心理弹性在多发性骨髓瘤患者预期性悲伤与应对方式间的中介效应

Mediating effect of resilience between expected sadness and coping style in patients with multiple myeloma

目的分析多发性骨髓瘤(MM)患者心理弹性、预期性悲伤、应对方式间的关系,探讨心理弹性在预期性悲伤、应对方式间的中介效应。方法选择2019年3月至2021年3月于解放军联勤保障部队第九一〇医院住院的100例MM患者,采用心理弹性量表(CD-RISC)、晚期癌症患者预期性悲伤量表(PGAC)、简易应对方式问卷(SCSQ)分别评估其心理弹性、预期性悲伤、应对方式,分析心理弹性在预期性悲伤、应对方式间的中介效应。结果纳入研究的100例MM患者CD-RISC、PGAC评分处于中等水平;积极应对为(20.34±2.52)分,消极应对为(13.13±1.53)分。MM患者CD-RISC评分与积极应对呈正相关(r>0,P<0.05),与消极应对呈负相关(r<0,P<0.05)。MM患者PGAC评分与积极应对、CD-RISC评分呈负相关(r<0,P<0.05),与消极应对呈正相关(r>0,P<0.05)。线性回归显示,心理弹性在MM患者预期性悲伤与积极应对、预期性悲伤与消极应对发挥部分中介效应,中介效应对总效应的贡献率分别为15.11%、54.62%(P<0.05)。结论MM患者的心理弹性、应对方式与预期性悲伤之间均存在一定的联系,心理弹性在MM患者预期性悲伤与应对方式间发挥部分中介效应。

Objective To analyze the relationship among resilience,expected sadness,and coping style in patients with multiple myeloma(MM),and to explore the mediating effect of resilience between expected sadness and coping styles.Methods A total of 100 MM patients hospitalized in 910th Hospital of PLA Joint Logistic Support Force from March 2019 to March 2021 were selected.Connor-Davidson resilience scale(CD-RISC),preparatory grief in advanced cancer patients scale(PGAC),and simple coping style questionnaire(SCSQ)were used to evaluate their resilience,anticipatory grief,and coping style,respectively,and The mediating effect of resilience between expected sadness and coping style were analyzed.Results The CD-RISC and PGAC scores of 100 MM patients included in this study were at a medium level.The score of positive coping was(20.34±2.52)points,and the score of negative coping was(13.13±1.53)points.CD-RISC score in MM patients was positively correlated with positive coping(r>0,P<0.05),and negatively correlated with negative coping(r<0,P<0.05).PGAC score of MM patients was negatively correlated with positive coping and CD-RISC score(r<0,P<0.05),and positively correlated with negative coping(r>0,P<0.05).Linear regression showed that resilience played a partial mediating effect on expected sadness and positive coping,expected sadness and negative coping in MM patients,and the contribution rate of mediating effect to the total effect was 15.11%and 54.62%,respectively(P<0.05).Conclusion There is a certain relationship between the resilience,coping style,and expected sadness in MM patients,and the resilience plays a partial mediating effect between expected sadness and coping style in MM patients.