The Relationship Between Intolerance of Uncertainty and Treatment Adherence: The Moderating Effect of Self-Compassion on the Chain Mediation Model

  • 0Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, Henan, People's Republic of China.

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Summary

This summary is machine-generated.

Low follow-up compliance in pulmonary nodule patients is linked to uncertainty intolerance. Self-compassion may improve adherence by mitigating negative interpretation bias and enhancing trust in healthcare providers.

Area Of Science

  • Medical research
  • Psychology
  • Public health

Background

  • Young and middle-aged patients with newly diagnosed pulmonary nodules exhibit poor follow-up compliance due to various pressures.
  • Intolerance of uncertainty is a known factor affecting patient adherence, but its mechanisms require further exploration.
  • Improving follow-up is crucial for preventing disease progression and reducing lung cancer mortality.

Purpose Of The Study

  • To investigate the moderating effect of self-compassion on follow-up compliance in pulmonary nodule patients.
  • To examine the chain intermediary roles of negative interpretation bias and trust in linking intolerance of uncertainty to follow-up compliance.
  • To identify factors influencing adherence for developing targeted interventions.

Main Methods

  • A questionnaire survey was administered to 319 young and middle-aged patients newly diagnosed with pulmonary nodules.
  • Statistical analyses were employed to assess the relationships between intolerance of uncertainty, negative interpretation bias, trust, self-compassion, and follow-up compliance.
  • A chain mediation model was utilized to explore the indirect effects.

Main Results

  • Higher follow-up compliance was observed in women, urban residents, and patients over 50.
  • Intolerance of uncertainty negatively predicted follow-up compliance.
  • Negative interpretation bias and trust acted as mediators, linking intolerance of uncertainty to compliance, with self-compassion moderating the trust-compliance relationship.

Conclusions

  • Findings support the development of multidimensional interventions addressing risk and protective factors for pulmonary nodule patients.
  • Mitigating intolerance of uncertainty is key to improving patient adherence and long-term health outcomes.
  • The chain mediation model offers insights for future research and clinical practice in enhancing patient engagement.

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