宫颈癌化疗患者领悟社会支持与抑郁的关系:冗思的中介机制

Relationship between perceived social support and depression in cervical cancer patients during chemotherapy: the intermediary mechanism of rumination

目的探讨宫颈癌化疗患者领悟社会支持与抑郁关系及冗思在宫颈癌化疗患者领悟社会支持与抑郁间的中介作用。方法采用抑郁量表、领悟社会支持量表、冗思反应量表对320名宫颈癌化疗患者进行问卷调查。结果宫颈癌化疗患者中63.8%存在抑郁症状;宫颈癌化疗患者的领悟社会支持与抑郁呈负相关(r=-0.570,P<0.01),冗思与抑郁呈正相关(r=0.656,P<0.01),冗思与领悟社会支持呈负相关(r=-0.354,P<0.01);冗思在宫颈癌化疗患者领悟社会支持和抑郁之间的中介效应显著,Bootstrap输出的95%可信区间为(-0.2235,-0.1255)。结论宫颈癌化疗患者领悟社会支持水平通过影响冗思水平来间接影响抑郁水平,应给予宫颈癌化疗患者更多社会支持,促进患者身心健康。

Objective To explore the relationship between perceived social support and depression and mediating effect of rumination in cervical cancer patients during chemotherapy. Methods A questionnaire survey was conducted on 320 cervical cancer patients during chemotherapy by convenient sampling method. Results Among the cervical cancer patients during chemotherapy, 63.8% were identified with depressive symptoms. Perceived social supporty was negatively correlated with depression(r=-0.570, P<0.01). Rumination was positively correlated with depression(r=0.656, P<0.01). Rumination was negatively correlated perceived social supporty(r=-0.354, P<0.01). Rumination had a mediator effect between perceived social support and depression. The 95% confidence interval for Bootstrap output was(-0.2235,-0.1255). Conclusion The level of perceived social support in cervical cancer patients during chemotherapy indirectly affects the level of depression by influencing the level of rumination. Cervical cancer patients during chemotherapy should be given more social support to promote physical and mental health.