Cognitive behavioral stress management affects different dimensions of benefit finding in breast cancer survivors: a multilevel mediation model.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2025-01-01 Epub Date: 2023-03-01 DOI:10.1080/08870446.2023.2184840

Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni

{"title":"Cognitive behavioral stress management affects different dimensions of benefit finding in breast cancer survivors: a multilevel mediation model.","authors":"Ruth G St Fleur, Molly Ream, Emily A Walsh, Michael H Antoni","doi":"10.1080/08870446.2023.2184840","DOIUrl":null,"url":null,"abstract":"Methods. This secondary analysis used data from 240 women with stage 0-III breast cancer who completed measures of BF (Benefit Finding Scale) and perceived stress management skills (PSMS) at baseline, 6-months, and 12-months post-randomization into CBSM or a psycho-education condition. We tested a six-factor BF model using Confirmatory Factor Analysis and assessed CBSM-related changes in BF and PSMS using Hierarchical Linear Models. We included significantly affected BF dimensions in mediation models.Results. A six-factor model of BF had good fit [χ2(212) = 391.5, p < .001; CFI = 0.94; RMSEA = 0.06; SRMR = 0.04]. CBSM positively affected changes in personal growth (β = 0.06, p = .01), social relations (β = 0.05, p = .05), and worldview (β = 0.05, p = .02) BF. Perceived relaxation skill increases significantly mediated changes in personal growth (β = 0.03, p = .04) and social relations (β = 0.03, p = .04).Conclusion. Some aspects of perceived stress management skills appear to account for specific BF dimensions and should be considered in future efforts to develop interventions to modulate BF.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"47-66"},"PeriodicalIF":2.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471786/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08870446.2023.2184840","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/1 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Methods. This secondary analysis used data from 240 women with stage 0-III breast cancer who completed measures of BF (Benefit Finding Scale) and perceived stress management skills (PSMS) at baseline, 6-months, and 12-months post-randomization into CBSM or a psycho-education condition. We tested a six-factor BF model using Confirmatory Factor Analysis and assessed CBSM-related changes in BF and PSMS using Hierarchical Linear Models. We included significantly affected BF dimensions in mediation models.

Results. A six-factor model of BF had good fit [χ²(212) = 391.5, p < .001; CFI = 0.94; RMSEA = 0.06; SRMR = 0.04]. CBSM positively affected changes in personal growth (β = 0.06, p = .01), social relations (β = 0.05, p = .05), and worldview (β = 0.05, p = .02) BF. Perceived relaxation skill increases significantly mediated changes in personal growth (β = 0.03, p = .04) and social relations (β = 0.03, p = .04).

Conclusion. Some aspects of perceived stress management skills appear to account for specific BF dimensions and should be considered in future efforts to develop interventions to modulate BF.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

认知行为压力管理影响乳腺癌幸存者获益的不同方面：多层次中介模型。

研究目的本研究旨在证实癌症经历中受益发现（BF）或银线的多维性，评估认知行为压力管理（CBSM）对这些维度的影响，并检验认知行为压力管理所针对的压力管理技能的中介作用。这项二次分析使用了240名0-III期乳腺癌女性患者的数据，这些患者在随机接受CBSM或心理教育后的基线、6个月和12个月完成了BF（受益发现量表）和感知压力管理技能（PSMS）的测量。我们使用确证因子分析法测试了六因子 BF 模型，并使用层次线性模型评估了与 CBSM 相关的 BF 和 PSMS 变化。我们将受到明显影响的 BF 维度纳入中介模型。BF的六因子模型具有良好的拟合度[χ2(212) = 391.5, p < .001；CFI = 0.94；RMSEA = 0.06；SRMR = 0.04]。CBSM 对个人成长（β = 0.06，p = .01）、社会关系（β = 0.05，p = .05）和世界观（β = 0.05，p = .02）BF 的变化有积极影响。感知放松技能的提高对个人成长（β = 0.03，p = .04）和社会关系（β = 0.03，p = .04）的变化有明显的中介作用。感知到的压力管理技能的某些方面似乎与特定的 BF 维度有关，在未来制定干预措施以调节 BF 时应加以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.