The Mediation Role of Coping With Stress in the Relationship Between Psychological Flexibility and Posttraumatic Growth in Cancer Patients.

Omega Pub Date : 2024-10-11 DOI:10.1177/00302228241292381
Gizem Akcan, Bekir Hakan Bakkal, Özlem Elmas
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Abstract

Objectives: Active and adaptive coping strategies have been identified as factors that can assist cancer patients in effectively managing and overcoming the crisis, leading to the potential for post-traumatic growth during the diagnosis and treatment stages. Psychological flexibility is another factor that can protect individuals and promote more adaptive reactions to traumatic situations. The study aims to examine the investigation of the mediation role of coping with stress in the relationship between psychological flexibility and posttraumatic growth in cancer patients. Methods: This study was conducted with 97 (63 women, 34 male) participants aged between 38 and 82 who are literate and diagnosed with breast cancer or gynecological cancers (endometrial, cervical, vulvar) undergoing radiotherapy planning at the Radiation Oncology Clinic of Zonguldak Bülent Ecevit University Hospital. Demographic Information Form, Psychological Flexibility Scale, Post-Traumatic Growth Inventory, and Coping Styles Scale were applied to the participants. The mediation effects were interpreted using bootstrap confidence intervals and VAF values. Results: This study showed that the active coping styles partially mediated the relationship between psychological flexibility and posttraumatic growth. Conclusion: In this regard, by organizing psychoeducational programs and interventions aimed at increasing psychological flexibility for individuals diagnosed with cancer or undergoing treatment, individuals can be enabled to cope with stress more actively, and thus post-traumatic growth can be achieved.

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应对压力在癌症患者心理弹性与创伤后成长之间关系中的中介作用》(The Mediation Role of Coping With Stress in the Relationship between Psychological Flexibility and Posttraumatic Growth in Cancer Patients)。
目的:积极和适应性的应对策略已被确认为可以帮助癌症患者有效管理和克服危机的因素,从而在诊断和治疗阶段实现创伤后成长的潜力。心理灵活性是另一个可以保护个人并促进对创伤情况做出更多适应性反应的因素。本研究旨在探讨应对压力在癌症患者心理灵活性与创伤后成长关系中的中介作用。研究方法研究对象为宗古尔达克-比伦特-埃切维特大学医院放射肿瘤诊所接受放射治疗计划的 97 名参与者(63 名女性,34 名男性),年龄在 38 岁至 82 岁之间,识字,确诊为乳腺癌或妇科癌症(子宫内膜癌、宫颈癌、外阴癌)。研究人员使用了人口统计学信息表、心理灵活性量表、创伤后成长量表和应对方式量表。使用引导置信区间和 VAF 值解释中介效应。结果研究表明,积极应对方式在一定程度上调节了心理弹性与创伤后成长之间的关系。结论因此,通过组织心理教育项目和干预措施,旨在提高确诊为癌症或正在接受治疗的个体的心理灵活性,可以使个体更积极地应对压力,从而实现创伤后成长。
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