{"title":"社会支持对乳腺癌术后患者创伤后成长的影响:一个潜在的特征和有调节的中介分析","authors":"Yingxuan Gu, Fenggui Bie, Meixia Hu, Linfeng Huang, Jiaping Chen, Xiaohui Hu, Caixia Luo, Zengjie Ye","doi":"10.1155/2023/9289446","DOIUrl":null,"url":null,"abstract":"Objectives. Only a few studies have explored the association between social support and resilience, coping style, and posttraumatic growth (PTG) in breast cancer. The current research aimed to identify the latent subtypes of social support in patients with breast cancer (BC) who underwent surgery. Moreover, the mediating role of resilience and the moderating role of coping style were investigated. Methods. This cross-sectional study enrolled 115 patients from Be Resilient to Breast Cancer between September 2021 and April 2022 using the convenience sampling method. Then, the Perceived Social Support Scale, Connor–Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Posttraumatic Growth Inventory were utilized. A latent profile analysis and a moderated mediation analysis were performed. Results. Three subtypes of social support were identified as low (16.5%), middle (53.0%), and high (30.4%). Social support, resilience, and coping style were found to be positively associated with PTG (r = 0.373, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>P</mi> </math> < 0.01; r = 0.427, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M2\"> <mi>P</mi> </math> < 0.01; r = 0.218, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M3\"> <mi>P</mi> </math> < 0.05). Resilience played a significant role in mediating the association between social support and PTG ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M4\"> <mi>P</mi> </math> < 0.05). However, coping style did not significantly moderate the association between resilience and PTG ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M5\"> <mi>P</mi> </math> > 0.05). Conclusions. Heterogeneous subgroups of social support have been identified in patients with BC. Resilience significantly mediates the association between social support and PTG. Meanwhile, coping style does not significantly moderate the association between resilience and PTG.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"12 4","pages":"0"},"PeriodicalIF":1.9000,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Social Support and Posttraumatic Growth among Postoperative Patients with Breast Cancer: A Latent Profile and Moderated Mediation Analysis\",\"authors\":\"Yingxuan Gu, Fenggui Bie, Meixia Hu, Linfeng Huang, Jiaping Chen, Xiaohui Hu, Caixia Luo, Zengjie Ye\",\"doi\":\"10.1155/2023/9289446\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives. Only a few studies have explored the association between social support and resilience, coping style, and posttraumatic growth (PTG) in breast cancer. The current research aimed to identify the latent subtypes of social support in patients with breast cancer (BC) who underwent surgery. Moreover, the mediating role of resilience and the moderating role of coping style were investigated. Methods. This cross-sectional study enrolled 115 patients from Be Resilient to Breast Cancer between September 2021 and April 2022 using the convenience sampling method. Then, the Perceived Social Support Scale, Connor–Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Posttraumatic Growth Inventory were utilized. A latent profile analysis and a moderated mediation analysis were performed. Results. Three subtypes of social support were identified as low (16.5%), middle (53.0%), and high (30.4%). Social support, resilience, and coping style were found to be positively associated with PTG (r = 0.373, <math xmlns=\\\"http://www.w3.org/1998/Math/MathML\\\" id=\\\"M1\\\"> <mi>P</mi> </math> < 0.01; r = 0.427, <math xmlns=\\\"http://www.w3.org/1998/Math/MathML\\\" id=\\\"M2\\\"> <mi>P</mi> </math> < 0.01; r = 0.218, <math xmlns=\\\"http://www.w3.org/1998/Math/MathML\\\" id=\\\"M3\\\"> <mi>P</mi> </math> < 0.05). Resilience played a significant role in mediating the association between social support and PTG ( <math xmlns=\\\"http://www.w3.org/1998/Math/MathML\\\" id=\\\"M4\\\"> <mi>P</mi> </math> < 0.05). However, coping style did not significantly moderate the association between resilience and PTG ( <math xmlns=\\\"http://www.w3.org/1998/Math/MathML\\\" id=\\\"M5\\\"> <mi>P</mi> </math> > 0.05). Conclusions. Heterogeneous subgroups of social support have been identified in patients with BC. Resilience significantly mediates the association between social support and PTG. Meanwhile, coping style does not significantly moderate the association between resilience and PTG.\",\"PeriodicalId\":20019,\"journal\":{\"name\":\"Perspectives in Psychiatric Care\",\"volume\":\"12 4\",\"pages\":\"0\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-10-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Psychiatric Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2023/9289446\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Psychiatric Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2023/9289446","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目标。只有少数研究探讨了社会支持与乳腺癌患者恢复力、应对方式和创伤后生长(PTG)之间的关系。目前的研究旨在确定乳腺癌(BC)手术患者的潜在社会支持亚型。此外,还考察了心理弹性的中介作用和应对方式的调节作用。方法。这项横断面研究在2021年9月至2022年4月期间使用方便抽样方法招募了115名来自Be Resilient to Breast Cancer的患者。采用感知社会支持量表、康诺-戴维森弹性量表、医疗应对方式问卷和创伤后成长量表。进行了潜在剖面分析和有调节的中介分析。结果。社会支持分为低(16.5%)、中(53.0%)和高(30.4%)三个亚型。社会支持、心理弹性和应对方式与PTG呈正相关(r = 0.373, P <0.01;r = 0.427, P <0.01;r = 0.218, P <0.05)。心理弹性在社会支持与焦虑焦虑之间的中介作用显著(P <0.05)。然而,应对方式并没有显著调节心理弹性与PTG之间的关系(P >0.05)。结论。在BC患者中发现了不同的社会支持亚群。心理弹性在社会支持与PTG之间具有显著中介作用。同时,应对方式对心理弹性与PTG之间的关系没有显著调节作用。
Social Support and Posttraumatic Growth among Postoperative Patients with Breast Cancer: A Latent Profile and Moderated Mediation Analysis
Objectives. Only a few studies have explored the association between social support and resilience, coping style, and posttraumatic growth (PTG) in breast cancer. The current research aimed to identify the latent subtypes of social support in patients with breast cancer (BC) who underwent surgery. Moreover, the mediating role of resilience and the moderating role of coping style were investigated. Methods. This cross-sectional study enrolled 115 patients from Be Resilient to Breast Cancer between September 2021 and April 2022 using the convenience sampling method. Then, the Perceived Social Support Scale, Connor–Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Posttraumatic Growth Inventory were utilized. A latent profile analysis and a moderated mediation analysis were performed. Results. Three subtypes of social support were identified as low (16.5%), middle (53.0%), and high (30.4%). Social support, resilience, and coping style were found to be positively associated with PTG (r = 0.373, < 0.01; r = 0.427, < 0.01; r = 0.218, < 0.05). Resilience played a significant role in mediating the association between social support and PTG ( < 0.05). However, coping style did not significantly moderate the association between resilience and PTG ( > 0.05). Conclusions. Heterogeneous subgroups of social support have been identified in patients with BC. Resilience significantly mediates the association between social support and PTG. Meanwhile, coping style does not significantly moderate the association between resilience and PTG.
期刊介绍:
Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.