卫生杂志，2015，29(4)：290-294．
［18］HAYES A. Introduction to mediation, moderation, and conditional process analysis. Journal of Educational Measurement, 2013,51(3):335-337. 
［19］李春国,刘文革.乳腺癌患者自我形象紊乱的影响因素研究［J］.中外医学研究,2017,15(20):112-114.
［20］范廷婷，钟梦诗，罗彩凤，等．乳腺癌术后患者心理弹性和积极应对方式对自我形象的影响研究［J］．护士进修杂志，2019，34(2)：122-125．
［21］周玲，孔红武．微信平台延续性护理干预对乳腺癌患者术后心理弹性及病耻感的影响［J］．中华全科医学，2019，17(10)：1773-1776．
［22］仇巧玲．冠心病患者自我调节疲劳与自我管理的相关性研究［J］．临床护理杂志，2019，18(4)：36-38．
［23］张媛媛，顾晴．中青年冠心病患者家庭功能与自我管理的研究现状［J］．中国实用护理杂志，2014，30(32)：76-78.
［24］SEGERSTROM S C, GEIGER P J, COMBS H L, et al. Time perspective and social preference in older and younger adults: Effects of self-regulatory fatigue［J］. Psychol Aging, 2016, 31(6):594-604.
［25］SOLBERG NES L, EHLERS S L, PATTEN C A, et al. Selfregulatory fatigue in hematologic malignancies: Impact on quality of life, coping, and adherence to medical recommendations［J］. Int J Behav Med, 2013, 20(1):13-21.