癌症患者创伤后成长与情绪调节、应对方式和自我效能的相关性研究

Correlation of posttraumatic growth with emotion regulation,coping style and selfefficacy in cancer patients

目的研究癌症患者创伤后成长与情绪调节、应对方式和自我效能的关系。方法采用创伤后成长评定量表(posttraumatic growth inventory,PTGI)、情绪调节方式问卷(emotion regulation scale,ERS)、简易应对方式问卷(simpli-fied coping style questionnaire,SCSQ)和一般自我效能感量表(general self-efficacy scale,GSES)对新桥医院和西南医院肿瘤科的216名癌症患者进行问卷调查,其中宫颈癌患者56名,卵巢癌患者32名,滋养细胞肿瘤患者14名,食道癌患者40名,肺癌患者22名,乳腺癌患者38名,鼻咽癌患者4名,膀胱癌患者3名,肝癌患者7名。结果①癌症患者创伤后成长总分是(49.83±21.90)分,其中人际关系分值为(17.82±7.97)、新可能性分值为(11.33±6.11)、个人力量分值为(9.66±5.01)、精神变化分值为(3.65±2.32)、欣赏生活分值为(7.35±3.31)。②创伤后成长高分组在宣泄调节、抑制调节、积极应对、自我效能上的得分均显著高于创伤后成长低分组(P<0.01)。③癌症患者创伤后成长与宣泄调节、抑制调节、积极应对和自我效能呈正相关(r=0.447、0.361、0.583、0.585,P<0.01)。④癌症患者的积极应对、宣泄调节和自我效能可以较好地预测创伤后成长,解释率达48.5%。结论癌症患者情绪调节方式、应对策略和自我效能与创伤后成长密切相关,且积极应对、宣泄调节和自我效能是癌症患者创伤后成长的重要预测因素。

study the correlation of posttraumatic growth with emotion regulation, coping style and self-efficacy in cancer patients. Methods Posttraumatic growth, emotion regulation, coping style and self-efficacy in 216 cancer patients （ including 56 patients with cervical cancer, 32 patients with ovarian cancer, 14 patients with trophoblastic tumor, 40 patients with esophageal cancer, 22 patients with lung cancer, 38 patients with breast cancer, 4 patients with nasopharyngeal carcinoma, 3 patients with bladder cancer, and 7 patients with liver cancer） in Department of Oncology, Xinqiao and Southwest Hospitals, were assessed according to the posttraumatic growth inventory （PTGI）, emotion regulation scale （ERS）, simplified coping style questionnaire（SCSQ）, and general self-efficacy scale（GSES）, respectively. Results The total posttraumatic growth score was 49.83 ± 21.90, with an interpersonal score of 17.82 ± 7.97, a new possibility score of 11.33 ± 6.11, a personal power score of 9.66 ± 5.01, a mental change score of 3.65 ± 2.32, and an appreciate life score of 7.35±3.31, respectively. The scores of abreaction adjustment, inhibition adjustment, active coping and self-efficacy were significantly higher in higher posttraumatic growth score group than in lower posttraumatic growth score group （ P 〈 0.01 ）. The posttraumatic growth was positively correlated with the abreaction adjustment, inhibition adjustment, active coping and self-efficacy in cancer patients （ r = 0. 447, 0. 361,0.583,0.585 ,P 〈0.01 ）. The active coping, abreaction adjustment and self-efficacy could effectively predict the posttraumatic growth in cancer patients with an explanation rate of 48.5%. Conclusion Theemotion regulation, coping strategies, and self-efficacy are closely correlated with the posttraumatic growth in cancer patients, and can thus be used as important predictive factors for posttraumatic growth in cancer patients.