Resilience and mindful attention as determinants of psychological distress among patients with a stoma: The mediating role of body image.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2025-11-01 Epub Date: 2025-01-23 DOI:10.1177/13591053251314327

Locatelli Sarah, Nembrini Greta, Melis Viviana, Vavassori Massimo, Radaelli Alfredo, Brugnera Agostino

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Abstract

This research investigated if dispositional mindfulness, resilience, and self-efficacy affect quality of life (QoL) and distress in a sample of patients with stoma. Further, it tested if body image distress and post-traumatic growth mediate these associations. A total of 102 patients with a stoma (mean age: 60.37 ± 12.79 years; 60 females, 52 males) volunteered for this cross-sectional study. The results revealed that mindful attention and resilience were direct, significant negative predictors of psychological distress. On the contrary, body image distress was directly and positively associated with psychological distress and significantly mediated the association between resilience and the dependent variable. The results emphasize the importance of interventions aimed at enhancing dispositional mindfulness and resilience as well as reducing body image-related distress to improve the QoL of patients with a stoma. Additional longitudinal and cross-cultural studies are needed to confirm these findings.

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恢复力和正念注意力作为造口患者心理困扰的决定因素：身体形象的中介作用。

本研究调查了气质正念、恢复力和自我效能是否影响造口患者的生活质量和痛苦。此外，它还测试了身体形象困扰和创伤后成长是否介导了这些关联。共102例造口患者(平均年龄：60.37±12.79岁；60名女性，52名男性)自愿参加这项横断面研究。结果显示，正念注意力和恢复力是心理困扰的直接、显著的负向预测因子。相反，身体形象困扰与心理困扰直接正相关，并显著中介了弹性与因变量之间的关联。研究结果强调了旨在增强气质正念和恢复力以及减少与身体形象相关的困扰的干预措施对改善造口患者的生活质量的重要性。需要进一步的纵向和跨文化研究来证实这些发现。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.